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Postgraduate Medical and Dental Education for Wales
Addysg Feddygol a Deintyddol Ôl-raddedig Cymru
DEANERYVIEW
Updates on:
•
•
•
Less than full time training
‘Dynamic resilience’
for clinicians
Wales Deanery enters
the Dragon’s Den
the magazine of the Wales Deanery | March 2015
@WalesDeanery
Excellent patient-centred
education and training
for medical and dental
professionals
Addysg a hyfforddiant
ragorol canolbwyntio ar
y claf gyfer gweithwyr
proffesiynol meddygol
a deintyddol
A message from the Dean
Professor David Greenaway’s report on the “Shape of
Postgraduate Medical Training” was published in
October 2013, and you could be forgiven for thinking
that very little progress has been made since that
date. However, there were six workshops looking at
the major themes contained within the Shape of
Training report last September and from that, a paper
was written to all four Health Ministers with
recommendations on which elements of the report to
take forward on an all UK basis.
Three of the recommendations contained within the report are
being progressed separately, these are, the Point of Registration,
with the suggestion that this may move to the end of Medical
School as opposed to the end of Foundation year one, a National
licensing exam and Credentialing which itself will be taken forward
primarily by the GMC. We are therefore waiting for formal sign off
from the Health Ministers in order to continue to progress the
recommendations contained within the report. Clearly the lack of
communication around what is happening with the Shape of
Training Report has caused many organisations to openly discuss
their interpretation of the way forward in the press. I do hope we
are able to have greater clarity around the direction of travel soon,
so that we can have an open and frank discussion and at least be
on the same page with regard to what is being recommended.
The Foundation Programme in the UK continues to be
oversubscribed, and this year there is even greater pressure, with
the largest number of medical students on the reserve list that we
have ever had before. It is still our hope and expectation that
there will be sufficient withdrawals to accommodate all those who
require placing by August this year. It is unlikely that this situation
will improve in the forthcoming years, with the introduction of
private medical schools and as yet no clear resolution on how to
best address this issue.
Once again it is time for the BEST awards and we had a large
number of applicants all nominated by their trainees this year. The
standard remains exceptionally high and we will have our work
cut out for us to pick the ultimate winner. This will be awarded in
April at the Royal Welsh College of Music & Drama, in Cardiff City
Centre. It is a prestigious evening that allows us to recognise and
reward those with outstanding commitment to Medical Education.
Training and reconfiguration continues a pace and has made
good progress over the last few months in moving trainees onto
less sites, with better and more robust rotas and protected
teaching time. The way forward, will clearly be to have
educational contracts with a firm commitment from the host
organisation to provide the breadth and depth of training required
by the Royal College curricula. The General Medical Council has
now sent out a paper on educational standards, for consultation
over the next couple of months ready for implementation in
August of this year.
2 | DEANERYVIEW the magazine of the Wales Deanery
These new standards pertain both to undergraduate and
postgraduate environments and very clearly articulate the
expectations that a proper education environment is required for
both medical students and doctors in training. This I am sure will
have a positive effect on all healthcare professionals within any
Health Board. We were able to share preliminary drafts of the
paper with all of the Health Boards late last year so that they are
aware of the standards that are required in the future.
I am delighted that members of PGMDE will be presenting their
work at a Medical Educational conference in Vancouver and again
at the AoME conference later in the year. This is clearly a reflection
of their quality standards and innovative practice that goes on
within the Wales Deanery.
Towards the end of last year the Health Minister embarked on a
review of the Health Education budget for all health professionals.
This report is due out within the next month, it is likely that one of
the recommendations will be a greater role for a more integrated,
strategic all Wales workforce plan. This clearly would be a positive
step forward.
Once again if you have any comments on the content of
DeaneryView, our bi-annual magazine or wish to raise any
other points with the Wales Deanery, please do not hesitate to
contact me.
Derek Gallen, Head of School and Dean
t: 029 2068 7412
e: gallendd@cardiff.ac.uk
Local Faculty Team Conference
2014
The Wales Deanery’s Quality and Postgraduate
Education Support Unit recently hosted the third Local
Faculty Team Conference on 8th July 2014 at
University Hall Conference Centre, Cardiff.
