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The role of a Royal College and a Learned Society in the 21 st century Terence Stephenson.

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Presentation on theme: "The role of a Royal College and a Learned Society in the 21 st century Terence Stephenson."— Presentation transcript:

1 The role of a Royal College and a Learned Society in the 21 st century Terence Stephenson

2 The Future? X rays will prove to be a hoax Lord Kelvin, president of the Royal Society, 1899 There is not the slightest indication that nuclear energy will ever be obtainable Albert Einstein, 1932 I think there is a world market for maybe five computers Thomas Watson, Chairman of IBM, 1943 640K ought to be enough for anybody Bill Gates 1981

3 The Past Royal College of Physicians Barber Surgeons Apothecaries

4 The Worshipful Society of Apothecaries of London - historic livery company granting licenses to practise medicine throughout England and Wales since 1815

5 The aims of the Association are to promote excellence in research relevant to child health and to support the teaching of paediatrics

6 A crowded landscape GMC BMA RCPCH AoMRC APA (GB & Ireland) PRS & Specialty Societies Acad Med Sci RSM

7 Role of the RCPCH Revalidate - CME Examine MRCPCH Training – CSACs Inspiration and careers advice Set standards Publish guidance Leadership and Lobbying Reconfiguration Research and academic paediatrics Journal Annual Meeting International & fundraising

8 Royal Colleges and Recertification Revalidation = relicensing +/- recertification Although the recertification will be awarded by the General Medical Council, it will be assessed on the evidence submitted to the RCPCH against standards set by the RCPCH.

9 What tools could be used for recertification? Theoretical examination Multisource feedback Internal peer review audit of 50 cases Departmental error/audit meetings CPD attendance records CPD points earned through assessment related to educational events/material Analysis of complaints/untoward incidents/complications External peer review of whole department Logbook of cases Audit against published data Performance in on-line assessments of skills/clinical judgement Observation of practice

10 Recruitment (and retention)

11 Final Year SpR Career Intentions by type of post RCPCH October 2004

12 Neonatal intensive care: 90% survival Sudden infant death syndrome: deaths halved Haemophilus meningitis: deaths abolished Acute Leukaemia: 70% survival Setting standards and implementing them

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14 Reconfiguration Currently there are 30,000 consultants, 10% working in paediatrics EWTD: maximum will be reduced to 48 hrs There are currently 266 acute rotas (general and neonatal, excluding specialist rotas) that have a "middle grade" component A 10 person middle grade rota

15 Reconfiguration ? reducing need/demand providing the same care with different people (skill- mix) delivering front-line care with consultants the reconfiguration of services, with the closure of inpatient beds, to reduce the requirement for on-call rotas International Medical Graduates (IMGs)

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18 Advocacy 1928 - 1998 - 2008

19 Budget: 2004 - £100m increase in NHS R&D funding by 2008 - bring combined budget for medical research to £1.2bn - purpose will be to achieve effective and efficient translation of scientific advances into patient care

20 Best Research for Best Health 2006: NIHR £992m in 2010/11 MRC £600m AMRC £1bn in 2011 Pharma £3.5bn p.a. on R&D in the UK

21 Comprehensive Clinical Research Network (CCRN)

22 From molecules to populations: Translational respiratory research £5.7m

23 Departments of Child Health Multidisciplinary Research Institutes £28m across 4 bids of which 3 involve child health

24 The future of academic medicine - APA Teaching, researching and providing service will continue to be important but expecting individuals to be competent in them all will be increasingly impractical Teamwork will become more important Competition among academic institutions is likely to increase and the competition will increasingly be international Teaching and learning will be increasingly importantnot least because dissatisfied students may go elsewhere It will be increasingly important to combine research, both basic and applied, with implementation and improvement

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26 Role of the RCPCH Revalidate - CME Examine MRCPCH Training – CSACs Inspiration and careers advice Set standards Publish guidance Leadership and Lobbying Reconfiguration Research and academic paediatrics Journal Annual Meeting International & fundraising

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