Update from the College Mrs Scarlett McNally BSc FRCS(Tr&Orth) - - PowerPoint PPT Presentation

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Update from the College Mrs Scarlett McNally BSc FRCS(Tr&Orth) - - PowerPoint PPT Presentation

Apr 24, 2023 156 likes •516 views

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

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Update from the College

Mrs Scarlett McNally

BSc FRCS(Tr&Orth) MA MBA

Consultant Orthopaedic Surgeon Council member, RCSEng

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This talk:

  • Things the College has done
  • Things to do
  • Pan-College re-vamp
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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

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www.rcseng.ac.uk/career

http://surgicalcareers.rcseng.ac.uk/wins/guidance#

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Organisational readiness for appraisal report

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  • “junior” often not in
  • fficial SAS

contracts

  • On Registrar level
  • Many senior
  • Some post CESR
  • NEWLY: some post-

CCT

  • Some want

autonomous practice

SAS doctors, 3 bands, so 3 levels

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Undergraduate curriculum

  • Curriculum

(why and how to learn)

  • Syllabus

(what)

  • List of 35 conditions
  • All the things EVERY doctor should know

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To do:

  • Mentoring
  • Expanding the surgical team
  • Surgical Care Practitioners
  • Non-surgical non-medical staff

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  • Mentoring and coaching use similar skills
  • Need training
  • Need ground rules (or norms if unspoken)
  • ?long/short
  • Not technical skills but life

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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

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Common topics for coaching:

  • Work life balance
  • Work/career transitions / changes
  • Career decisions
  • Personal development
  • Fulfilling potential / challenging self-limiting

beliefs

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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

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  • New structure
  • New composition of Council
  • New priorities
  • New committees

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2013

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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.

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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.

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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

  • rganisations.

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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

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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)

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Fora

  • SAS
  • Trainee forum
  • DPA forum
  • WinS
  • Medical students forum
  • Heads of Schools of Surgery
  • CRICS (Clinical Research)

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Condition EXERCISE (5 x

30mins/week) reduces risk by… UK life- time risk

All-cause mortality (death) RISK 30%

  • Heart disease

40% 40% Hypertension (blood

pressure)

50% 50% Stroke 30% 20% Diabetes type 2 +amputations,

ulcer

50% 6% Obesity 10% 25% Cancer Unclear 33% Breast cancer 25% 12% ♀ Bowel cancer 45% 6% Depression 30% 15% Dementia 30% 15% Low back pain 40% 50% Osteoarthritis 50% 40%

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Summary

  • All will be better
  • All will be more inclusive
  • Reorganisation takes time

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