1. The Junior Doctors’ Journey
Alison Keightley
Director of Medical Education
Frimley Park Hospital

2. Training for a Hospital Specialty
Since 2007
F1/FY1(1)
GMC registration
F2/FY2(1)
Core Trainee CT/ST1-3(2-3)
Higher Specialty Trainee StR(3-5)
CCT
Consultant
7-10 years (without time out)

3. Training for General Practice
F1/FY1(1)
GMC registration
F2/FY2(1)
Specialty Trainee (ST1/2) mainly based in hospital (2)
ST3 in General Practice (GP registrar)(1)
CCT in General Practice (5 years after qualifying)

4. Training for a Hospital Specialty
Post 2007
PRHO(1)
F1/FY1(1)
GMC registration
F2/FY2(1)
SHO(1-?)
Core Trainee CT/ST1-3(2-3)
SpR(5-8) with NTN
StR(3-5)
CCST
CCT
Consultant
7-10+years
7-10 years

5. Modernising Medical Careers
More structured and streamlined
Aiming to produce specialists earlier in their career
Revised curricula for all specialties
Portfolios (electronic and paper)
Workplace based assessments
Controlled by PMETB

6. Foundation Programme 2 years in 1 or 2 different Trusts
Usually 6 jobs of 4 months one of which may be in General Practice
Apply for Specialty training starting in December of their F2 year
Career planning important
Continuous assessment. No exams that they have to take

7. Training for a Hospital Specialty
Since 2007
F1/FY1(1)
GMC registration
F2/FY2(1)
Core Trainee CT/ST1-3(2-3)
Higher Specialty Trainee StR(3-5)
CCT
Consultant
7-10 years (without time out)

8. Foundation Programme 2 years in 1 or 2 different Trusts
Usually 6 jobs of 4 months one of which may be in General Practice
Apply for Specialty training starting in December of their F2 year
Career planning important
Continuous assessment. No exams that they have to take

9. Miller’s Pyramid
DOES
SHOWS HOW
KNOWS HOW
KNOWS

10. Specialty Groups for ST1/2
Acute Care Common Stem (ACCS)
Anaesthesia
Neurosurgery
Chemical Pathology
General Practice
Histopathology
Medical Microbiology
Core Medical Training
Obstetrics and Gynaecology
Ophthalmology
Oral & Maxillofacial Surgery (OMFS)
Paediatrics
Psychiatry
Public Health
Radiology
Core Surgical Training
*There are 16 definite specialty groups to apply to for ST1/2 entry – at 06/09/06, we are still awaiting confirmation of whether Otolaryngology is a separate specialty group or part of Surgery in General.

11. Core Specialty Training
2 or 3 years depending on specialty
CT 1-3 or ST 1-3 at same Trust
Exams: at least the first part of the relevant Royal College exam has to be passed to proceed plus workplace based assessments

12. Run-through vs Uncoupled Training
In some specialties there is a single competitive entry point into the speciality at ST1 level
Other specialties have 2 competitive entry points: the first into CT1 and the second into ST3 or 4 depending on the specialty

13. Offer of run-through training in 2010 Offer with Uncoupling in 2010
ST1/2/3 etc
Offer with Uncoupling in 2010
CT1/2/3 ST3/4/5 etc
Obstetrics and Gynaecology
Core Medical Training (2 years)
Ophthalmology
Anaesthesia (ACCS) (2/3 years)
Paediatrics and Child Health
Psychiatry (3 years)
General Practice
Emergency Medicine (ACCS) (3 years)
Public Health Medicine
Neurosurgery
Core Surgical Training
Cardiothoracic surgery
General surgery
Otolaryngology (ENT)
Paediatric surgery
Plastic surgery
Trauma & orthopaedic surgery
Urology
(2 years)
Histopathology
Chemical Pathology
Medical Microbiology
Clinical Radiology

14. Higher Specialty Training
ST3/4 and above usually move Trusts every year
Further Royal College exams plus workplace based assessments
Subspecialisation

15. For all Specialty and GP Trainees
Decision as to whether they can progress to the next year is determined by the ARCP: Annual Review of Competency Progression (previously RITA)
Portfolio
Satisfactory completion of workplace based assessments and Royal College exams
Educational Supervisors Report
Curriculum requirements

16. Training for a Hospital Specialty
Since 2007
F1/FY1(1)
GMC registration
F2/FY2(1)
Core Trainee CT/ST1-3(2-3)
Higher Specialty Trainee StR(3-5)
CCT
Consultant
7-10 years (without time out)

17. Study Leave All trainees FY2 and above
30 days per year with limited funding
Compulsory courses
Preparation for professional exams
Educational meetings
Personal professional development

18. Other Hospital Doctors
FTSTA: Fixed Term Specialty Training Appointment
Specialty Doctors (formerly called Associate Specialists or Staff Grades)
Trust doctors/fellows

19. Stakeholders PATIENTS Medical Schools/universities GMC/PMETB
Royal Colleges
Deaneries
Trusts
Strategic Health Authorities
PATIENTS

20. Libraries
How do junior doctors use them and what more can libraries do to support them in 2010?