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As is well known, there have been problems with Round 1. The RCA and MMC websites have information as it becomes available. SESA is one of the Schools in the UoA London. Interviews for ST1, ST2, ST3, ACCS 1 and ACCS 2 will be held from March 19th-March 29th. Interviewers from the School have added their voice to changes in Round 2 but have not withdrawn from Round 1. They will be involved in Round 1b.
The following is left here for historical reasons and because some might be needed for Round 2 applicants in future.
This site gives information about how SESA is planning to accommodate run-through training (RTT). Clearly this is as advised by the Deanery, Royal College of Anaesthetists and MMC www.mmc.nhs.uk. It is apparent currently (autumn 2006) that we must plan for the change whilst the rules, process and structure of RTT are being formulated. This means that nothing is definite, so please see this as an attempt to provide information and not a definitive or legally accurate account. Correct November 2006.
The diagram from MMC indicates the new structure. The grey box indicates the extent of the remit of SESA and includes trainees in run-through training (dark blue box) and trainees in FTSTA (light blue box). The start date is August 2007, on which date SHO and SpR posts cease to be appointed and are replaced by specialty training years 1-7 (ST1-ST7). There will be no normal SHO appointments in SESA after August 2006 to get ready for MMC start. SHO appointments after August 2006 can only be for the period upto August 2007. There will be the last SpR entry in February 2007 with interviews on 20th November 2006.
Latest update on MMC selection process (24 October 2006)
All those type 1 SpR trainees currently with NTN or VTN will be incorporated into the new scheme and should not worry about the changes. You will complete SpR training in the normal manner.
Those trainees appointed under the new scheme to RTT enter at ST 1-3 (as appropriate) and then pass through the training programme to CCT - all that has really happened is that the 'old' SHO training two years have been incorporated with SpR training to produce a nominal 7 year training scheme. It is likely that the NTN will be issued at the entry point to ST scheme even if this is to a novice without experience in anaesthesia.
The fixed-term specialty training appointment (FTSTA) is still a training post with contracts probably only issued for 1 year at a time although it is envisaged that trainees may spend 2 years in a FTSTA position. The light blue box FTSTA post is not within RTT. We believe currently that the FTSTA posts will be held by trainees unable to get into RTT at the first attempt, people just doing anaesthesia for a year or two without desiring to continue and people making their mind up about career path. It will be possible (by competition) to enter RTT from an FTSTA post when a RTT vacancy exists. We are not certain at the moment how this will all work in practice. The MMC literature is rather bullish with mention that time within FTSTA post is limited and if you do not enter RTT you will have to enter the career grade post (yellow box), choose another specialty to train in or try training in anaesthesia in another country. It may well be a very competitive environment.
In the transitional period (i.e when it starts in August 2007 until all current trainees are incorporated) trainees already in SHO posts, Type 2 FTTA or LAT posts and F2 trainees will be competing to get into RTT. Broadly speaking, ST1 is the old SHO year one, ST2 is the old SHO year two and ST3 is the old SpR year one.The Deanery will run the application and selection process. The person specification details for entry into ST1, ST2 and ST3 were published on the MMC website www.mmc.nhs.uk on 20th November. They are available for download here.
There will be a single electronic application process which initially will have to cover entry into ST1-ST3. This will be some monster because the RCA calculates that > 1200 posts need to be appointed. The following dates have been set;
Adverts and explanation in medical journals: November and December 2006
Jobs available in each specialty: December 2006
Applications to specialty training programmes submitted: 22nd January - 4th February 2007
Shortlisting: from 16th February 2007
Interviews for London: last 2 weeks of March 2007
Selection for RTT (Round 1) finished by: 30 April 2007
Selection for FTSTA (Round 2): Starts May 2007 and finished by 1 July 2007
TRAINEES ARE STRONGLY ADVISED TO MAKE CERTAIN THEY HAVE A SINGLE, UNCHANGING, RELIABLE E-MAIL ADDRESS WHICH WILL BE VALID FROM APPLICATION UNTIL THEY ARE IN POST.
Registering for MTAS, receiving confirmation of application, interviews, job offers etc will all be by e-mail. If you miss the call to interview because your spam filter took out the message, you may have to wait another year!
There will be a single electronic application system. Each applicant may apply for;
4 specialties in one Unit of Application
2 specialties in two Units of Application
1 specialty in four Units of Application
Anaesthesia counts as one specialty and Acute Care Common Stem counts as another. The relevant Unit of Application (UoA) for SESA is 'London'. We believe currently that an application to 'London' is an application to the 3 Schools of Anaesthesia in North London, the 2 Schools of Anaesthesia in South London (South West and SESA) and the South Coast School. UoAs are, broadly speaking, areas of the country based on Deaneries.
The Medical Training Application Service (MTAS) can be accessed on www.mtas.nhs.uk
We currently have about 35 streams in SpR training i.e. each of the 5 SpR years has about 35 trainees. It is a simple process for these to be relabelled the appropriate ST years and all current SpRs just continue in the programme without any perceived problems.
Our main task is to match the SpR streams with the correct number of SHO posts and we will need only about 60-70 to do this. All the current SHO posts not wanted for RTT (about 60-70) will go into the FTSTA pool. It is unknown whether the number of these posts will stay the same in the short or long term but SESA has not asked for the total number to be changed. We are aware that anaesthetic service ability in the SESA area is dependent, in part, on the number of SHOs.
Much time has been spent on ACCS. Acute Care Common Stem training is a 2-year rotation involving 6 months each in Emergency Medicine and Acute Medicine, and 1 year in Anaesthesia with ICM. An ACCS programme is the four posts required to complete all these specialties in two years. The ICM component is a minimum of 3 months and maximum of 6 months.
All Emergency Physicians are required to start in an ACCS programme and a lot of the posts in programmes will go to EM trainees. It is envisaged that an anaesthetist who wishes to enter ACCS training will do so competitively, announcing their intention to pursue anaesthesia at the outset. At the end of the two years, the trainee will enter at Anaesthesia ST2 without further interview.
We estimate that in SESA there will be for August 2007 only 5-7 posts in ACCS programmes available to trainees wishing to pursue anaesthesia as their specialty.
There are many questions but unfortunately (December 2006) no answers. We will do our best. Write in with questions to firstname.lastname@example.org
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