The key aims of the Conference were to provide updates on key
Deanery activities and developments in postgraduate medical
education and training as well as to provide Local Faculty Teams
with an opportunity to reflect on how they have functioned over
the past year and how they can be strengthened and developed
in the future. The Conference also provided an opportunity for
networking and sharing good practice between Local Faculty
Teams across Wales.
The event was attended by around 50 delegates including Local
Faculty Leads, Foundation Programme Directors and Education
Centre Managers from Health Boards/Trusts across Wales.
The Conference began with an opening address from Dr Chris
Callander, Sub Dean (Quality and Governance), followed by updates
on Deanery activities; national developments in Medical Education
and Training; and trainer recognition. There were also sessions on
‘Getting to know the Team – AWHILES Librarians’ and ‘GMC Survey
Results – Key Messages’. Following this, each Local Faculty Team
was invited to provide a 5 minute presentation on what they
consider to be good practice in their organisation in order to
encourage the sharing of good practice. The morning ended with a
session on ‘Measuring Performance in Educational Settings – Why
does it Matter?’ presented by Dr Debbie Cohen, Senior Medical
Research Fellow and Director of Medic Support, Cardiff University.
The afternoon began with sessions facilitated by Dr Anton
Saayman, Associate Dean (Postgraduate Education Support) on
reflection and feedback in relation to the recently held Local
Faculty Team Appraisals and a workshop to consider the delivery
of Local Faculty led CPD. The final sessions of the day were on
‘Reconfiguration – The Changing Landscape of Medical Training in
Wales’ and ‘Interactions between Faculty Leads and other
Specialties’.
The presentations from the Conference can be found on the
Wales Deanery’s website (www.walesdeanery.org).
Very positive feedback was received in relation to the Conference
with 92% of respondents rating it as either ‘extremely useful’ or
‘useful’. The majority of delegates described the structure and
content of the programme as ‘excellent’ or ‘good’ with comments
including that the event had a positive atmosphere, the updates
provided were valuable and the opportunities for sharing good
practice and networking were very useful.
Suggestions for future Conferences included that it would be
helpful for the more important items to be listed earlier on the
agenda; that more time could be allowed for open discussion and
questions in relation to certain topics; and that greater
involvement from specialty representatives would be useful.
The Deanery would like to thank everyone who was involved in
making the Conference a success and looks forward to hosting
similar events in the future.
Less Than Full Time (LTFT) Training
The Wales Deanery is pleased to launch a revised Less
Than Full Time (LTFT) Training policy. LTFT is a scheme
whereby eligible trainee doctors and dentists of all
grades are able to train on a part time basis when fulltime work is impossible or unreasonable rather than
having to give up training.
Through this scheme the Wales Deanery aims to:
Q Retain within the workforce doctors/dentists who wish to
continue their training on a less than full-time basis.
Q Promote career development and work/life balance for
doctors/dentists in training within the NHS.
Q Ensure continued training in programmes on a time equivalence
(pro-rata) basis.
Q Maintain a balance between flexible training arrangements, the
educational requirements of both full and part-time trainees and
the needs of the service.
For those eligible to enter the scheme it will allow them flexibility and
a healthy work life balance in order to both meet other
responsibilities and also fulfil their medical training requirements.
For further detailed information including Eligibility Application forms
and Training Plans please see our LTFT Training Policy available on
our website www.walesdeanery.org.uk
Within Wales there are currently 313 trainees training on a LTFT
basis, the vast majority of these trainees work part time to support
their carer responsibilities.
Wales Deanery LTFT Training Contact:
Tracy Shellard, Executive Officer – LTFT Training,
Wales Deanery - School of Postgraduate Medical and Dental
Education, Cardiff University, Neuadd Meirionnydd, Heath Park,
Cardiff, CF14 4YS.
Tel: (029) 2068 7442 (direct)
Email: flexibletrg@cardiff.ac.uk
March 2015 | 3
Knowledge Transfer
and Mobilisation in
Wales: results from our
scoping study
Funded by Aneurin Bevan and Cwm Taf University
health boards, CUREMeDE recently completed a
scoping study of knowledge transfer and mobilisation
in Wales.
The primary aim of the study was to learn more about how research
findings are currently used to inform and advance healthcare practice
in Wales so that we can better develop initiatives to improve the
transfer and mobilisation of knowledge. The study directly informed
NISCHR’s Task & Finish group on knowledge mobilisation.
