A Statement on The Shape of Training Reform and How it Will Affect Surgical Training
It may come as a surprise to many of you that the Shape of Training reform, coordinated nationally by a steering group, is moving forward to consider implementation within surgical training in the UK. Work was commissioned by Health Education England to the Royal College of Surgeons (England) to consider how this latest reform to surgical training may be piloted and ultimately implemented across the UK. BOTA and ASiT have been working together to represent the voice of surgical trainees in the UK regarding proposals on implementing the Shape of Training Review in surgical specialities.
BOTA President, Mustafa Rashid, has co-authored a document with the ASiT President (Miss Rhiannon Harries), regarding our concerns on the recommendations proposed. A version was sent to the chair of the Improving Surgical Training (IST) Group, Mr Ian Eardley, as part of our response to the draft report produced in September 2015. The full document and
JCST Quality Assurance Meeting – 26/10/2015
The Vice President of BOTA (Simon Fleming) attended this meeting and the hot topics were as follows;
Results of this year’s survey are out. Things that are apparent appear to be issues with LTFT and ongoing issues with bullying and harassment.
Both of these will be looked into in further detail and actioned urgently
ARCP 2 and 3 Outcomes
An issue was raised that potentially trainees do not always understand the implications and reasons for an outcome 2 or 3 in their ARCP. It was noted that many trainees are utterly distraught when they receive one, even if it is made very clear that fault does not lie with them but instead lies at the feet of the job they were just in. It was suggested there should be clear documentation if that is the case. It was also raised that if this is the case, and it is the job/trainer rather than the trainee at fault, that this should be used to look closer
JCST Meeting – 14/10/2015 – ?Staggering trainee changeover…
The Vice President of BOTA (Simon Fleming) attended this meeting and the hot topics were as follows;
Staggering Trainee Changeover;
There was talk of having a clearly staggered trainee changeover date. This would avoid “Black Wednesdays” to an extent but was also to allow for the introduction of bootcamps. The main issue here, as far as I could see was that there is talk of the bootcamps lasting for quite some time – the discussion then went onto suggest that trainees might be unsalaried for this time and that there is no clarification on exactly how bootcamps would be funded as of yet. Equally, if, on a regional/national bootcamp, a trainee also did their manual handling/child safety etc etc, would these be recognised by individual trusts.
The issues on pay (or more importantly lack of pay) during bootcamps as well as trust recognition were raised and will be revisited at the next JCST
GMC Recognition of Trainers;
RCS Council discussion on the junior doctors’ contract
Our BOTA President, Mustafa Rashid, was in attendance yesterday at the Royal College of Surgeons of England and was involved in imploring the RCS to do more to support junior doctors with the ongoing saga that is, the junior doctors' contract. Please read the RCS Statement below;
Yesterday the Council of the Royal College of Surgeons of England Council held a full and frank discussion on issues relating to the junior doctors’ contract.
Council recognised that there is a strongly held and widespread concern among trainees at the Government’s intention to impose a new contract. We recognise trainees have not felt as fully supported by the College as we had intended and apologise for this. We understand many of their concerns, particularly those surrounding the potential impact on patient care and safety. We commit to do more to support and communicate better with trainees. This includes looking for opportunities to work with The
ST3 Recruitment – SDG Meeting 7-8th Oct 2015
The first meeting of the Selection Design Group met in London. This year’s process includes 3 invited members from the BOTA Committee (myself, Simon Fleming VP, and Marshall Sangster [SAC rep]). Unfortunately Marshall could not make this first meeting. Our old friend and former SAC rep for BOTA, Nick Ferran, was invited by the Chairmen (David Large) as he was involved in the process 2 years ago.
Whilst I cannot comment on the specifics of the stations and the questions being developed, I can comment on the process. The group involves SAC members, respected consultants (many of whom have interviewed for many years), representatives from Health Education England, and trainees. The process of determining the selection process is very robust with every attention to detail given to all aspects of recruitment.
This initial meeting set out a clear direction for national selection which BOTA has always been on board with. That is one of fairness, equality, and trans
RCS England Council Meeting 8th October 2015
I attended the Royal College of Surgeons (England) Council meeting as BOTA President. The meeting included a very interesting and lively debate on the College’s position on the new junior doctor contract reforms. BOTA and ASiT were heavily involving in contributing to a discussion that helped RCS Council understand the issues facing junior doctors and members of the Royal Surgical College. This lead to a statement being released that BOTA and ASiT were involved in feeding back on. This can be read here. The College seems to be very keen on supporting its members regarding the junior doctor contracts and wishes to engage on a regional level to better understand the issues at hand.
