Category Archive Revalidation

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Doctors Direct – Critical Care Medicine updates

ICM specialists (intensivists) are involved in all aspects of care of the critically ill, including providing organ support, investigation, diagnosis and treatment of critical illness, as well as involvement in patient safety, ethics, end-of-life care and support of patients and families.

The Faculty of Intensive Care Medicine (FICM) is the professional body responsible for the training, assessment, practice and continuing professional development of intensivists in the UK. Training and certification in ICM was previously only possible in the UK in conjunction with a primary ‘base’ complementary specialty (usually anaesthesia or respiratory medicine) as part of a joint training programme, however, a standalone training programme in intensive care medicine now exists. Trainees can enter ICM training through a number of routes, and although the standalone programme exists, the majority still elect to train in two complementary specialties (i.e. anaesthesia, emergency medicine, respiratory medicine etc) through a GMC-approved dual training programme. Details of training and examinations in ICM are found on the FICM website.

Obtaining recognition for non-FICM ICM training (in order to be entered on the GMC specialist register as an intensivist) presents some challenges. Unlike other specialties, there is no reciprocal agreement for specialist recognition in ICM training in other countries and therefore there is no automatic recognition of previous ICM training/experience. Here a doctor has to demonstrate written, certified evidence of equivalence of ICM training to the GMC through a formal, complex process (CESR). Doctors are best advised to seek support in their application for equivalence, and applications should be made directly through the GMC.

 

Useful links:

FICM: https://www.ficm.ac.uk

European Society of Intensive Care Medicine (ESICM): https://www.esicm.org European congress, Certification, Journal (Intensive Care Medicine)

Intensive Care Society (ICS): http://www.ics.ac.uk UK Intensivist Society:  national training days, annual State of the Art meeting, Journal, (JICS)

 

Author: Dr Susanna Price, Consultant Cardiologist and Intensivist, Royal Brompton and Harefield NHS Foundation Trust

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Training in Paediatrics – the basics and new developments

Paediatrics continues to offer varied career opportunities including subspecialisation in level 3 training (ST6-8) in 17 accredited subspecialties as well as Community Paediatrics and neonatology (subspecialty training). In addition, doctors with a predominant general Paediatric interest can develop special expertise by undertaking “SPIN” modules during training or in career grade posts. There are 16 such modules (SPIN modules).

Paediatrics had a new ePortfolio last year, “Kaizen”. After some teething problems, this is a helpful electronic resource which continues to be developed and new features added. It is available for use by nurse practitioners, trust grade and staff and associate specialist posts but of course there is a fee for doing so (Register for RCPCH ePortfolio).

The RCPCH offers very helpful advice for doctors who wish to apply via the CESR route to the specialist register and in my mind no one should apply without seeking RCPCH advice first as chances of success are greatly increased (RCPCH CESR).

In 2018, Paediatrics will have a new training curriculum which will be outcome based rather than a competency based curriculum (RCPCH new curriculum). After having a number of new assessments introduced in August 2016, there are no planned changes in the assessment strategy and of note is that there is no minimum number of mini-CEXs or CbDs with a strong emphasis on the formative nature of assessments. In the future, RCPCH will have entrustable professional activities (EPAs) which are currently in development.

As all Paediatricians hopefully like children, there are a number of training rota gaps due to parental leave at both junior (ST1-3) and senior (ST6-8) training levels for which locums are frequently needed or for which trust grade posts are established. It is important to be up to date with paediatric life support courses (NLS and either EPALS or APLS) and level 3 safeguarding.

 

Author: Dr Helen Goodyear, Consultant Paediatrician and Associate Postgraduate Dean, Health Education England (West Midlands)

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Revalidation

Revalidation…

How was it for you?

“The thought of what was involved was very stressful but surprisingly it came together quite nicely in the end. There was quite a bit to do – to get all the paperwork together, but by chipping away at it, on the day of the assessment with my line manager, it ran very smoothly.

Now that I have all the work together in one place, it will be far easier the next time, and much easier to add bits to it as I go along.”

Revalidation provides benefits for you as a nurse or midwife but also to the people you care for. It encourages a culture of sharing, reflection and improvement and will be an ongoing process throughout your career.

Below are some useful tips we think might help you through the process.

Top 7 tips

1. Prepare for your revalidation 6 months in advance.

It’s not just a case of pulling your paperwork together, you will also need to prepare yourself mentally and emotionally for your reflective pieces.

2. Speak to someone who has already been through the process.

Ask questions and make notes so you know what is required.

3. Always link your experiences to the NMC code.

Appraisers and Confirmers will look at how you have incorporated the code and made it a part of your working life as a healthcare professional.

4. Keep all your paperwork together.

Add your training insights and reflections to the back of the certificate whilst they’re fresh in your mind.

5. Read articles and magazines.

A good few months before your revalidation, giving you time to digest and apply the information.

6. Get feedback from colleagues and patients you have a good rapport with.

Remember, to ask for consent and explain that you need the feedback for your revalidation.

7. Enjoy it! It’s your chance to showcase the amazing work you are doing!

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Revalidation: E-Learning and Diabetes

 

Its Diabetes awareness week 13th June to 20th June 2016, so take this opportunity to refresh your knowledge by completing some of the e-learning modules available to you.

Virtual College National Patient Safety Suite has number of on-line modules available to qualified nurses and can be accessed via this link.