The infographic provides an overview of the study. The full report is
available on request through curemede@cardiff.ac.uk
5th Annual
Curriculum
Conference
C21: Maintaining
Momentum
27th March 2015
This one day conference showcases
developments in medical education in Wales
and explores issues important to medical
schools and the NHS. It is open to anyone
involved in or interested in the education and
training of students and practitioners in health
care education.
There will be opportunities to listen and contribute to
workshops on issues in keeping with the conference themes:
Q Selecting for Excellence
Q The C21 Showcase
Q Assessing & Improving Student Experience
Q Staff Development & Academy of Medical
Educators
Q C21’s Phase 2: Learning to Care
Venue
Michael Griffith Resource Centre
Heath Park Campus, Cardiff University
Cardiff, CF14 4YU
C21@cardiff.ac.uk
Friday 27 March 2015
Full instructions at
https://cardiff.onlinesurveys.ac.uk/march2015poster
Register online at
http://tinyurl.com/2015-C21
Workshops Speakers: tbc
For more information please contact Steve Riley on:
RileySG@cardiff.ac.uk
4 | DEANERYVIEW the magazine of the Wales Deanery
“Walking the Tightrope”
Dynamic Resilience in Action
Friday 16th January saw a full day event in Cardiff examining “dynamic
resilience” and its use in a clinical setting.
The event, organised by Dr Mark Stacey (Associate
Dean for Innovation), and Andy McCann (Director,
DNA Definitive), aimed to use insight from other
professions to support the development of doctor
resilience and mental toughness.
Mark’s hope was that the day would enable healthcare
professionals to learn from practical tried and tested approaches
to the management of acute and prolonged stress from the world
of elite sport and the armed forces. He commented:
Five main points were echoed in all the presentations:
1. Breathe!
2. Be prepared
3. Control the controllable
4. Peer support is vital
5. Never underestimate the power of human touch
Feedback from the event has been very positive:
“A recent report from the King’s Fund (Nov 2014) drew attention
to concerns about motivation for those of us who work in the
NHS. There is no doubt that there are many causes for this lack
of motivation; including increased intensity of work, the lack of a
pay rise for over five years and continued pressure to do more
with less. This could potentially make us unhappy and resentful.
There is an alternative, and potentially more useful, approach to
improving the way that we perform, and this is by viewing such
issues, not so much as a threat, but preferably as a challenge.
“ The talks given by the speakers
“If one views such pressures as a challenge that means that there
are potential skills that one can learn that will improve one’s
resilience and enable one to deal with such pressures that occur
in a more positive fashion.”
of how people react, both in body
and mind, to stressful situations.
The day started with an insightful presentation from Dr Jamie
Barker, Professor of Applied Psychology at Staffordshire
University, on the effects of psychological interventions on
performance-related outcomes and was followed by a series of
illuminating and touching presentations from Team GB coaches,
Special Forces and Counter Terrorist officers, and included input
from Alastair Campbell (Tony Blair’s ex press secretary). The
presentations focused on dealing with performance under
pressure and under scrutiny.
were insightful, stimulating and
thought-provoking.
“ Gave me a better understanding
The outcomes of the event along with interventions to support the
development of resilience will be further explored over the coming
months by Professor Alison Bullock and the CUREMeDE team
(www.cardiff.ac.uk/curemede).
If you would like to know more about the event or future events
please contact Dr Mark Stacey on airwayman@me.com
March 2015 | 5
Single Lead Employer for stakeholders
(trainers, practice managers, medical staffing,
Programme Directors, Medical Directors etc)
On 3rd February 2015, new employment
arrangements were introduced for ST1 GP trainees
who started their training on or after 5th August 2014.
This article offers an update on the implementation of
this change.
NWSSP will be responsible for:
What are the new arrangements?
Host organisations (hospitals and general practices) will be
responsible for:
GP trainees affected by these new arrangements will no longer have
multiple employment contracts and employers during their training.
Instead they will have one employer, NHS Wales Shared Service
Partnership (NWSSP) hosted by Velindre NHS Trust and one
employment contract for the remaining duration of their training.
How many trainees does this affect?
