RCPCH Progress+ and the new training principles - PowerPoint Presentation

1. RCPCH Progress+ and thenew training principlesWhat trainees need to know September 2021Created by Dr Arpana Soni andDr Hannah Opstad for RCPCH

2. Progress+ Curriculum Reforms –from summer 2023RCPCH Training PrinciplesPrinciple of the Month – monthly online resource package for trainees and supervisors, starting October 2021 The New Training Programme StructureWhat’s covered in this presentation?

3. Progress+ Curriculum ReformsWhy?Paediatricians of the future (us!) will face different challenges to those of our current consultants Healthcare is changing and the paediatric training programme needs to adapt in order to prepare trainees for this

4. Why the need for change?Core training needs to be more inclusive:Adapt to changing population needsIncreasing focus on long term and complex conditionsInclusion of child and adolescent mental health and public health capabilities Ability to deliver integrated health care for children and young peopleTraining needs to provide more flexible working patterns and choice:37.7% of paediatric trainees are now working less than full time We need to be a modern, forward thinking and “family-friendly” specialty that allows for flexible working, including Out of Programme (OOP) and Out of Programme Pause (OOPP) opportunitiesTrainees to progress and manage their own training pathway to better suit individual needs

5. Progress+ curriculumHas been approved by the GMC and will be rolled out from August 2023Paediatrician of the Future - published in October 2020, is a guidance document which outlines the new principles for paediatric training The guidance is based on:Anticipated future challenges paediatricians will face as a workforceThe needs of children and young people going forwardsListening to the voices of the children and young people

6. What will change in practice?There is a new Paediatric Training Pathway which will change the shape and length of trainingThe curriculum still has 11 domains but there are changes within this placing more focus on preventative health and mental healthThere are 11 new Principles of excellent training which have been created to optimise our training experience and better prepare us to help serve the children of the future

7. Curriculum DomainsCurriculum Domain 1. Professional values and behaviours 2. Professional skills and knowledge: Communication 3. Professional skills and knowledge: Clinical procedures 4. Professional skills and knowledge: Patient management 5. Health promotion and illness prevention 6. Leadership and team working 7. Patient safety, including safe prescribing 8. Quality improvement 9. Safeguarding vulnerable children 10. Education and training 11. Research and scholarship The 11 curriculum domains remain the same as before, but there is greater emphasis on health promotion, integrated care and mental health in the updated curriculum

8. NEW! 11 RCPCH Training Principles of excellent trainingEvery patient encounter is a learning opportunity Complex case management provides rich learning opportunities Clinical reasoning skills are explicitly taught within training Patients and families are heard A biopsychosocial approach is applied at all times Leadership skills are developed and nurtured Training time and learning opportunities are prioritised within the workplace Educational supervision is high quality and provides consistency Morale and job satisfaction are improved Assessment is used as a learning tool Progression and length of training are personalised and flexible

9. About the RCPCH Training PrinciplesWritten for Schools of Paediatrics to describe how they can deliver the very best training.Underpins all paediatric speciality training. To be applied within existing training settings.Support greater flexibility and diversity of the training experience.Learning Outcomes for Progress+ curriculum - no change to the 11 domains, each with learning outcomes for each level of training.Nice portrait photo here

10. Starting October 2021 with Principle 1: Every patient encounter is a learning opportunity. Monthly online resource package to support how your training can be shaped locally to meet each principle.This will include:Support and guidance to help you and your local department shape your training posts around the monthly principle. Examples of existing good practice; case studies of training opportunities that are already working well that you can adopt. Creative ideas, tips and contacts. The CYP voice – why each the principle matters to them. And more….RCPCH ‘Principle of the Month’

11. Training will no longer be Level 1, 2 & 3 but a two-level ‘run through’ comprised of Core and Specialty Paediatrics (a total of 7 years)The new paediatric training pathwayCore Paediatrics (ST1-4) will include General Paediatrics and Neonatology, Integrated Care, Public Health, Community Child Health and Child and Adolescent Mental Health, with sub-speciality placement optionsGraded and supported move to middle grade rotas during core trainingRequirement to pass MRCPCH moves to the end of ST4Specialty Paediatrics (ST5-7) will include General Paediatrics, Paediatric Emergency Medicine, Paediatric Intensive Care and Neonatal Intensive Care and sub-specialty training, broadly as it is in current higher trainingnow

