Read on Twitter
Great Question.
What I want is high quality echo training for every #cardiology SpR in the UK.
That ought to be the goal of @NHS_HealthEdEng @JRCPTB and @BritishCardioSo
#echofirst and all that
And yet...
/Thread https://twitter.com/DrMaxSayers/status/1144895965134016512
What I want is high quality echo training for every #cardiology SpR in the UK.
That ought to be the goal of @NHS_HealthEdEng @JRCPTB and @BritishCardioSo
#echofirst and all that
And yet...
/Thread https://twitter.com/DrMaxSayers/status/1144895965134016512
In 2016 the cardiology SAC introduced a new curriculum for echo, which now applies to all UK cardiology SpRs.
Great, a new document, that always makes things better
#cardiotwitter
Great, a new document, that always makes things better
#cardiotwitter
So first up: why is @BSEcho accreditation preferred? More comprehensive? Not when 450 echo is the MINIMUM STANDARD for a cardiology SpR.
Nothing to do with the extra revenue to the Society, which of course is paid for by the trainee, and not @NHS_HealthEdEng
Nothing to do with the extra revenue to the Society, which of course is paid for by the trainee, and not @NHS_HealthEdEng
So, first thing I want: either your deanery pays for your BSE accreditation (i.e. exam fees/courses) or this recommendation gets removed from the curriculum. I don't see @BCIS courses on the curriculum for angiography.
Second: In 2016 it was agreed that trainees would receive weekly, bleep-free echo.
That went well...
That went well...
Three years later, and a half of SpRs are still not getting weekly, or bleep-free training. You could say "it's improving" but at this rate it will take A DECADE to get to 100%.
So what do I want? I want TPDs to deliver on their stated goals of ALL trainees getting protected, uninterrupted training. Y'know, like they said they would. You can't learn to echo if you have to keep leaving the lab to deal with "acute AF" or whatever it is the MedReg needs
Yes a collection of TPDs agreed this wording.
Yes I'm grumpy don't @ me.
Yes I'm grumpy don't @ me.
Right what else? Oh yeah, how about this cracker?
I believe the youth of today would say: LOL.
Well done @MadalinaGarbi for being the only Echo Lead who can be confidently identified for more than one year. But WTAF is happening in Yorkshire?! Is it possible to "Lead" something secretly?!
So, again, I want TPDs to do what they said they would do, and appoint an echo lead. And if they've done that and they remain anonymous to trainees; perhaps reconsider that decision? And if you ARE the echo lead: maybe lead a bit.
Because despite this shiny document, and about half regions actually doing something about it, echo exposure has worsened year on year.
Note @dr_chrisallen 's pessimistic red line.
Note @dr_chrisallen 's pessimistic red line.
And take a look at this: remember the "150-200" cases a year you had to do? The ARCP panels don't....
Most trainees get across their ST5 ARCP without meeting the requirements set out by the echo toolkit, so not only are regions failing to train us, they're also marking their own homework as being adequate.
Of course, this is far better than when they require trainees to train for longer because the systems they're training in are inadequate. But when that happens, you can call @TheBJCA. (that's me on the left, @dr_chrisallen in the hat).
I have genuinely heard the argument that some trainees should have negative ARCP outcomes in order to highlight the difficulties TPDs are facing in improving echo training, because that's how you demonstrate a need to improve the system.
What kind of a system uses failing a trainee at ARCP as a measure of whether it needs fixing?
One that doesn't care about trainees.
One that doesn't care about trainees.
I think what ALL trainees want is a environment that trains them, and doesn't blame them for inadequacies in the system.
If I were on Twitter, and being succinct, I'd say
#trainnotblame
If I were on Twitter, and being succinct, I'd say
#trainnotblame
Hopefully that explains why, when its clearly demonstrated THAT THIS IS POSSIBLE for PAs, Specialist Nurses, Clinical Scientists, but just not for SpRs because ward rounds/troponins/"you can't have the mobile machine because once it broke," you get snark from me on Twitter.
A group of very clever doctors will be discussing a new core curriculum at the SAC this Friday. Hopefully they'll listen to trainees this time, and not some set of acronyms.
CREDITS:
@dr_chrisallen for the BJCA Survey 2019
@TheBJCA Trainee Reps for feedback
@DrMaxSayers for the questions
@The_Echo_Nerd for the original conversation
@DrMarkWestwood1 @MadalinaGarbi @ProfDFrancis (and other honest TPDs) for trying
@dr_chrisallen for the BJCA Survey 2019
@TheBJCA Trainee Reps for feedback
@DrMaxSayers for the questions
@The_Echo_Nerd for the original conversation
@DrMarkWestwood1 @MadalinaGarbi @ProfDFrancis (and other honest TPDs) for trying