115 ST1 GP trainees will move on to the new employment
arrangements. These trainees will be sent an appointment
letter and welcome pack by NWSSP in the week commencing
24th November 2014. Contracts of employment will be issued by
31st March 2015. All other GP trainees who started training prior
to 5th August 2014 will continue with the existing employment
arrangements.
Responsibilities
The Wales Deanery will continue to have responsibility for:
Q Advertising, recruitment and selection of GP Trainees
Q Management of training programmes including trainee
supervision and assessments
Q Management of educational remediation and additional
support measures
Q Approvals – LTFT, inter/intra transfers/Out of Programme
placements
Q Quality Management and Assurance including Trainer and
Training practice performance monitoring, approval and
re-approval
Q Revalidation of trainees
Q Distribution of contracts of employment
Q Carrying out all on boarding checks
Q Single payroll
Q Case manager for all terms and conditions
Q Day to day responsibility of rotas
Q Reporting of leave – annual, study and sick leave
Q Clinical Governance (patient safety and quality)
Q Reporting of performance issues
Progress so far
Implementation of the single lead employer is overseen by a
Project Board Chaired by Neil Frow, Managing Director of
NWSSP. Project Managers are Claire Howells and Hilary Sharp.
A series of work groups report to the Project Board as follows:
Q Finance and Risk Pool
Q Service Level Agreements / Contracts of Employment
Q Communications and Engagement
Q Process and Procedures
Work groups have representation from key stakeholders including
NWSSP, the Deanery, Medical Workforce Managers, Practice
Managers, Trainers, GPC Wales, and the BMA
Members of the Project Board have attended meetings with
stakeholders including Medical Directors, Practice Managers and
Medical Workforce Managers to discuss the new arrangements
and elicit feedback from them. Issues emerging from these
stakeholder meetings are being addressed by the relevant
work groups.
If you have any queries about these new arrangements
please e-mail NWSSPGPSingleLeadEmployer@Wales.nhs.uk
Study sessions on “hot” topics
in Medical Education
UK wide online applications
Oriel is the new recruitment portal for postgraduate
medical, dental and public health education and training.
Following a successful pilot in early 2014 which featured 21
medical specialties and over 3000 applicants, Oriel was rolled
out to all those applying for postgraduate medical (excluding
foundation), dental, academic and public health training posts in
September 2014. Oriel brings about a major improvement in
efficiency and consistency by providing a seamless applications
experience from registration to accepting an offer of a training
post – all within one easy to use portal. More information can be
found on the website www.oriel.nhs.uk
6 | DEANERYVIEW the magazine of the Wales Deanery
15th & 17th April 2015
The Wales Deanery April series of half day courses on
contemporary issues in healthcare education are now available:
15th April 2015
• Writing for Publication in the Social Sciences (Morning session)
• Becoming an Effective Mentor/Mentee (Afternoon session)
17th April 2015
• Effective Leadership in Healthcare Education (Morning session)
• Creating Educational Change (Afternoon session)
If you are interested in applying for one or more sessions
please email: medicaleducation@cardiff.ac.uk
For other opportunities please visit our web pages:
www.cardiff.ac.uk/pgmde/medicaleducation
Medical and Dental
Virtual Career Fair Project
Careers fairs are a well-established way of bringing
potential applicants and employers together and the
Deanery has historically supported a range of local
and national events to help students and trainees
explore their career and training options.
We recently trialled a virtual approach, aiming to engage our
‘Gen Y’ doctors who draw information from Twitter, YouTube,
Instagram and many other social media channels. Our Virtual
Careers Fair was piloted to offer a gateway for users in Wales and
UK-wide, with the kind of information and interaction visitors
would expect at a live careers fair.
Over a 10 week period from September to December, 150 users
visited the career fair, with the majority being medical students
and foundation doctors, our target audience. Another positive
finding was the potential reach of the event, with activity across
the UK and even a few other countries.
All our training programmes hosted a space and gave time to
support the virtual event. The site contained information
downloads, external links and short videos.
A generic space focused on building a medical career in Wales,
linking to partner organisations, Health Boards, medical schools
and organisations such as the BMA Cymru and Academi Wales.
We have learned a lot from the pilot, though we have decided
not to continue this model using an external platform as the
design didn’t fit with our distributed model of working.