Developed by  Diabetes UK and BUPA, ‘Diabetes in healthcare’ is an introductory e-learning programme that covers type 1 and type 2 diabetes and can be accessed via www.diabetesinhealthcare.co.uk

Open Learn, part of the Open University provides a number of free learning courses that raise awareness of diabetes, diagnosis and associated complications and can be accessed via  http://www.open.edu/openlearn/science-maths-technology/science/biology/living-diabetes/content-section—learningoutcomes#

More learning opportunities:

Prostate Cancer UK provides a suite of free e-learning modules that can help you to understand about risk factors, treatment plans and diagnosis of prostate cancer, along with the care and treatment provided. These modules can be found at http://prostatecanceruk.org/for-health-professionals/education

The Social Care Institute for Excellence has developed a new e-learning module that focuses on the Mental Capacity Act. Published in March 2016 this is a brand new resource and is free to use. It can be accessed from www.scie.org.uk

Nurses – remember any new learning (or old learning seen with different eyes) can help you to meet your revalidation requirements.

So go on, make sure every bit of your learning counts and give some of the learning modules a go and complete your CPD and reflective accounts form both of which can be accessed from revalidation.nmc.org.uk/download-resources/forms-and -templates/

Please note: NHS Professionals accepts no responsibility of the content of other websites linked in this article.

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Developing your portfolio

All Bank Members are expected to maintain continuing professional development (CPD) and take a life-long learning approach to maintaining professional competence.

CPD is not just for qualified nurses

Although it is not a requirement for registered nurses to complete a portfolio of evidence for revalidation, the Nursing and Midwifery Council (NMC) strongly recommend that you do so.

Developing a professional portfolio is not difficult. Whether you are a nurse, other healthcare professional or care support worker, with a little preparation and commitment it can become a regular activity to support your learning.

Professional portfolios can be used to:

  • Support revalidation for qualified nurses
  • Fine tune clinical skills
  • Develop business skills
  • Support career progression
  • Increase the chances of getting a job you really want
  • Maximise employment potential
  • Access formal education programmes
  • Create a personal sense of pride

Getting started.

  • In basic terms a portfolio is simply a storage area for holding documents.
  • A professional portfolio however is much more than this.

It’s about you and your professional development and can include the following:

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Taking things one step at a time

  • Are you ready to engage in the process (nurses revalidation requires you to do this)
  • Identify any potential barriers early on and think of ways in which you will overcome these
  • Create a plan as to how you intend to develop your portfolio and stick to it
  • Do you have someone you might be able to share your ideas with?
  • What learning can you undertake; NHSP has several opportunities to help you achieve this, through the MLE online portal

Some learning opportunities available to you.

It’s Parkinson’s awareness Week 18th-24th April 2016. If you want to find out more about Parkinson’s disease you might want to look at Parkinson’s UK website: http://www.parkinsons.org.uk/professionals

Parkinson’s UK has developed an extensive on-line learning module that will enable you to assess your current knowledge on Parkinson’s disease and whether or not your practice meets the guidance.

There are free clinical e-learning courses now available at www.preponline.net. There are courses on:

These courses once completed, can help support the new NMC revalidation process. The courses cover anatomy & physiology, clinical assessments, clinical guidelines and drug treatments.

Aspiring leaders can also access a number of self-assessments designed to support your personal and leadership development. They all take between 10 and 15 minutes to complete, so go on have a go.

Test 1 – What is your leadership style?
This test is designed to help you identify your preferred leadership style.

Test 2 – What is your team role?
This test is designed to help you understand your team role and can form the basis of personal development as well as tea development roles.

Test 3 – What is your next career move?
This test is designed to help you identify the stage you are at in your career and provide some guidance as to your next steps.

Test 4 – What are your career strengths?
This test is designed to help you identify your key career strengths.

Test 5 – Are you suffering from burnout?
This test is designed to help you assess whether you may be suffering from burnout.

But don’t forget; NHS Professional qualified nurses have access to 16 modules via the Virtual College which will help you access this quality training and up-date your professional knowledge.

Please note: NHS Professionals accepts no responsibility of the content of other websites linked in this article.

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Duty of Candour; what you need to know

“To err is human, to cover up is unforgivable, and to fail to learn is inexcusable”
Sir Liam Donaldson 

What is Duty of Candour?

The NHS Trusts where you work your assignments have a legal responsibility to tell people who use their services when something goes wrong and to apologise. This is known as Duty of Candour.

What does this mean for Trusts?

If an unintended or unexpected incident occurs where significant harm has happened or may still happen to a patient or service user the incident must be notified to the Care Quality Commission (CQC)

The Trust must then be open and transparent with the patient or service user by:

  • Apologising and taking responsibility for what went wrong
  • Ensuring a Duty of Candour conversation is held with the patient or service user by a senior member of staff and that this is documented
  • Investigating and ensuring a line of communication is open with the patient or service user at all times
  • Giving feedback to the patient or service user once the investigation completed
  • Sending a written apology to the patient or service user

What does this mean for you?

  • Be open and honest if you make a mistake
  • If you see something that you think is not right report it
  • Do not be afraid to report something that has gone wrong
  • If something does go wrong think about it and reflect on what you have learned and what you will do to prevent it happening again
  • Be aware that the CQC may ask you what you know about Duty of Candour if they speak to you when they are carrying out an inspection in the Trusts where you are working

Remember – An apology is an expression of sorrow or regret not an admission of guilt.