Applying through CESR

Transcription

1 Applying through CESR 5 th November 2018 Mr Amit Kochhar, SASC UK Chairman for BMA Dr Sujesh Bansal, Consultant Anaesthetist & CESR Champion

2 Applying for CESR Today we will consider: Why are you applying? Is CESR the route for you? CESR portfolio introduction What s stopping you? Changes in

3 Applying for CESR Introductions Tell us your: Name Specialty Why are you considering CESR application Application stage

4 CESR Who can apply? Training meet the requirements of a CCT programme in one of the standard CCT specialties. Training or qualifications were obtained outside the UK and which are not in one of the standard CCT specialties a level of knowledge and skill consistent with practice as a consultant in the National Health Service

5 Standards Specialist qualification or specialist training in the CCT specialty, in which they apply. Specialist training must be a continuous period of at least six months in the applicants CCT specialty a specialist qualification in a programme of specialist postgraduate education or training in any medical specialty

6

7

8 CESR Application Process Four stages: 1 submission of application 2 evaluation by College/Faculty 3 decision by GMC 4 - review / appeals

9 Application Stage 1 Online CV Referees Professional experience List of evidence Fee (CESR 1600, Review 695)

10 Application Stage 1 Focus on Application Supporting evidence Structured reports from referees Certification advisor Evidence review Authenticated, validated, anonymised Referral to RCs

11 CESR Application stage 2 Evaluating the application Application is forwarded to the relevant Royal College or Faculty for an assessment (training, qualifications & experiences) Documentary evidence in application assessed against standards of the relevant CCT curriculum or a new consultant in NHS Submit a recommendation to GMC

12 CESR Application stage 3 GMC decision GMC panel considers the totality of the application including the applicants documentation, the structured reports from their referees the recommendation from the relevant Royal College/ Faculty before issuing the final decision. If necessary, GMC will take further advice from certification panel

13 CESR Application stage 3 If your application is successful, GMC will send you a certificate of eligibility for specialist registration (CESR) and a letter about entering your name on the GMC Specialist Register.

14 CESR Application stage 3 If GMC decides that the evidence you provide does not support approval, may require you to undertake further training or assessment to meet the required standards. GMC not responsible for organising, managing or financing that training or assessment

15 Referees At least 5 (Suggested 6) Current medical director / clinical director Current supervising colleague [or senior colleague in same speciality] Knowledge of last five years of experience Within 3 years of retirement - At least 2 from doctors in your specialty or related specialty: must be able to comment from direct observation - If you have undertaken training, 1 report should be from your TPD, Ed-Sup or regional advisor

16 CESR Application stage 4 Should you disagree with the decision of GMC, you may request a review within 3 months of receiving your decision letter You also have a statutory right of appeal against decisions of the GMC, including the decision resulting from a request to review your application. Such applications must be made within 3 months of the date of the decision letter or the outcome on the review application.

17 How your application will be considered Each application is considered on its own individual merit GMC will consider the totality of a doctors career if, for example, they can demonstrate breadth and depth of knowledge and skills and we are satisfied that your skills and knowledge remain up to date. Your documentary evidence will be assessed against the standards of the CCT in your specialty.

18 Applying for CESR Filling your portfolio What documents can be used to demonstrate all the relevant competencies?

19 Applying for CESR GMC: some basic guidance Evaluation standard An application in a CCT specialty must demonstrate that you meet the requirements of the CCT curriculum in place at the time of your application.

20 Applying for CESR GMC: some basic guidance Minimum requirements for CCT specialties To be eligible to apply you must have either a specialist medical qualification or at least six months continuous specialist training in the specialty you are applying in.

21 Applying for CESR GMC: some basic guidance The size of your application It will help us to deal with your application more quickly if you make sure that you send us only evidence that is directly relevant. Our guidance on compiling your evidence will help you to decide what is relevant and what is not. We recommend that you read it carefully. Evidence that is more than five years old will be given less weight than more recent evidence, so you may not need to include it. As a general guide, we would usually expect to see between 800 and 1000 pages of evidence

22 Example framework: Portfolio guidance

23 Applying for CESR Preparing your Application Portfolio GMC application divider pack Standard requirements Qualifications Assessments and appraisals Logbooks Details of posts & duties Research, publications & presentations CPD and CME Teaching & Training Audit Safety Communication Partnership & Teamwork Honesty & Integrity Patient Relationships

24 4 Domains - 13 Sections - 52 Items Qualifications Assessments and appraisals Logbooks Details of posts & duties Research, publications & presentations CPD and CME Teaching & Training Audit Safety & Quality Communication Partnership & Teamwork Honesty & Integrity Patient Relationships Domain 2 (20%) Domain 3&4 (5%) Domain 1 (75%)

25 Applying for CESR Filling your portfolio Exercise Break into 2 groups Agree a scribe/speaker What documents would you include in your portfolio to demonstrate your competencies in this area? Leadership & Management Details of posts & duties Do you foresee any difficulties obtaining them?

