1. Regional Representatives Meeting 5 Nov 2009 Supporting the Specialty Doctors / SAS Grades – East Midlands

2. Who are the SAS Surgeons? SPECIALTY DOCTORS Staff Grades Associate Specialists Clinical Assistants Hospital Practitioners Non Consultant Career Grades (NCCG)

3. SPECIALTY DOCTORS Full GMC registration Minimum 4 years postgraduate training - 2 years in relevant specialty

4. SPECIALTY DOCTORS Service provision EWTD Training of Juniors

5. Trainees SPECIALTY DOCTORS Consultants

6. Workforce in England Sept 2007 ConsultantsAssociate Specialists/ Staff Grades SpR Trauma & Ortho 17605001791 General Surgery 17574351881 Otolaryngology548226513 Urology528166426

7. Workforce in England Sept 2007 ConsultantsAssociate Specialists Staff Grades SpR Trauma & Ortho 17602022981791 General Surgery 17571732621881 Otolaryngology54897129513 Urology5287195426

8. Dr Rashbal Ghattaora, Associate Post-Graduate Dean East Midlands responsible for SAS doctors. £12m released by DOH via SHA’s in 2008/9 for Deaneries to support the development needs of SAS Doctors (approx £819,000 in East Midlands with £390,000 top up by Deanery) Priorities – Support preparation for CESR - Improve quality of CPD

9. SAS Surgeons East Midlands 15 th October 2009 Mr Chas Ubhi, RSA General Surgery, East Midlands. Mr Chris Chilton, RCSE Council Member, Toni Foers, RCSE Regional Team, Julie Hardiment, RCSE Regional Team Lead for CPD Dr Rashbal Ghattaora, Associate Post-Graduate Dean East Midlands responsible for SAS doctors.

10. Purpose of this meeting: What do people in staff and non training posts need? How do you think the College can support you?

11. SAS Surgeons East Midlands 15 th October 2009 Major Issues Discussed Article 14- Length of time for PMETB response Lack of clarity of evidence required How to get the necessary training? How to provide evidence of training? Younger surgeons looking at Article 14

12. Two distinct groups SAS / SD Young people who are building experience to apply via Article 14 process for a Certificate of Eligibility for Specialist Registration (CESR). People who are delivering service and content in their role

13. SPECIALTY DOCTORS Recruitment issues Level of experience Working to same standards as Consultants Relicensing (introduction by GMC 16.11.09) Revalidation (Specialist Register)

14. What is already there? RCS SAS Committee: To provide a formal mechanism for SAS surgeons to be represented within and outside the College. To communicate the views of surgeons to the College and its Council. To promote involvement in all relevant areas of College activity. To support SAS surgeons

15. SAS Career development: Portfolio Courses Applying to the Specialist Register The Intercollegiate Examination Relicensure and Recertification http://surgicalcareers.rcseng.ac.uk/surgeon/ sas

16. SD - Portfolio Up to date CV Appraisal records Log book Certificates from courses and meetings attended Audit and research Thank you letters and complaints

17. SD – Supporting Professional Activity formal teaching continuing professional development appraisal research audit work with a professional body (such as a royal college or the British Medical Association) management

18. What else is there? ISCP – Intercollegiate Surgical Curriculum Programme Contains detailed syllabus and standards against levels and stages for each specialty

19. The specialty syllabus will provide guidance on what you need to evidence for application to the specialist register The assessment tools – PBA (procedure based assessment) CBD – case based discussion and the mini PAT- peer assessment tool may contribute to a robust portfolio

20. SPECIALTY DOCTORS Use, adapt and develop ISCP Who will supervise? ? SAS Regional Programme Director supported by SAS Tutors feeding back to RCS SAS Committee

21. The outcomes from this meeting were agreed as:  There should be an SAS forum in East Midlands. There should also be a national SAS forum managed by the College.  If not already in place, there should be at least an annual meeting open to all SAS surgeons at the College specifically to provide an update, share experiences and allow access to those in the College who can offer advice/guidance.

22. There was interest in the embryonic E-portfolio and people would like to know more about it. There should be local/national information re Article 14, revalidation and CPD and clear systems of communicating with SAS surgeons.

23. There should be regular support meetings facilitated by local College Representatives, specifically aimed at supporting surgical SASG applying for CESR via article 14 Those present are keen to be involved in piloting the ISCP website for SAS surgeons and taking part in any necessary evaluation.