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13. NotesGeneral grounding in General Paediatrics, Neonatology, Integrated (primary/secondary) care, public health, and mental healthSub-specialty placement optionsEnhanced training to deal with uncertainty and decision-making, in preparation for Tier 2 workingRecognises that currently many pre-MRCPCH ST3 are on Tier 2 rotasST3 - transition to Tier 2 rotaST4 - 12 months on Tier 2 rotaWill be provided with suitable support, supervision and assessmentExamsMRCPCH Theory expected by end of ST3MRCPCH Clinical expected by end of ST4Core PaediatricsST1ST2ST3ST4Tier 1Transition to tier 2Tier 2New Core Training ProgrammeCore curricular capabilities in General Paediatrics, Neonatology, Integrated (Primary/Secondary) Care, Public Health, Community Child Health, Child & Adolescent Mental HealthIncludes sub-specialty placementsTrainees will transition to tier 2 working by the end of ST3, with suitable support, supervision and assessment.ST4 trainees will be on tier 2 rota.MRCPCH TheoryMRCPCHClinical 

14. CCT PaediatricsSPIN (If done)CCT Paediatrics(Sub-specialty)Specialty PaediatricsST5ST6ST7All trainees follow the Generic Syllabus plus one of the specific syllabi below:General PaediatricsSPIN optionalSub-specialty PaediatricsSub-specialty 1Sub-specialty 2…etc.Sub-specialty PaediatricsSub-specialty 3…etc.Specialty PaediatricsAll trainees to gain the generic Learning Outcomes, as specified in Generic Paediatrics syllabusMRCPCH TheoryMRCPCHClinical 

15. Sub-Specialty PaediatricsTraining pathwaysAllergy, Immunology & Infectious DiseaseChild Mental HealthClinical PharmacologyCommunity Child HealthDiabetes and EndocrinologyEmergency MedicineGastroenterology, Hepatology & NutritionGeneral PaediatricsInherited Metabolic MedicineIntensive Care MedicineNeonatal MedicineNephrologyNeurodisabilityNeurologyOncologyPalliative MedicineRespiratory MedicineRheumatology70%30%CCT PaediatricsSPIN (If done)CCT Paediatrics(Sub-specialty)Specialty PaediatricsST5ST6ST7All trainees follow the Generic Syllabus plus one of the specific syllabi below:General PaediatricsSPIN optionalSub-specialty PaediatricsSub-specialty 1Sub-specialty 2…etc.Sub-specialty PaediatricsSub-specialty 3…etc.MRCPCH TheoryMRCPCHClinical 

16. Core PaediatricsOOPST1ST2ST3ST4PauseTier 1Transition to tier 2Tier 2Tier 2New Core Training ProgrammeCore curricular capabilities in General Paediatrics, Neonatology, Integrated (Primary/Secondary) Care, Public Health, Community Child Health, Child & Adolescent Mental HealthIncludes sub-specialty placementsTrainees will transition to tier 2 working by the end of ST3, with suitable support, supervision and assessment.ST4 trainees will be on tier 2 rota.Out of ProgrammeMRCPCHClinical MRCPCH TheoryMRCPCHClinical CCT PaediatricsSPIN (If done)CCT Paediatrics(Sub-specialty)Specialty PaediatricsST5ST6ST7All trainees follow the Generic Syllabus plus one of the specific syllabi below:General PaediatricsSPIN optionalSub-specialty PaediatricsSub-specialty 1Sub-specialty 2…etc.Sub-specialty PaediatricsSub-specialty 3…etc.

17. Specialty PaediatricsFlexibility between specialty pathwaysThere would be the potential for trainees to change specialty pathways, particularly between those with shared curricular content.Subject to appointment processLikely to be limited to transfer after the first year of specialty paediatrics.70%30%CCT PaediatricsSPIN (If done)CCT Paediatrics(Sub-specialty)Specialty PaediatricsST5ST6ST7All trainees follow the Generic Syllabus plus one of the specific syllabi below:General PaediatricsSPIN optionalSub-specialty PaediatricsSub-specialty 1Sub-specialty 2…etc.Sub-specialty PaediatricsSub-specialty 3…etc.MRCPCH TheoryMRCPCHClinical 

18. Transition from August 2023Current L1 Trainees All trainees will transition to Core PaediatricsCCT date will be brought forwardCurrent L2 Trainees ST4 trainees should move over to Core PaediatricsST5 trainees could move directly to Specialty Paediatrics, if they wish, or remain in Core Paediatrics for a further year (depending upon their capability and choice)Current L3 TraineesAll trainees in this cohort will change from Level 3 to Specialty PaediatricsNo change in CCT date

19. Find out more on College website and social!Join us in October 2021 to learn more aboutTraining Principle 1…More on the RCPCH website:Frequently asked questionsPaediatrician of the future guideMaps of good practiceBlogs and updateswww.rcpch.ac.uk/progressplusJoin the conversation on Twitter and Facebook#RCPCHProgressPlusThis Photo by Unknown Author is licensed under CC BY-SA

20. Together we can support your training to become excellent doctors for the children and young people of today and tomorrow…