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Trainee information

IMT3 registrar ready information

 

Welcome to IM3 and I look forward to seeing you again at the two-day registrar ready course. Following the success of IM1 boot camp and IM2 skills day, this course is designed to focus on the specific challenges of the medical registrar role, and is aligned to the Curriculum for Internal Medicine Stage 1 Training

 

The information provided below is important, please read it all carefully.

 

Allocations

All trainees should already be allocated to a registrar ready course by their TPD.  If you do not know which course you have been allocated to, please get in touch with your TPD as soon as possible.  These allocations have been made  with care to avoid disproportionate impact on any one service or hospital so please do not swap amongst yourselves.  Changes will only be considered in exceptional circumstances; please get in touch with your TPD as soon as possible if you are no longer able to attend your allocated course.  Please could you also personally check that your local rota co-ordinator is aware of your allocated course date and again, contact your TPD as soon as possible if you are encountering problems.

Approximately four weeks before your allocated course you will receive an email containing the essential pre-course questionnaire.  Completion of the questionnaire confirms your place on the allocated course, so please complete it as early as possible.  It should take less than ten minutes and you will not be able to attend the registrar ready course unless it has been completed and submitted two weeks beforehand.  If you have not received the email within a fortnight of your allocated course, please check your spam messages and then contact the IMT simulation administrator on IMTSimulation@nes.scot.nhs.uk.

 

Arrangements

To take full advantage of the social opportunities and reduce travel fatigue, we would like to encourage all trainees to be residential in Larbert for the duration of the course.  However, it is not mandatory to stay overnight.  You will need to book travel and accommodation yourself but all expenses will be reimbursed  as per the NES study leave travel, accommodation and subsistence rates (please keep all receipts).  Please ensure that you clearly state the words ‘IM3 registrar ready course’ when making your study leave requests and expenses claims.

Please see this link for hotels near to Forth Valley Royal Hospital.  

Please note that the funding for all aspects of this course (including travel, accommodation and subsistence) is in addition to your usual study leave budget and will not impact on other claims over the course of IMT. 

Timetable

All courses run on a Monday and Tuesday.  All trainees are required to be at the Scottish Centre for Simulation at FVRH by 8.30 am on the first day of the course.  

Directions to the Scottish Centre for Simulation Centre

Both Monday and Tuesday will run from 8.30am until 6.00pm.  All trainees are required to be present for the full course and late attendees will be excluded; trainees living more than a short drive from Larbert may therefore wish to consider staying locally on Sunday night.  

Further timetable information.  

You will not be seeing (real) patients during the course so please feel free to dress casually.

Pre-course preparation

In a similar way to IM1 boot camp, the IM3 registrar ready course will consist of three main strands: immersive simulation covering complex emergency presentations; workshops focussing on the skills required to survive (and thrive!) as a medical registrar; and mastery learning of procedural skills.  No specific preparation is required for the workshops.

Preparation for Immersive Simulation

The following 7-minute video on non-technical skills has been produced by two of the faculty, to allow trainees attending the IMT1 boot camp to get the best possible learning from the immersive simulation scenarios.  You might also find it interesting to view this prior to the registrar ready course, to refresh your memory of non-technical skills:

https://vimeo.com/571792572 (with thanks to Emma Phillips and Ailsa Hamilton)

Preparation for Procedural Skills

Central line: The IM2 skills day gave all trainees the opportunity to be signed off as ‘ready for directly supervised workplace practice’ in central line insertion.  However, this is a complex skill and revisiting it will build confidence and serve as a reminder about best practice.  Even if you are comfortable with this procedure, please take time to revise the materials on the NHS Lothian Mastery Skills website

https://www.med.scot.nhs.uk/simulation/the-mastery-programme 

(once again, my thanks goes to James Tiernan and the Lothian team for facilitating open access to these high quality resources).

Other procedures:  There will also be the opportunity for trainees to be signed off as ‘ready for directly supervised workplace practice’ in arterial line insertion and US-guided peripheral venous cannulation.  However, this standard will only be reached if significant pre-course study is undertaken. This work is required by all trainees, even those who already feel confident in these procedures, to ensure that a common standard is attained in IM3.  If faculty feel that a trainee has not engaged with the pre-course learning, or does not meet the required standard during the course, they will not be signed off as competent to proceed with supervised practice on patients and will have to find an alternative method of training in that skill.

Please also take the time to refresh your skills in scrubbing and gowning up, as covered at IM1 boot camp, using the link to the Lothian mastery website below.  You will be expected to perform this step competently, without prompting.

Essential pre-course preparation therefore includes:

  • View the ‘Scrubbing and Gowning Up’ video (3.5 minutes) as many times as required to refresh your memory and feel completely competent to perform this key step;
  • Read the central venous catheter (CVC) insertion reading pack (approx. 1 hour);
  • View the CVC insertion exemplar video (20 minutes);
  • Watch the VanPOCUS ultrasound guided venous access videos for peripheral IV access (16 mins) and central venous access (9 mins) available at https://litfl.com/ultrasound-library/ultrasound-procedures/;
  • Read the US-guided PVC reading back (not yet available; coming soon);
  • View the US-guided PVC exemplar video (not yet available; coming soon);
  • Read the arterial line insertion reading pack (not yet available; coming soon);
  • View the arterial line insertion exemplar video (not yet available; coming soon).
  • Introductory presentation on Basic Ultrasound and Vascular Access (15 mins) available at https://youtu.be/1-08G9zeabw (with thanks to Peter Davies).

Clearly this is a substantial amount of work.  From experience, it is very quickly obvious to faculty if a trainee has not engaged with the pre-course learning. In this situation, a trainee will unfortunately forfeit the opportunity to be signed off in these procedures.

I hope this information is useful.  I am excited about the opportunities that the registrar ready course presents, and I am very much looking forward to seeing you all again.  If you have questions about any aspect of the course, please do not hesitate to get in touch.

 

Vicky Tallentire

Vicky.Tallentire@ed.ac.uk

APGD for IMT simulation

 

IMT simulation administrator

IMTSimulation@nes.scot.nhs.uk 

This page was last updated on: 04.08.2021 at 13.28


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