Other topics of discussion included: an update on Project 2020 (proposed plans to re-build the Barry building RCS England site to better accommodate the College’s functions), and an update on
Report on BMA Speciality Update 07/10/15
Mr James Shelton email@example.com @bota_bma
I have just finished a meeting at BMA house regarding an update on the proposed contract negotiations lead by Johann Malawana chair of the JDC fresh from his speech at the Conservative party conference.
His private meeting with Secretary of State Mr Jeremy Hunt bore no fruit unfortunately with Mr Hunt continuing to insist on implementation of the contract and ALL DDRB proposals
with negotiation on the finer points after full capitulation.
The BMA will not re-enter negotiations until the following criteria are met:
1. Recognition of antisoc
Response from the Surgical Royal Colleges on Current Contract Proposals
Thank you for your sending BOTA’s statement on the Junior Doctors Contract discussions.
Our Colleges recognise that surgical trainees are already providing high quality care that covers the seven days of the week and 52 weeks of the year. Any contract must recognise this as well as support education and training, service provision and recruitment across all surgical specialties. Any contract must also reflect the key principles outlined by the Academy of Medical Royal Colleges Charter for Doctors in Training.
Our shared priority is the safety of patients. We must ensure that we can continue to make improvements to working practices that reflect the wellbeing and diverse needs of doctors in training. We also recognise that trainees face additional pressures such as a greater level of debt following undergraduate education.
Open letter to Secretary of State for Health: Trainees warn imposition of contract threatens future of UK healthcare
[vc_row][vc_column][vc_tabs][vc_tab title="Media Release" tab_id="40acd629-4d68-10"][vc_column_text]Members of the trainee committees that sit on the Academy of Medical Royal Colleges Trainee Doctors Group (ATDG) have written an open letter to Jeremy Hunt, Secretary of State for Health, to express their concerns with proposals to impose a new employment contract on all doctors in training in England in 2016.
The signatories to the letter represent the vast majority of Royal Medical Colleges across the UK and their associated faculties, and they represent the voice for training and standards for doctors in training in the UK.
The group states that the imposition of the contract presents an immediate risk to the provision of healthcare throughout the UK, and an ongoing threat to healthcare for generations to come.
The letter informs the Secretary of State that the failure to provide safeguards in terms of hours and working conditions will detrimenta
ISCP Management and ISCP Data – 22/09/2015
The Vice President of BOTA (Simon Fleming) attended this meeting and the hot topics were as follows
Beta release was aimed for early October. At time of writing this report, v10 is still not up and running as it was discovered that certain aspects of functionality did not work on non-college computers.
Once it goes live, BOTA has committed to promoting its usage and raising awareness of the new system
New critical condition coming – Necrotising fasciitis. Important to remember that you don’t necessarily need to “see” a patient with it, but this has been identified as another uncommon condition that trainees need to demonstrate awareness and knowledge of, within ISCP.
The trauma CEX is coming; trainees will be expected to have these in their record of training.
The GOSLE (Generic Operative Supervi
Position Statement: A statement on the decision to impose Junior Doctors’ Contract reform
"...Junior doctors already work 7 days a week to provide acute care to the UK population, and have never been able to opt out of weekend working. They do this despite record levels of low morale within the NHS. Many junior doctors have chosen to leave the profession or change careers due to the intense workload, poor work/life balance, and changes to the NHS."
A statement on the decision to impose Junior Doctors’ Contract reform (.pdf)
Press Release (.pdf)
Announcing OrthoEvidence Access for BOTA Members
On behalf of BOTA and OrthoEvidence, we are happy to announce that we have acquired unlimited access to OrthoEvidence (OE) for all BOTA members.
OE's database has over 3,100 high impact evidence summaries from more than 360 journals of the highest-quality research published in orthopaedics. The summaries help users get to the information they need within seconds, and critically appraise the quality of the research with their risk of bias and reporting appraisal scores. Evidence-based decisions can be made with confidence using the ACE Reports on OE as all content is based around Level 1 trials which are likely to impact practice.
Upon sign-up, you can customize your experience based on your area of interest, and you will begin receiving updates on all of the best evidence to your email. Whether you are sitting the FRCS examination and need the highest quality evidence regarding common Orthopaedic conditions presented in a succinct manner, or a trainee wishi
BOTA/ASiT Statement on credentialing in postgraduate surgical practice
The General Medical Council (GMC) has outlined its plans for credentialing in postgraduate medical practice across the United Kingdom.
