1. Professional Competence Update
February 2013
Sean Tierney
pcs.rcsi.ie pcs@rcsi.ie

2. Activities
Research
Personal
External Internal &
learning
teaching
Audit
pcs.rcsi.ie pcs@rcsi.ie

3. Activities
Research
Personal
≥20 ≥ 20
External Internal ≥5
learning ≥2&
teaching
Audit
1 audit ( 12 hours)
≥ 50
pcs.rcsi.ie pcs@rcsi.ie

4. Competence domains
Specialist
General Supervised
pcs.rcsi.ie pcs@rcsi.ie

5. External activities
Maintenance of Knowledge and Skills
20 credits per year (min.)
• International/National Meetings Annual Millin Meeting
RCSI
2011
• Courses accredited by Training Body *
• College/Society meetings
• Medically related advanced degrees
• Online Courses
http://www.rcsi.ie/pcs
pcs.rcsi.ie pcs@rcsi.ie

6. Evidence
Provided by RCSI Added to portfolio
automatically
Approved by Certificate
Training Body upload
Annual Millin Meeting
RCSI
2011
Approved by other Certificate
agency upload
other documentation
upload
1 hour = 1 credit; 6 credits per day
http://www.rcsi.ie/pcs
pcs.rcsi.ie pcs@rcsi.ie

7. Internal activities
• Practice Evaluation & Development
• 20 credits per year (min.)
• Morbidity and Mortality • Peer Review Groups
Meetings • Activities related to analysing
• Clinical Risk Meetings patient and/or department
• Case Presentations outcomes
• Chart Reviews • Activities related to patient
• Grand Rounds satisfaction surveys
• Multi-disciplinary Meetings • Activities related to the
organisation or review of surgical
• Committee work services
– 5 credits p.a. max
– e.g. Head of Department
and Clinical Unit meetings
pcs.rcsi.ie pcs@rcsi.ie

8. Evidence
Attendance Certificate
records
pcs.rcsi.ie pcs@rcsi.ie

9. Evidence
Attendance Certificate
records upload
Schedule
upload
Letter
upload
other document
upload
pcs.rcsi.ie pcs@rcsi.ie

10. Personal learning
5 credits minimum
• Self directed education, training or assessment
activities (eg Journal reading)
• Participation in professional development
workshops/courses
• Volunteer or outreach activities
• ? Journal clubs
• ? E-Learning
pcs.rcsi.ie pcs@rcsi.ie

11. Evidence
• Record
• Reflection
• Document ?
pcs.rcsi.ie pcs@rcsi.ie

12. Research & training
2 recommended
• Lectures, tutorials
• Examiner for Postgraduate Training
Body
• Publishing articles
• Scientific Presentation
• Question Setting
• Participation in the mentoring &
counselling of surgical trainees
pcs.rcsi.ie pcs@rcsi.ie

13. Evidence
Paper
upload
Abstract
upload
Programme or
schedule
upload
Letters etc.
upload
pcs.rcsi.ie pcs@rcsi.ie

14. Audit
1 audit annually (equivalent to 1 hr per month)
• Measurement
– specific elements of clinical practice such as frequency of day
case, average length of stay, number of bed days
– Recording outcomes (frequency of occurrence of adverse
events or complication rates)
• Comparison
– with the recognized standard or literature proven outcomes
• Evaluation
– reflecting on outcome of audit and how learning is built into
practice development or improvement.
pcs.rcsi.ie pcs@rcsi.ie

15. Evidence
Certificate
National Audit
upload
Summary doc
upload
Abstract/paper
upload
• NOCA (RCSI)
– IASM
– Joint registry
• Other national audits
• International
– Cardiothoracic
pcs.rcsi.ie pcs@rcsi.ie

16. Recording
pcs.rcsi.ie pcs@rcsi.ie

17. Recording
Colles Portal
email address
pcs.rcsi.ie pcs@rcsi.ie

18. Recording
pcs.rcsi.ie pcs@rcsi.ie

19. How to record
pcs.rcsi.ie http://vimeo.com/53012147 pcs@rcsi.ie

20. Timeline
• 2011-12 cycle ended 30/04/2012
• 2012-13 cycle ends 30/04/2013
• …
pcs.rcsi.ie pcs@rcsi.ie

21. Each Year minimum
Research
Personal
≥20 ≥ 20
External Internal ≥5
learning ≥2&
teaching
Audit
1 audit ( 12 hours)
≥ 50
pcs.rcsi.ie pcs@rcsi.ie

22. Timeline
• End of year returns
pcs.rcsi.ie pcs@rcsi.ie

23. Timeline
• Certificate available y/e 30/04/2012
pcs.rcsi.ie pcs@rcsi.ie

24. Non-compliant
pcs.rcsi.ie pcs@rcsi.ie

25. Verification
3%
pcs.rcsi.ie pcs@rcsi.ie

26. Audit (medical council)
5%
pcs.rcsi.ie pcs@rcsi.ie

27. Below target
• One year
– counselled
– offered assistance within available
resources
• Second year
– counselled
– offered assistance within available
resources
– ± verification audit
• Third in five years
– ± notification to the Medical Council
pcs.rcsi.ie pcs@rcsi.ie

29. Complaints
pcs.rcsi.ie http://goo.gl/ky140 pcs@rcsi.ie

30. “Supporting surgeons…”
pcs.rcsi.ie pcs@rcsi.ie

31. Newsletter (events)
pcs.rcsi.ie pcs@rcsi.ie

32. Audit compliance
PCS Medical
(RCSI) Council
NOCA
pcs.rcsi.ie pcs@rcsi.ie

35. Professional support
pcs.rcsi.ie pcs@rcsi.ie

37. “Supporting surgeons…”
pcs.rcsi.ie pcs@rcsi.ie

38. Future developments
pcs.rcsi.ie pcs@rcsi.ie

39. Feedback
• Why do we have to do this?
• Aren’t retired doctors different?
• Technical issues
– Passwords
– Adding records
– Can I use my iphone?
• I can’t find/access suitable activities
• Helpdesk - over 70% satisfied.
pcs.rcsi.ie pcs@rcsi.ie

40. pcs@rcsi.ie
@school4surgeons
http://www.slideshare.net/stierney