26 Validation Every thing that is related to training & experience Medical (Educational)supervisors who can confirm it is true and accurate record Name Designation Signature Date Hospital stamp Incorrectly validated or authenticated evidence is NOT accepted

27 Changes from 28 th March 2018 re. validation From 27 March doctors applying for entry on the GP or Specialist Register through the equivalence route will no longer need all their evidence to be validated by stamping and signing. Doctors will be required to identify a verifier for each institution where they gained experience, and which they are providing evidence for. We ll then contact the verifier for further information as they have seen the original source of the evidence.

28 Authentication Specialist postgraduate medical qualification(s) and any other relevant qualifications Body that issued the certificate Solicitor Must be accompanied by validated copies of the curriculum and/or syllabus for that qualification

29 Structured Referee reports 6 Referees Royal colleges - Triangulate your primary evidence and Verify work, training and experience Personal attributes, skills and competencies First referee should be your current Medical/Clinical director Base hospital...

30 Knowledge, Skills and performance Primary medical qualification (PMQ) Specialist medical qualification(s) Must relate to the specialty provide a validated copy of your curriculum or syllabus Colleges evaluate where the curriculum covers areas of the CCT curriculum Specialist registration outside the UK Honours and prizes Other relevant qualifications and certificates degrees or diplomas in relevant areas such as management, business, IT, communication, education or law

31 Knowledge, Skills and performance Appraisals and assessments RITAs, ARCPs and training assessments 360 and multi-source feedback Awards and discretionary points letters Participation in assessment, appraisal and appointments process Personal development plans (PDP) Logbooks, records of daily clinical practice and portfolios

32 Knowledge, Skills and performance Case histories Referral letters discussing patient handling Patient lists Departmental (or trust) workload statistics and annual caseload statistics Rotas, timetables and job plans Courses relevant to curriculum ALS,ATLS

33 Knowledge, Skills and performance Details of posts and duties (including both training and experience posts) Employment letters and contracts of employment Job descriptions Job plans Research, publications and presentations Research papers, grants, patent designs Publications within specialty field Presentations, poster presentations

34 Knowledge, Skills and performance CPD and CME CPD record certificates Internal/External Membership of professional bodies and organisations how membership is achieved (evaluation, examination, is membership restricted or open to all)

35 Knowledge, Skills and performance Teaching and training Teaching timetables Lectures Feedback or evaluation forms from those taught Thank you letters Attendance at teaching or appraisal courses Participation in assessment or appraisal and appointments processes

36 Domain 2 Safety and quality Clinical Governance activities Audits undertaken by applicant Reflective diaries Service Improvement projects Incident reports Health and safety Declaration of health on your application form Attendance at appropriate course(antt) Involvement in infection control Logbook information on infections Audit on infections and subsequent changes in activity.

37 Domain 3 Communication, partnership and teamwork Communication - Colleagues letters from colleagues (Testimonials) letters of correspondence between you and your colleagues (Referral letters) management including organising staff rotas presentations Copies of appraisals or references written for colleagues Communication - Patients thank you letters and cards from patients complaints and responses to complaints 360 feedback.

38 Partnership and teamwork Working in multidisciplinary teams Minutes of meetings demonstrating your attendance and participation in the meeting (MDT,RCA,HLI) Involvement in governance projects Management and leadership experience Rota management Service evaluation projects Chairing meetings and leading projects

39 Domain 4 Maintaining trust Honesty and integrity The declarations on your application form statements from your referees Appraisal forms having no restrictions on your registration Certificate of Good Standing (overseas based doctors Equality and human rights evidence of attendance at relevant courses feedback from patients and colleagues statements from your referees Testimonials. Data protection attendance at relevant courses your application and evidence being appropriately anonymised

40 Domain 4 Maintaining trust Relationships with patients Testimonials and letters from colleagues Thank you letters, cards from colleagues and patients Complaints and responses to complaints Feedback from patients