Engagement with webchats was also low and we feel that
there are more user-friendly, flexible options to explore.
However, the process of reviewing and updating information
resources has been useful and really prompted us to take a
modern, user-focused look at our information channels. The
concept of ‘virtualisation’ will be adopted and developed further
and we will build on our learning from this experience into
ongoing projects within our Communications Plan.
We’ll be supporting and encouraging local careers events, which
more of our Education centres are developing – as nothing fully
replaces a face to face conversation on the ground!
For further careers information please contact Rachel on
MortR@cardiff.ac.uk
Heads of Schools appointed
The Wales Deanery would like to take the
opportunity to congratulate our new Heads of
Schools on their appointments. The individuals
appointed will be providing a strategic role in the
delivery and quality management of specialty
training in their area. They will also provide expert
advice, support, leadership and strategic input to
ensure that high quality and sustainable training
is delivered throughout Wales.
The post holders will also be taking on a key role in the
reconfiguration of training and leading the development and
implementation of plans for their particular specialties.
Appointments are as follows:
Q Medicine: Tom Lawson
Q Surgery: Wyn Lewis
Q Pathology: Richard Attanoos
Q Anaesthetics: Eluned Wright
Q Emergency Medicine: Amanda Farrow
Q Radiology: Sian Phillips
Q Public Health and Medical Microbiology:
Brendan Mason
Q Paediatrics: Helen Fardy
Q Obstetrics & Gynaecology: Euan Kevelighan
March 2015 | 7
The Business Systems
Support Unit (BSSU)
The Deanery Business Systems Support Unit (BSSU) continues
to work in partnership with all sections and Units in the Deanery
to support the services they provide to Doctors, Dentists and all
stakeholders. Our work includes looking at business process and
analysing it for efficiency and effectiveness, recommending change
and, where possible, providing software solutions which deliver or
complement business process. Our work continues to enhance
governance across the organisation. Some examples of our work
are described over these two pages.
One major software project, due for completion later this year, is the
MARS enhancement project (MEP), which as the name implies,
seeks to enhance the user interface and functionality of the MARS
system, fully informed by interactions and feedback from end users
and the Revalidations Support Unit.
The project is moving on at a pace and in line with the project plan.
The development team applies the usual industry standards you
would expect in a software development environment – both ISO
and ITIL standards inform our work. Software quality is an
important concept and our working practices here adopt ISO
methods and quality checklists.
Our development process has various phases and we are now at
the software coding phase, part of which provides ‘wireframes’
which users can access to provide us with feedback on
functionality. The iterative design and development phases ensure
we produce a product which is fully informed by the user base.
MARS Updates
The update process continues for existing MARS and
is informed by our Change Request Process.
This is designed to capture new ideas for amendments and
improvements to MARS, evaluate and prioritise them for
development. MARS will soon be at version 2.7, which historically
means we produce roughly one update set every four months or
so, which is good for end user experience. We also provide a bug
fixing service so that any problems found are captured, assessed
and where possible fixed. We provide a service priority matrix in
line with ITIL service desk standards in order to provide this
service as effectively as we can.
top: MARS Landing Page
above: MARS Login Page
Wales Deanery Website
Our other major development project is the redevelopment of
the Deanery Website. The current site has been around for a few
years now and although it has been through amendments
informed by evaluations, and a similar change control process to
MARS, it has reached a point where we need to reassess our
stakeholders’ requirements of us and facilitate these through a
revamped site. The new site will embrace technology
enhancements which have become available over the last few
years, to provide a fully featured and functional site, informed by
our stakeholder’s needs. Our development process will again
follow industry standard methods, providing Web Personas and
an information architecture to support and enhance our
interactions with all our end users. The site is targeted for initial
pilot in June this year and will be evaluated, as with all our
projects and services, to inform continuous improvement.
Project INSIGHT
BSSU continues to work with the Professional Support Unit and
Careers Unit to maintain this software based case management
system. This is a web based multi user system which helps record
and manage cases in order to enhance governance and improve
communication, coordination and collaboration across the teams.
The system will soon be moving to new servers which will provide
enhanced performance and security.