BOTA and ASiT have significant concerns that credentialing may result in doctors with only partial training in a specialty and that those doctors may be ill-equipped to cope with complex cases or complications that unexpectedly arise.
Please read our joint statement here
Position Statement: The Worsening Crisis of Medical Recruitment and Retention in the NHS
This statement highlights concerning trends regarding the ongoing crisis in the NHS regarding medical recruitment and retention of doctors. It also sheds some light on the impact of recent
political news stories pertaining to key documents including the recent DDRB review, the future of 7-day NHS services, and the comments made by Mr Jeremy Hunt, incumbent Health Secretary.
Download Here: BOTA Position Statement (The Worsening Crisis of Medical Recruitment and Retention in the NHS)
BOTA Educational Congress 2016 – Dates Announced
The 2016 BOTA Educational Congress will take place on 16-19th June at Hinckley Island, Leicestershire.
The biggest event in the BOTA Calendar, it is always a great success and this year we hope more so than ever.
Make sure to get your leave booked as soon as you can.
Further details will follow in the coming months...
Mersey Regional JDC Meeting – 11/08/15
Presentation from Dr Andrew Collier (National JDC Co-‐Chair) regarding the current
contractual amendments proposed by the Doctors and Dentists Review Board (DDRB). Full
details at : Junior and consultant contract negotiations
A lengthy discussion regarding the perceived ineffectiveness of the BMA Communications
department to crack the mainstream media. Importance of ‘humanising’ doctors after all
are we not entitled to a family and private life as well?
Major message: the BMAJDC are powerless WITHOUT its membership support. If we want
to effect change all of us need to email the BMAJDC for them to take forward that all junior
doctors reject the proposed contract negotiation.
The BMAJDC have subsequently voted not to re-‐enter negotiations as this would have
involved accepting the proposals but negotiating their i
ISCP Management and ISCP Data
The Vice President of BOTA (Simon Fleming) attended this meeting and discussed the hot topics of the new ISCP v10 and WBAs.
It is hoped this will launch in late 2nd summer of 2015, however, BOTA was reassured that if it wasn’t fully functional and ready for launch it would be held back. There is a clear desire to launch a relatively bug free and polished product. Once we know more – we will spread the word.
At the moment there is a suggestion that to record evidence of teaching or audit within the portfolio, it will want an assessment, such as an Observation of Teaching (OOT). I suggested this wasn’t fit for purpose as, for example, if one teaches a large group of med students, there might not be someone present to fill the assessment. It was therefore suggested that that sort of thing can be recorded in the “Other
TOTY 2015 – Niall Eames (Northern Ireland)
Question 1: Excellent Orthopaedic trainers often go out of their way to ensure their trainees have a variety of learning opportunities during their job. How does this consultant go above and beyond what is expected from an Orthopaedic trainer?
TPDOTY 2015 – Mike Reed (Northern)
TPD since 2011 and formally a SpR in the region “Speedy” is quite simply a force of nature. His overriding drive to improve training is evident in every aspect of our deanery. From education, to innovation and academia, the commitment to improve our program goes above and beyond his regular 4am emails.
The design of every training program must begin with learning objectives. Co-authoring both the 2010 and 2013 StR curriculum he pioneered the introduction of e-logbook, UKITE, OCAP and PBA’s. National Lead for UKITE and e-logbook, he also Chairs the BOA Education Committee, himself being fundamental in evolving explicit outcomes for training, setting the bench-mark for good training in the UK. An extremely inspirational trainer in his own wright, he genuinely wants trainees to be good operators and decision makers. Compelling them to get the best without pressurizing, he remains approachable and fair even if trainees don’t achieve his super-human standards.
BMA Response to the Shape of Training review
In a world where the needs of patients are changing, we must regularly review the way that we train doctors. And, where necessary, we must make changes to existing structures. The Shape of Training report makes a valuable contribution to the debate about the future of postgraduate medical training and we support many of its recommendations. However, we do have concerns about how some of the more fundamental changes proposed by the report will work in practice – especially those which would effectively shorten the length of training and redefine the meaning of certification. Our concerns are detailed in this paper together with our views on the report’s more minor recommendations, many of which we support.
Statement on Shape of Training
1. The Shape of Training report correctly identifies the huge challenges faced by the NHS in delivering