1. Zareena Jedaar (UHW ED)
6 months of EM in ACCS

2. What to expect in this session
The role of the CT1 and 2 in EM
Induction
Registration with the College of EM for EM trainees
Training agreement
ACCS Workbook
WPBAs
Educational opportunities
Structured training report and ARCP
Who’s who of ACCS training in Wales EM

3. What to expect in EM

4. However, ....

5. The role of the CT1/2 in the ED
Progression from Foundation to Specialty training
Active participation in the varied activities of the ED: work, learn, lead, teach and audit – all largely unavoidable!
Achieve EM skills and knowledge
Become confident in assessing and treating a range of acutely ill or injured adults and children
Assessed by WPBAs and MCEM exams for EM trainees
Assume leadership role, incl. resus (under supervision)
Teach and advise less experienced staff (about stuff you know)
Provide medical student teaching

6. Induction Registration with the College of EM for EM trainees
First of 3 Meetings with educational/clinical supervisor
Documentation on e-portfolio for EM and AM trainees; hard copy format for Anaesthetic trainees
Training agreement
AWSEM training agreement
Personal development plan
Workplace based assessments
Attendance at teaching/regional teaching for EM trainees
Participation in Audit/Teaching
E-learning modules to supplement WPBAs

8. WPBAs Summative assessments vs Formative assessments
2 Major Presentations: summative Mini-CEX or CBD
5 Acute Presentations (EM specific): summative Mini-CEX or CBD
1 ACAT-EM: up to 5 additional Acute Presentations
5 DOPS (using specific DOPs forms to include Airway, Wound management, Primary Survey in trauma, Joint or fracture manipulation + one other practical procedure)
10 additional assessments of acute presentations using a combination of e-learning, reflective entries, teaching and audit assessments, additional ACAT-EM
1 MSF (minimum of 12 to include 3 Consultants)

9. Educational opportunities
Departmental teaching
Regional teaching: 10/09/13 at Royal Gwent
Audit and Teaching (consultant completes WPB assessment forms for these)
E-learning (e-LFH, doctors.net, bmj.com,
Mock Exams (MCEM and FCEM: 8/10/2013)
AWSEM training day (Posters and presentations by trainees)
Simulation training days and Airway training Day (3/12/13)
Check s and respond when necessary

10. Structured training report and ARCP
STR completed by trainee and educational supervisor
Records WPBAs and achievements and documents strengths and weaknesses/areas for development
Summarises the evidence of competence required at the ARCP to determine progression or not
Complete at least 1 month before end of placement/ARCP to allow time to complete assessments or address potential areas of concern
“Procrastination is the thief of time, collar it” – Charles Dickens, David Copperfield

11. Who’s who Leads within each ED responsible for ACCS training:
In Bangor – Rob Perry
In Cardiff - Zareena Jedaar
In Newport – Tim Rogerson
In Swansea - Dindi Gill
In Wrexham - Robin Roop
ACCS lead and training programme director for EM – Zareena Jedaar
Specialty lead (Head of School) - Amanda Farrow

12. “Nothing that we do, is done in vain
“Nothing that we do, is done in vain. I believe, with all my soul, that we shall see triumph.” ― Charles Dickens, A Tale of Two Cities