Higher Specialty Training (HST) in Surgery: Oversight and Governance

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Higher Specialty Training in Surgery provides a structured curriculum encompassing operative procedures, assessments, ARCP, OOP opportunities, research, examination, and the CCST. The program ensures competency progression, post-CCST fellowships, and adherence to governance standards set by organizations like HSE, NDTP, Medical Council, and RCSI. Intercollegiate Surgical Curriculum Programme defines what is learned, how it is taught, assessed, and the roles of trainers, enhancing the training pathway and verification of competence.


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  1. Higher Surgical Training ST3 ST8 30thJune 2023

  2. HIGHER SPECIALTY TRAINING (HST) IN SURGERY Oversight / Governance Curriculum Syllabus Indicative numbers of operative procedures/ logbook Assessments Annual Review of Competence Progression (ARCP) Out Of Programme (OOP) Research Examination (Intercollegiate Fellowship examination) Certificate of Completion of Specialist Training (CCST) Post-CCST Fellowship Courses

  3. GOVERNANCE OF SURGICAL TRAINING HSE NDTP MEDICAL COUNCIL RCSI

  4. INTERCOLLEGIATE SURGICAL CURRICULUM PROGRAMME

  5. What is a curriculum? Structure of training Outcome of training INTERCOLLEGIATE SURGICAL CURRICULUM PROGRAMME What will be learned (syllabus) How it will be taught (pedagogy) How it will be assessed (assessment framework) Roles/responsibilities of trainers

  6. Syllabus Training process/milestones Trainer roles Assessment framework Verification of competence

  7. The training pathway

  8. HIGHER SPECIALTY TRAINING (HST) IN SURGERY Oversight Curriculum Syllabus Indicative numbers of operative procedures/ logbook Assessments Annual Review of Competence Progression (ARCP) Out Of Programme (OOP) Research Examination (Intercollegiate Fellowship examination) Certificate of Completion of Specialist Training (CCST) Post-CCST Fellowship Courses

  9. HIGHER SPECIALTY TRAINING (HST) IN SURGERY Oversight Curriculum Syllabus Indicative numbers of operative procedures/ logbook Assessments Annual Review of Competence Progression (ARCP) Out Of Programme (OOP) Research Examination (Intercollegiate Fellowship examination) Certificate of Completion of Specialist Training (CCST) Post-CCST Fellowship Courses

  10. Assessment System

  11. The MCR in a placement Final Review Learning Agreement Objective setting Learning Agreement Mid-point Learning Agreement Last MCR reviewed at start of placement First half of placement Second half of placement End of placement MCR Workplace Based Assessments Interim MCR

  12. HIGHER SPECIALTY TRAINING (HST) IN SURGERY Oversight Curriculum Syllabus Indicative numbers of operative procedures/ logbook Assessments Annual Review of Competence Progression (ARCP) Out Of Programme (OOP) Research Examination (Intercollegiate Fellowship examination) Certificate of Completion of Specialist Training (CCST) Post-CCST Fellowship Courses

  13. Training Research Experience

  14. HIGHER SPECIALTY TRAINING (HST) IN SURGERY Oversight Curriculum Syllabus Indicative numbers of operative procedures/ logbook Assessments Annual Review of Competence Progression (ARCP) Out Of Programme (OOP) Research: Research Methodology course/ Time out for fulltime research Examination (Intercollegiate Fellowship examination) Certificate of Completion of Specialist Training (CCST) Post-CCST Fellowship Courses

  15. HIGHER SPECIALTY TRAINING (HST) IN SURGERY Oversight Curriculum Syllabus Indicative numbers of operative procedures/ logbook Assessments Annual Review of Competence Progression (ARCP) Out Of Programme (OOP) Research: Research Methodology course/ Time out for fulltime research Examination (Intercollegiate Fellowship examination) Certificate of Completion of Specialist Training (CCST) Post-CCST Fellowship Courses

  16. HIGHER SPECIALTY TRAINING (HST) IN SURGERY Oversight Curriculum Syllabus Indicative numbers of operative procedures/ logbook Assessments Annual Review of Competence Progression (ARCP) Out Of Programme (OOP) Research: Research Methodology course/ Time out for fulltime research Examination (Intercollegiate Fellowship examination) Certificate of Completion of Specialist Training (CCST) Post-CCST Fellowship Courses

  17. HIGHER SPECIALTY TRAINING (HST) IN SURGERY Oversight Curriculum Syllabus Indicative numbers of operative procedures/ logbook Assessments Annual Review of Competence Progression (ARCP) Out Of Programme (OOP) Research: Research Methodology course/ Time out for fulltime research Examination (Intercollegiate Fellowship examination) Certificate of Completion of Specialist Training (CCST) Post-CCST Fellowship Courses: MCh (full-time/part-time) / MSc Human Factors in Patient Safety/ Online Professionalism

  18. SURGERY IS STRESSFUL

  19. Surgery is Stressful TALK to SOMEONE!

  20. Thank you

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