8 | DEANERYVIEW the magazine of the Wales Deanery
Service Desk
The work of the BSSU has grown substantially and
one key area where there has been significant impact,
is in recording issues, tracking them, interacting
effectively with the originator and generally facilitating a
quality outcome, both in terms of issue resolution and
communications.
So during the latter part of 2014 in association with The Deanery
Revalidation Support Unit, BSSU has designed and built a software
service desk. This is a fully featured system and will be used across
all deanery software and business systems, It will be a core quality
control for supporting and enhancing change control and
associated workflow. The system will be piloted with the RSU
during February 2015 and rolled out more widely soon after.
Matching Scheme
This software system facilitates the matching process - each
year doctors and dentists in the foundation programme take part
in this to facilitate their recruitment to posts. As reported
previously, the BSSU created this software system in 2009 and it
continues to support this important business function for the NHS.
It is now entering into a successful fifth year of operation. In
association with the Deanery Postgraduate Secondary Care
Training and Dental Sections, we have agreed that the current
interface will be retired in 2015 and a new enhanced user interface
will replace it. The system is used by consultant recruiters in the
NHS and all applicants to posts. It is also in use in England.
Service Desk
Project ticket
page
Service Desk
Project overview
page
CPD for
General Practitioners
A new online resource (http://gpcpd.walesdeanery.org) for
GPs includes a series of both clinical and non-clinical modules.
There are currently 20 CPD packages available giving GPs access
to a variety of useful resources. They include online quizzes, video
scenarios and video PowerPoint presentations. Current modules
include: All About Audit, Appraiser Training, Depression and
Anxiety, Eating Disorders, Hip and Knee, Inflammatory Back Pain,
Low Back Pain, Mental Health, Motivate 2 Move, Return to Work,
Significant Events, Smoking Cessation and Veterans Health. The
site has been built on the Bootstrap mobile and tablet friendly
framework enhancing user experience when visiting the site.
NWIS
BSSU has continued to work closely with colleagues at
NWIS this year to secure the future of the following
substantial outcomes of benefit to doctors and
patients in the NHS:
1 The implementation of a set of KPIs which inform standards of
I.T. service required within the education and training
environment in the LHBs. The KPIs are based on access to
services (such as eportfolio, email and MARS) and quality and
standardisation of service. The KPIs now form part of the
Deanery / LHB SLA and will be reported via a traffic light system.
Thanks to colleagues in Deanery Q.A. Unit Libraries, and also
NWIS and the Local health Board I.T. managers, without whom
this could not have happened.
2 Building on the EDUROAM pilots, a number of Local Health
Boards are implementing open access WiFi, which further
enhances the availability of internet based services.
3 NWIS and the LHB I.T. Managers have worked closely with the
Deanery to provide an implementation plan for a national
mailbox service for doctors in training. This is targeted for
implementation in March 2015.
Dental Assessors
BSSU has worked with the Dental team to provide a MOODLE
based training system for the standardisation of dental
recruiters. Wales Deanery is the lead for this system which is
available throughout the UK. The system provides an innovative
and valuable approach to the standardisation of assessors and
saves considerably on administration costs. This product was
produced to a tight timescale and launched last year, to facilitate
the recruitment of dental trainees. It has operated again
successfully in 2015.
March 2015 | 9
SAS conference
The 10th SAS Doctors/Dentists conference took
place at the end of 2014 in Swansea.
Very positive feedback was received on the day with one attendee
stating that:
It was very well attended with approximately 90 delegates and
provided not only a chance to network but an overview of
developments in relation to support for SAS Doctors/Dentists in
an ever changing NHS. Presentations included ‘The Imaging of
Metastatic Disease’, ‘Advances in Radiation Oncology’ and
‘Maximising the Performance of SAS Doctors’.
“This conference has raised the bar
so much that I am already looking
forward to the next one.
The next SAS Doctors/Dentists Conference will take place on
19th May 2015. Please contact walesdeanery@cardiff.ac.uk
for further details.
Partnership with Mersey Improves
Paediatric Trainee Retention and Satisfaction
A new agreement between the Wales Deanery and Health Education North West (Mersey) is bringing positive
changes to postgraduate paediatric training in Wales. The partnership has been devised to effectively meet
the General Medical Council curriculum requirements and offers greater choice for trainees in North Wales,
who can now decide to complete some of their training in South Wales or within Health Education North West
(Mersey) sites.
