Overview of assessments for 2010:
The assessments are based on the 6 major presentations, 38 acute presentations and 44 practical procedures contained within the curriculum as well as certain speciality specific assessments for anaesthesia and intensive care. The minimum number of assessments are listed below alongside a more specific framework of assessment for each speciality, all of which are compulsory. Further information can be found on the speciality specific websites or in the 2010 ACCS curriculum and specific 2010 curriculum pages of this website.
Compulsory assessments:
| Mini-CEX | DOPs | CBD | ACAT | |||||
|---|---|---|---|---|---|---|---|---|
| Acute Medicine | 3 | 5 | 3 | 3 | ||||
| Emergency Medicine | 4 | 5 | 3 | 1 | ||||
| Anaesthetics | 3 | 5 | 7 | - | ||||
| Intensive Care | 3 | 6 | 4 | - | ||||
Over the first two years of ACCS these workplace assessments must cover all 6 major presentations, 20 of the 38 acute presentations, and 39 of the 44 practical procedures. Many of these presentations and practical procedures can be covered in any of the specialities, however, a certain number must be covered in a specific part of the training programme as detailed below.
| Major presentations (6) | Acute presentations (38) | Practical procedures (44) | ||||
|---|---|---|---|---|---|---|
| Acute Medicine | 2 of 6 MPs (formative) | 10 of 38 APs as Mini-CEX / CbD / ACAT. A further 8-10 APs need to be covered using ACATs, elearning, reflective practice, audit & teaching | 5 of 44 with DOPs | |||
| Emergency Medicine | 2 of 6 MPs as summative assessments. (summative forms for: Major trauma, Shock, Altered level of consciousness, Sepsis) | 5 of 38 as summative assessments. CEM suggest covering: chest pain, abdominal pain, breathlessness, mental health, and head injury. | 5 of 44 procedures using DOPs. CEM suggest including: airway, primary survey, wound care & fracture / joint reduction. | |||
| NB. suggest CPR be covered by ALS or anaes sign off and Anaphylaxis as a simulation exercise. Sepsis should ideally be covered in ICM. | Plus further 5 APs must be covered using 1x ACAT (formative). Suggest covering additional 10 APs using ACAT, elearning, reflective practice etc. | |||||
| Intensive Care | 2 of 6 MPs. Ideally covering sepsis. | No specified numbers | 13 of 44 with DOPs | |||
| Anaesthetics | Basic & advanced life support assessments. Plus anaesthesia assessments | 16 separate Anaesthesia related topics including initial assessment of competence (IAC) | ||||
Emergency Medicine
During the emergency medicine module some of the required assessments are summative (formal assessments that require reassessment if any aspect is failed by the trainee) - these summative assessments can be either specific summative mini-CEX or CbDs. The CEM has produced a list of domain descriptors for the summative assessments to give guidence on what is expected during these assessments, this can be found below. The other assessments are formative (non-judgemental educational assessments) that are not pass/fail. Again, there are specific forms for these within the curriculum.
Anaesthesia
Though the minimum number of assessments are stated above, in order to complete all of the required anaesthesia assessments far more assessments than this will be required. Initial assessment of competence (IAC): must be completed over the first three months of anaesthesia training and untill successfully completed a trainee may not work without direct supervision. Some deaneries may have specific paperwork for completion of the IAC, others can use the Royal College of Anaesthetists paperwork (found on the RCOA website) - more information can be obtained from educational supervisors. All anaesthetic assessments are summative and compulsory during the anaesthesia module of ACCS. A summary of the IAC can be found below.
Additional assessments are required for the completion of subsequent anaesthesia modules as specified in the anaesthesia section of the 2010 ACCS curriculum.