1. PMST Pharmaceutical Medicine Specialty Training Overview of PMST Process & Organisation Prof Peter Stonier Director Education & Training FPM

2. PMST What is it & How does it work? PMST is education & training for Pharmaceutical Physicians in the specialty of Pharmaceutical Medicine –Accredited outcome: CCT & place on GMC specialist register Workplace-centred competency-based programme –4-year programme Specialty knowledge + practical competencies –Diploma in Pharmaceutical Medicine (DPM) –Practical Modules: RGN, CLP, SDM, CLD, HMP, DSS –Generic Module: IPM + GPMP In Practice 2009: 209 Trainees 60 Enrolling 92 CCTs 3 CESRs In Practice 2009: 209 Trainees 60 Enrolling 92 CCTs 3 CESRs

3. Delivery Standards & Quality of PG Education (QA) Postgraduate Medical Education & Training Board (PMETB) Faculty Education Committee Board of Examiners JRCPTB Specialty Advisory Committee - PM Senior Specialty Adviser Site (Company, CRO, DRA) Trainees (NTNs) Educational Supervisor(s) PGDean Content Regulatory Process Standards & Quality of Pharmaceutical Medicine (QM) Standards & Quality of Practice (QC) Overview of programmes & sites Training & Education PMST Organisation & Governance

4. Eligibility for PMST GMC registered pharmaceutical physician 3 - 4 years post-qualification clinical training Person specification Post in Pharmaceutical Medicine Faculty membership Approved workplace Approved, trained Educational Supervisor CCT Route or CESR Route to completion In Practice 2009: 9/209 Trainees via CESR route In Practice 2009: 9/209 Trainees via CESR route

5. Steps to be taken in PMST Eligibility, Enrolment, Programme planned SSA, ES, Trainee (training team) Training Plan; meet Curriculum requirements Study for DPM (sit exam after 2 years in PM post) Undertake projects (workplace; job description) Supplementary / Module courses Assessment, appraisal, evidence portfolio ARCP (Annual Review of Competence Progression) CCT after 4 (EU minimum) to 8 years In Practice 2009: Tip: Sit DPM asap & continue each sitting until Pass. DPM a critical progress factor in PMST. In Practice 2009: Tip: Sit DPM asap & continue each sitting until Pass. DPM a critical progress factor in PMST.

6. Balance on the job & external training Workplace-centred In-Work: minimum 2 Subject Modules (any combination) + Generic Module External Module courses available –4 maximum in any PMST programme –FPM approved, Quality Managed, Interactive –1 Course provider per Module; frequency once a year In Practice 2009: - usual is 1- 2 external module courses - 15-20% trainees complete CCT all in-work In Practice 2009: - usual is 1- 2 external module courses - 15-20% trainees complete CCT all in-work

7. Prior training Exemption: 1 Subject Module only –Qualification: e.g. MSc Clin Pharm or Stats & DM –Evidence from whole Module curriculum Prior training: Items of Modules – Bridging : prior training/activity linked to contemporary product development / commercialisation activity – Evidence : need to have evidence of competency in prior training claimed In Practice 2009: - Very few Module Exemptions claimed. - Substantial Prior training claimed & permitted by PMETB In Practice 2009: - Very few Module Exemptions claimed. - Substantial Prior training claimed & permitted by PMETB

8. COMPETENCY ‘The ability of an individual to show that s/he has the knowledge, skills and behaviours to be able to do the task or project in question’ PERFORMANCE ‘The ability of the individual, alone or as part of a team, to apply the competencies in the real-life conduct of tasks or projects’ Assessment –by ES, experts, others –Validated tools (e.g. in-work competency; exams), Outcomes, course Assignments, MSF Appraisal –Educational (formative, developmental) –Annual performance (achievement & progress) Evidence –Filed by Module & Item (summarised, cross-referenced) –2-3 pieces per Item (reports, records, documents, emails) Sampled; abbreviated (e.g. front pages of documents) –Authenticated (personalised; reflective commentary) –Validated (by ES; ‘the evidence is what it is claimed to be’) Demonstration & Proof of Competency In Practice 2009: Evidence collection & presentation processes are critical success factor in PMST In Practice 2009: Evidence collection & presentation processes are critical success factor in PMST

9. Revalidation (relicensure & recertification) Recertification will involve portfolio of evidence of continuing specialist practice –e.g. 1 whole module + selected Items across PMST curriculum (not yet finalised) Assessment system to be agreed Evaluative review equivalent to ARCP (mid-cycle & at recertification) Annual Appraisal