Paediatric training was previously spread geographically across all
Wales, with trainees sometimes moving between North and South
to meet curricula needs. Feedback from trainees showed that this
was affecting recruitment and trainee satisfaction.
‘Paediatrics Training in Wales: The current programme, the
challenges and proposed future model - A Discussion
Document’, produced by the Wales Deanery, was widely
distributed to stakeholders in May 2012, developed as a result of
consultation and analysis of trainee feedback and exam data. The
document recommended that increasing the number of North
Wales training posts to the region would improve recruitment and
retention of trainees. It concluded that training should be
undertaken on fewer sites to enable a critical mass of trainees and
ensure trainees get sufficient clinical experience, that their rotas for
out of hours are robust and that they get protected time during the
working day for education, attendance at out-patient clinics.
The new programme was launched in September 2014. “It’s still
early days,” says Dr Fardy, “but it has become apparent that so
far it has aided retention and that trainees are happier with the
10 | DEANERYVIEW the magazine of the Wales Deanery
new programme due to greater choice and less disruption to the
location of their training.”
“We are delighted with the results so far,” continues Dr Fardy.
“This programmes builds on the Wales Deanery’s existing areas
of strength, such as our ability to offer trainees work in several
different units encompassing a good range of sub-specialities
such as Neonatology, Neurology, Neurodisability, Endocrinology,
Respiratory Medicine, Oncology, Gastroenterology and Palliative
care medicine. This raises the profile of the overall programme,
helps retain some trainees in Wales and can lead to a net influx
of trainees from other deaneries at the advanced stages of their
training.”
Matthew Sandman, a paediatric trainee based in North Wales,
explains how the programme has improved his training:
“My training experience to date has been superb. The senior staff
have made real efforts to recognise and encourage my
development. The new rotations have allowed me to further
develop my own interests, enabled stability for my family and
provided me with a high quality and comprehensive experience
of tertiary level neo-natal care”.
Trainees Transforming Training
The Wales Deanery recognises the importance and value of involving trainees in the development of medical
and dental education and training across Wales and understands that trainees may be ideally placed to identify
areas where education and training could be improved.
To this end, the Wales Deanery introduced the ‘Trainees
Transforming Training’ initiative to provide trainees with the
opportunity to make real improvements to medical and dental
education and training in Wales that will positively impact on their
own training experience as well as that of future generations of
trainees. This initiative is based on the ‘Inspire Improvement’
initiative developed by Health Education England (HEE).
Under the ‘Trainees Transforming Training’ initiative trainees were
invited to apply for funding for a number of trainee-led projects
that will improve training and education, and therefore patient
care, whilst demonstrating outstanding potential to meet the
challenges set out in the recommendations from Professor Sir
John Temple’s report ‘Time for Training’ (May 2010).
The Wales Deanery was overwhelmed by trainees’ levels of
enthusiasm and originality in developing their projects and a total
of 71 were submitted for consideration, with high quality
submissions from trainees in all Health Boards and Trusts in
Wales and from a broad cross-section of specialties and training
grades.
From e-learning modules and apps, to telemedicine and
simulation training, the successful projects either have a local
focus with principles that could be generalised in a national
context or have an impact on the role of trainees at a national
level. All should be sustainable after the original trainees have
moved on.
The following fourteen projects have been
successful in securing Wales Deanery support:
Dr Michael Flower
Neurology on the Go
Dr Jonathan Lloyd-Evans
Point of View Video Assessment
Dr Katie Maw
Human Factor, Non-Technical Skills and Conflict
Resolution Training for the Training, Career
Progression and Retention of Junior Doctors in Wales
Dr Gemma Phillips
Return to Anaesthesia course
Dr Kathryn Peall
Move Wales: Wales and South West Movement
Disorders Videoconferencing Meetings
Mr Joseph George
Map of Specialty Training (MaSTr)
Dr Chris Lambert
Hands-On Guide to IV Fluids – E-Learning
Professor Derek Gallen, Postgraduate Dean, said “This is an
important initiative for Wales that seeks to improve the training
environment and thereby patient care. We need to celebrate our
successes more and communicate across Wales and the UK the
quality framework we have here in Wales. This is a real
opportunity for doctors in training to make a significant impact on
the trainee experience, the NHS and work towards better services
for patients.”
