Download - The role of a Royal College and a Learned Society in the 21 st century Terence Stephenson
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The role of a Royal College and a Learned Society in the 21st century
Terence Stephenson
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The Future?
• ‘X rays will prove to be a hoax’ Lord Kelvin, president of the Royal Society, 1899
• ‘There is not the slightest indication that nuclear energy will ever be obtainable’ Albert Einstein, 1932
• ‘I think there is a world market for maybe five computers’ Thomas Watson, Chairman of IBM, 1943
• ‘640K ought to be enough for anybody’ Bill Gates 1981
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The Past
•Royal College of Physicians
•Barber Surgeons•Apothecaries
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The Worshipful Society of Apothecaries of London - historic livery company granting licenses to practise medicine throughout England and Wales since 1815
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“The aims of the Association are to promote excellence in research relevant to child health and to support the
teaching of paediatrics”
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‘A crowded landscape’
• GMC• BMA• RCPCH• AoMRC• APA (GB & Ireland)• PRS & Specialty Societies• Acad Med Sci• RSM
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Role of the RCPCH
• Revalidate - CME• Examine MRCPCH• Training – CSAC’s• Inspiration and careers advice• Set standards• Publish guidance• Leadership and Lobbying• Reconfiguration• Research and academic paediatrics• Journal• Annual Meeting• International & fundraising
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Royal Colleges andRecertification
• Revalidation = relicensing +/- recertification
• Although the recertification will be awarded by the General Medical Council, it will be assessed on the evidence submitted to the RCPCH against standards set by the RCPCH.
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What tools could be used for recertification?
• Theoretical examination• Multisource feedback• Internal peer review audit of 50 cases• Departmental error/audit meetings• CPD attendance records• CPD points earned through assessment related to educational
events/material• Analysis of complaints/untoward incidents/complications• External peer review of whole department• Logbook of cases• Audit against published data• Performance in on-line assessments of skills/clinical
judgement• Observation of practice
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Recruitment
(and retention)
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Final Year SpR Career Intentions
by type of post
RCPCH October 2004
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• Neonatal intensive care: 90% survival
• Sudden infant death syndrome: deaths halved
• Haemophilus meningitis: deaths abolished
• Acute Leukaemia: 70% survival
Setting standards and implementing them
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Reconfiguration
• Currently there are 30,000 consultants, 10% working in paediatrics
• EWTD: maximum will be reduced to 48 hrs
• There are currently 266 acute rotas (general and neonatal, excluding specialist rotas) that have a "middle grade" component
• A 10 person middle grade rota
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Reconfiguration ?
• reducing need/demand• providing the same care with different
people (skill-mix)• delivering front-line care with consultants• the reconfiguration of services, with the
closure of inpatient beds, to reduce the requirement for on-call rotas
• International Medical Graduates (IMGs)
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Advocacy1928 - 1998 - 2008
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Budget: 2004
- £100m increase in NHS R&D funding by 2008- bring combined budget for medical research to £1.2bn- purpose will be to achieve effective and efficient translation of scientific advances into patient care
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‘Best Research for Best Health’ 2006:• NIHR £992m in 2010/11• MRC £600m• AMRC £1bn in 2011• Pharma £3.5bn p.a. on R&D
in the UK
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Comprehensive Clinical Research Network (CCRN)
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From molecules to populations:Translational respiratory research £5.7m
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• Departments of Child Health
• Multidisciplinary Research Institutes
• £28m across 4 bids of which 3 involve child health
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The future of academic medicine - APA
• Teaching, researching and providing service will continue to be important but expecting individuals to be competent in them all will be increasingly impractical
• Teamwork will become more important
• Competition among academic institutions is likely to increase and the competition will increasingly be international
• Teaching and learning will be increasingly important—not least because dissatisfied students may go elsewhere
• It will be increasingly important to combine research, both basic and applied, with implementation and improvement
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Role of the RCPCH
• Revalidate - CME• Examine MRCPCH• Training – CSAC’s• Inspiration and careers advice• Set standards• Publish guidance• Leadership and Lobbying• Reconfiguration• Research and academic paediatrics• Journal• Annual Meeting• International & fundraising
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