41 Don t forget Authenticate Qualifications Validate - Form Anonymised individuals names wherever applicable Importance of data protection You need to substantiate whatever you put in with evidence

42 Applying for CESR Evidencing Non-Clinical skills Leadership Management Communication Teamwork Teaching & Training Audit Safety Honesty & integrity, etc

43 Applying for CESR NW Deanery Medical Leadership Project Leadership development tools: Project based discussion Time management Chairing a meeting Presentation skills Audit based discussion

44

45 Appeal You can choose between: A written appeal An oral appeal Appeals are handled by the Appeals team, who are not involved in making decisions relating to entry to the Specialist or GP register. Within 28 days

46 Review Additional relevant documents Completed top-up training as per letter Errors in evaluation Within 1 year

47 Reapplication With additional training Additional evidences Keep up with changes in the curriculum Within 3 years

48 Applying for CESR Preparing your Application Portfolio GMC Common errors At stage 1 (GMC receive your application) - the applicant does not fulfill the minimum requirements for application (namely, they do not have an acceptable primary medical qualification or they do not have specialist training or a specialist medical qualification in the specialty) - the applicant has not provided enough referees

49 Applying for CESR Preparing your Application Portfolio GMC Common errors At stage 2 (GMC quest further evidence) - the applicant does not provide additional evidence - evidence is not authenticated, validated or anonymised appropriately - translations of documents are not supplied - the applicant has not sought the permission of each referee before nominating them - referees do not respond to requests for structured reports - referees provide a structured report without enough information (we will not seek a replacement structured report)

50 Do s Make sure evidence is well organised Look at the website of the college/faculty your specialty Make sure the specific guidance on key pieces of evidence for your specialty is followed Provide evidence across the breadth of your specialty Demonstrate two way communication with colleagues and patients in your evidence.

51 Do s Read the relevant specialty curriculum before finalising your evidence Try and gain a good understanding of the assessment process used in the UK for your specialty Consider UK evidence formats Act on any suggestions that the GMC make in their initial checklist.

52 Don t Submit an application until the majority of evidence has been obtained Submit duplicate evidence Assume that reports, references and testimonials on your level of ability will be sufficient for your application to be successful Submit unnecessary evidence

53 Don t Rely heavily on evidence that s over five years old Forget to check our website for updates to curricula, specialty specific guidance and guidance on the application process Submit certificates for expired courses in your evidence Be disheartened when the GMC ask for additional evidence

54 Common problems Submitting evidence that is not appropriately validated. Including patient details in documentation (not anonymised.) Not responding or ignoring the advice given by GMC Certification Advisors.

55 Failed applications Incomplete Not enough referees Structured reports incomplete

56 GMC Developments

57 GMC survey 2009 over 40% of associate specialists over 25% of staff grade doctors wished to become a consultant through Article 14 / CESR

58 Applying for CESR Preparing your Application Portfolio GMC Recommendations approved on 27/09/12 Recommendation 1: Doctors must already hold a full registration and a license to practice, and have practiced as in the UK as a licensed doctor for at least 12 months within the previous 3 years, before applying for CESR / CEGPR Recommendation 2: In principle tests of specialist knowledge should be a mandatory element of the new model for evaluating equivalence applications

59 Applying for CESR Preparing your Application Portfolio GMC Recommendations Recommendation 3: Successful application for a CESR/CEGPR should require an evaluation of performance in practice in the relevant specialty in the UK against prescribed competencies Recommendation 4: Relevant statutory regulations should be amended to enable CESR/CEGPR applicants to undergo evaluation of their performance in practice in training environments

60 Applying for CESR Preparing your Application Portfolio GMC Recommendations Recommendation 5: The documentary evidence of knowledge and experience should concentrate on those areas of the curriculum that have not been addressed by the applicant through the other elements of the evaluation model Recommendation 6: The new evaluation model should also replace the current paper based applications for academic and research CESRs

61 Applying for CESR Resources available Online course at Under Careers - Applying for CESR CESR Champions CESR workshops and one to one coaching Career Champions Local SAS Trust Lead initiatives GMC / BMA workshops and helpsheets CPD allowance

62 Applying through CESR 5 th November 2018 Mr Amit Kochhar, SASC UK Chairman for BMA Dr Sujesh Bansal, Consultant Anaesthetist & CESR Champion