Update from the College Mrs Scarlett McNally BSc FRCS(Tr&Orth) MA MBA Consultant Orthopaedic Surgeon Council member, RCSEng
This talk: • Things the College has done • Things to do • Pan-College re-vamp
Helpful stuff • SAS job plan guidance • Surgical Tutor handbook • Good surgical practice • RCS guide to pregnancy in surgeons • Undergraduate surgical curriculum • SAS terminology • Anti-bullying guidance 3
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www.rcseng.ac.uk/career http://surgicalcareers.rcseng.ac.uk/wins/guidance#
Organisational readiness for appraisal report 9
SAS doctors, 3 bands, so 3 levels •“junior” often not in official SAS contracts • On Registrar level • Many senior • Some post CESR • NEWLY: some post- CCT • Some want autonomous practice 10
Undergraduate curriculum • Curriculum (why and how to learn) • Syllabus (what) • List of 35 conditions • All the things EVERY doctor should know 11
To do: • Mentoring • Expanding the surgical team • Surgical Care Practitioners • Non-surgical non-medical staff 12
• Mentoring and coaching use similar skills • Need training • Need ground rules (or norms if unspoken) • ?long/short • Not technical skills but life 13
Six principles of coaching 1. The client is resourceful 2. Coach’s role to questions/challenges 3. Addresses whole person (past, present, future) 4. Client sets agenda 5. Equals 6. Coaching is about change and action 14
Common topics for coaching: • Work life balance • Work/career transitions / changes • Career decisions • Personal development • Fulfilling potential / challenging self-limiting beliefs 15
College priorities for new Gov. 1. Implement sustainable seven-day care in NHS 2. Prioritise improvements to urgent/emergency care 3. Reform training and education 4. Data and transparency 5. Innovation and research 6. Support joint working between the NHS and social care particularly for older people 7. Restricted hours working (EWTD and regulations in the "New Deal") 8. Reform professional regulation and protect people undergoing cosmetic surgery 16
• New structure • New composition of Council • New priorities • New committees 18
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2013
Priority 1 • Priority 1 – Advance standards and reduce the variability of patient outcomes - We aim to provide up-to-date clinical data to inform and drive improvements in the care delivered by our members. The College will take a leading role in developing quality improvement plans specific to surgery. 22
Priority 2 • Priority 2 - Attract, educate, develop and support high quality surgeons – We will inspire medical students and doctors to become surgeons and will play a central role in educating, developing and supporting surgeons throughout the whole of their career. 23
Priority 3 • Priority 3 - Influence and shape future health policy and practice to advance standards of surgical care – We will develop a proactive and planned approach to stakeholder engagement, nationally and internationally, with all those involved in the delivery of health care including clinicians, patients, managers, politicians and commissioning organisations. 24
7 “work packages” Priority 1: Reducing Variability, Improving Care Committee 1: Using and Improving Surgical Data Group 2: Quality Improvement Group Priority 2: Enabling High Quality Surgeons Committee 3: Attracting and Retaining Surgeons 4: Improving Surgical Training 5: Supporting Surgeons in the Workplace Priority 3: Shaping Policy and Practice Committee 6: Influencing UK Health Policy and Practice Group 7: Influencing International Health Policy and Practice 25
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Fora • Staff grade Associate Specialist and Specialty doctors (SAS) • Trainee forum • Directors of Professional Affairs (DPA) forum • Women in surgery (WinS) • Medical students forum • Heads of Schools of Surgery • CRICS (Clinical Research) 28
Fora • SAS • Trainee forum • DPA forum • WinS • Medical students forum • Heads of Schools of Surgery • CRICS (Clinical Research) 29
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Condition EXERCISE (5 x UK life- 30mins/week) time risk reduces risk by… All-cause mortality RISK 30% - (death) Heart disease 40% 40% Hypertension (blood 50% 50% pressure) Stroke 30% 20% Diabetes type 2 +amputations, 50% 6% ulcer Obesity 10% 25% Cancer Unclear 33% 12% ♀ Breast cancer 25% Bowel cancer 45% 6% Depression 30% 15% Dementia 30% 15% Low back pain 40% 50% Osteoarthritis 50% 40%
Summary • All will be better • All will be more inclusive • Reorganisation takes time 34
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