Dr Emma Tallantyre
Tele-Teaching: A Novel Clinical Approach for MRCP
The Wales Deanery will continue promote and disseminate
information on the ‘Trainees Transforming Training’ initiative and
the progress of the successful projects as a means of sharing
ideas and good practice, as well as exploring ways in which it can
support many of the other project ideas and encourage trainees’
ongoing engagement in quality improvement work.
Dr Shouja Alam
Modernising Training with Teaching Bites – The Use of
Video to Improve Training for Trainers and Trainees
“We need to celebrate our successes
more and communicate across Wales
and the UK the quality framework
we have here in Wales.
Dr Ariba Khan
Interactive Bedside Teaching
Dr Alastair Richards
Role of Guerilla Simulation in Emergency Medicine
Dr Huw Evans
ProCL – Procedure C
Dr David Agombar
Simulation Based Critical Incident Training for Novice
Anaesthetists
Dr Melanie Nana
The Core: Training the Trainees – The Ultimate Online
Resource for Trainees in Wales
Professor Derek Gallen
March 2015 | 11
Improving Quality Together
Improving Quality Together (IQT) is the national learning
programme for all NHS Wales staff and Independent
Contractors such as general dental practice teams.
It provides a common and consistent approach to
improving the quality of services in the NHS.
Dental teams across NHS Wales are taking part in IQT. There are
three main levels – Bronze, Silver and Gold.
The Bronze level is suitable for all dental team members, including
non-clinical staff. It is a set of four e-learning modules which are
completed on a computer. You can access it from a workplace or
home computer and from any e-mail address. Everyone who
completes Bronze level will receive 2 hours verifiable CPD, including
a printable certificate.
The Dental Postgraduate Section are working with 1000 Lives Plus
programme to promote the use of recognised improvement
methodologies by dental teams. Key members of the postgraduate
team have completed the Bronze level training, in order to promote
the use of IQT when visiting dental practices.
The Dental Postgraduate section have also developed a ‘feedback
and examples’ page on their website, in order for dental teams to
share their experiences and lessons learnt, which can be found at
the following link:
www.walesdeanery.org/index.php/en/practice-qualityimprovement-programme/dental-feedback-a-examples-.html
The Quality Improvement Guide for dental teams is now available
online at: www.1000livesplus.wales.nhs.uk/dental-qi-guide
Dragon Slaying
The Wales Deanery’s Quality and Postgraduate
Education Support (PGES) Unit was represented at the
recent NACT UK 13th National Multi-Specialty Meeting.
NACT (the National Association of Clinical Tutors) aims
to support those involved in organising postgraduate
training for doctors in their daily roles as leaders in
medical education with national advice and training and
liaises with many national bodies involved in medical
education in the UK.
The meeting provided a useful opportunity to network and learn
from others with presentations and workshops on topics including
how the GMC’s Trainer Survey can be used to facilitate change, the
Care Quality Commission’s use of educational data in its approach
to quality management and the benefits of training to patient care.
A number of trainees also gave interesting presentations on their
‘Inspiring Improvement’ projects, (an output of Health Education
England’s ‘Better Training, Better Care’ programme) on which the
Deanery’s ‘Trainees Transforming Training’ initiative is based.
Dr Anton Saayman, Associate Dean for PGES participated in a
‘Dragons’ Den’ pitching the Wales Deanery’s Educational
Supervision Agreement in a bid to win the support of a panel of
‘Dragons’ (senior NACT representatives and Associate Deans from
across the UK) for the Deanery’s approach to the implementation of
formal recognition for trainers in secondary care. Not only did he
survive interrogation by the ‘Dragons’ but also won a vote by
meeting delegates for the best example of good practice with the
potential to enhance the quality of postgraduate medical training in
the UK.
DEANERYVIEW
Further copies can be obtained by contacting:
The Wales Deanery
9th Floor, Neuadd Meirionnydd, Cardiff University, Heath Park Cardiff CF14 4YS.
Tel: 029 2068 7418
email: walesdeanery@cardiff.ac.uk
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If you require a version of this magazine in another format, or have an article to feature in forthcoming editions
please contact the above address.
12 | DEANERYVIEW the magazine of the Wales Deanery