Higher Specialist Training in Palliative Medicine

HIGHER SPECIALIST TRAINING IN PALLIATIVE MEDICINE

SUMMARY OF ASSESSMENTS

Please note: This is the MINIMUM number of assessments required. Clinical or educational supervisors may request additional assessments to be completed if any of the completed assessments are unsatisfactory, or if there are any concerns about a registrar’s performance. The trainee should complete this table & it should be checked & signed by their Educational Supervisor.

GENERAL REQUIREMENTS

Year of Training / Competency Requirement / Achieved? (Yes/ No)
1 / Trainees should have gained experience in the initial assessment & management of patients presenting with common palliative care problems & common palliative care emergencies
2 / Trainees should be competent in the assessment & management of patients presenting with any of the common palliative care problems
Trainees should be competent in the assessment & management of any common palliative care emergencies
3 / Trainees should be autonomously competent in the assessment & management of patients presenting with all common palliative care problems/ emergencies
4 / Trainees should be autonomously competent in the assessment & management of patients presenting with all palliative care problems/ emergencies

SCE

Year of Training / Competency Requirement / Achieved? (Yes/ No)
4 / SCE passed

DOPS

2007 Curriculum 2010 Curriculum

Type of DOPS / Date Undertaken / Type of DOPS / Date Undertaken
TENS / TENS
Pleural aspiration / Spinal lines
Urethral catheterization (male & female) / Male catheterization
Nebuliser set up / Female catheterization
NG tube / Pleural aspiration
CD storage / Nebuliser set up
Death cert/ cremation form / NG tube
MDS / Death cert/ cremation form
Paracentesis 1 / Paracentesis 1
Paracentesis 2 / Paracentesis 2
Paracentesis 3 / Paracentesis 3
Paracentesis 4 / Paracentesis 4
Syringe driver 1 / Syringe driver 1
Syringe driver 2 / Syringe driver 2
Syringe driver 3 / Syringe driver 3
Syringe driver 4 / Syringe driver 4
Year of Training / Number required / Achieved? (Yes/ No)
1 / 4
2 / 4
3 / 4
4 / 4

MINI-CEX

Topic / Date undertaken
1. Communication with patients & families
2. Clinical evaluation/ examination for symptom management
3. Clinical evaluation of concurrent clinical problems
4. Clinical evaluation of emergencies
5. Managing family conflict in relation to unrealistic goals
6. Assessing the dying patient
7. Clinical evaluation & ongoing care of the dying patient
8. Prescribing in organ failure
9. Evaluation of psychological response of patient & relatives & to illness
10. Evaluating spiritual & religious needs
Year of Training / Number required / Competency Requirement / Achieved? (Yes/ No)
1 / 6 / At least 50% of areas 1-7 of the top 10 topics
2 / 6 / 100% of topics 1-7
3 / 4 / 80% of top 10 topics
4 / 2 / 100% of top 10 topics

MSF

Year of Training / Number required / Achieved? (Yes/ No)
1 / 1
2 / 1
3 / 1
4 / 1

CBD

Topic / Date undertaken
1. Communication with colleagues & between services
2. Recognition, assessment & management of critical change in patient pathway
3. Shared care in different settings
4. Management of concurrent clinical problems
5. Management of symptoms/ clinical problems
6. Symptoms as sensory, psychological & social experience for patients & impact on carers
7. Therapeutic options & appropriate choice of treatment/ non-treatment
8. Opioid use (including opioid switching)
9. Other interventions in pain management
10. Management of emergencies
11. Pharmacology/ therapeutics
12. Psychosocial care
13. Psychological responses of patients & carers to life-threatening illness & loss
14. Self-awareness & insight
15. Grief & bereavement
16. Patient & family finances
17. Culture, ethnicity, religion, spirituality
18. Ethics
19. Doctor/ patient relationship
20. Teamwork & leadership
Year of Training / Number required / Competency Requirement / Achieved? (Yes/ No)
1 / 4 / 4 topics from areas 1-11
2 / 4 / 8 topics from areas 1-11
3 / 4 / 12 of top 20 topics
4 / 4 / 16 of top 20 topics

BLS

Year of Training / Competency requirement / Achieved? (Yes/ No)
1 / Valid BLS
2 / Valid BLS
3 / Valid BLS
4 / Valid BLS

Audit Assessment

Year of Training / Competency Requirement / Achieved? (Yes/ No)
1 / Evidence of participation in an audit
2 / Evidence of completion of an audit – with major involvement in design, implementation, analysis & presentation of results & recommendations
1 audit assessment satisfactorily completed
3 / Evidence of participation in supervision of a second audit with major involvement in supervising a clinician in the design, implementation, analysis & presentation of results & recommendations
4 / Evidence of satisfactory completion of portfolio/ record of audit involvement
1 audit assessment satisfactorily completed

Record of Reflective Practice

Year of Training / Number required / Achieved? (Yes/ No)
1 / 2
2 / 2
3 / 2
4 / 2

Teaching Observation

Year of Training / Competency Requirement / Achieved? (Yes/ No)
1 / Evidence of participation in teaching of medical students, junior doctors & other AHPs
1 satisfactorily completed teaching observation
2 / Evidence of participation in teaching of Evidence of participation in teaching of medical students, junior doctors & other AHPs
1 satisfactorily completed teaching observation
3 / Evidence of participation in teaching with results of students’ evaluation of teaching
Evidence of understanding principles of adult education
1 satisfactorily completed teaching observation
4 / Portfolio evidence of ongoing evaluated participation in teaching
Evidence of implementation of the principles of adult education
1 satisfactorily completed teaching observation

Research

Year of Training / Competency Requirement / Achieved? (Yes/ No)
1 / Evidence of critical thinkingaround relevant clinicalquestions.
2 / Evidence of satisfactorypreparation for a project basedon sound research principles.
3 / Evidence of developing research awareness and competence.
Evidence might include -
participation in research studies,or critical reviews, orpresentation at relevant research meetings or participation in (assessed) courses.
4 / Satisfactory academicportfolio/record with evidence ofresearch awareness and competence.
Evidence mightinclude a completed research
study/guideline/protocol with presentations/publication.
Research project educationalsupervisor report satisfactorilycompleted.

Management

Year of Training / Competency Requirement / Achieved? (Yes/ No)
1 / Evidence of participation in,and awareness of, some aspectof management – e.g.responsibility for organising oncall rotas, organise andmanage own workloadeffectively and flexibly,supervision of junior medicalstaff.
2 / Evidence of participation in and awareness of, some aspect of management – examples might include preparing rotas; delegating; organising and leading teams; organizing teaching sessions or journal clubs.
Evidence of leading MDT meetings.
3 / Evidence of awareness ofmanagerial structures andfunctions within the NHS. Suchevidence might includeattendance at relevant courses,participation in relevant localmanagement meetings withdefined responsibilities.
Evidence of leading MDT,involvement in induction of juniordoctors.
4 / Evidence of understanding ofmanagerial structures e.g. byreflective portfolio entries aroundrelevant NHS and voluntarysector management activities.
Evidence of contribution tosenior management meetings,recruitment process, handling ofcritical incidents.