Microsoft word - 2010 dermatology arcp decision aid.doc
2010 Dermatology ARCP Decision Aid The ARCP decision aid shows how the ARCP panel can review the trainee’s portfolio for evidence of competence required at the end of each year. The decision aid should be used in conjunction with the syllabus in section 3.3. The decision aid lists the minimum number of satisfactory assessments expected. These assessments should be sampled across the competencies required for that year. For the progressive elements of the curriculum a trainee completing ST3 (year 1 specialty training) will be expected to have gained all competencies marked with 1 in the year column of the syllabus in section 3.3. If a trainee has undertaken one or more modular elements, then the assessments should have included sampling of these competencies also. Thus the ARCP decision aid, together with the syllabus describes how the trainee will build on each set of competencies progressively year by year. It is not expected that every competence will have been individually assessed, but that a range of different competencies will have been sampled using the assessment methods available. It is the trainee’s responsibility to organise these assessments with their clinical supervisors in a timely fashion throughout the training year. Year Assessments ST3 (year 1 Minimum satisfactory assessments sampled across year 1 competencies of progressive elements of curriculum plus any modules undertaken during the year: 4surgery DOPS 2 non surgical DOPS* 4 mini-CEX 10 CbD 1 MSF 1 patient survey 1 Teaching Observation Other documents to be reviewed at ARCP: 1 audit assessment Attendance record Educational supervisor’s report Research supervisor’s report Minimum satisfactory assessments sampled across year 2 competencies of progressive elements of curriculum plus any modules undertaken during the year: 4 surgery DOPS 2 non surgical DOPS* 4 mini-CEX 10 CbD 1 patient survey 1 Teaching Observation Other documents to be reviewed at ARCP: 1 audit assessment Attendance record Educational supervisor’s report Research supervisor’s report Minimum satisfactory assessments sampled across year 3 competencies of progressive elements of curriculum plus any modules undertaken during the year: 4 surgery DOPS 2 non surgical DOPS* 4 mini-CEX 10 CbD 1 patient survey 1 MSF 1 Teaching Observation Other documents to be reviewed at ARCP: 1 Audit assessment Attendance Educational supervisor’s report Research supervisor’s report SCE attempt/pass Minimum satisfactory assessments sampled across year 4 competencies of progressive elements of curriculum plus any modules undertaken during the year: 4 surgery DOPS 2 non surgical DOPS* 4 mini-CEX 10 CbD 1 patient survey 1 Teaching Observation Other documents to be reviewed at ARCP: 1 Audit assessment Attendance Educational supervisor’s report Research supervisor’s report SCE pass
*Non surgical DOPS can be performed for: • PASI + DLQI scoring
• Patch test application • Identification of scabies mite
• Microscopy of skin scrapings for fungi
• IL Triamcinolone injections • Monochromator
In addition to the above for medical dermatology, the following conditions are considered to be ‘core presentations’: Pruritus Eczema Viral Warts Common bacterial and fungal infections Psoriasis Immunobullous disease Lichen planus Acne vulgaris and Rosacea Cutaneous Lupus Connective tissue diseases Urticaria / angio oedema Vasculitis Leg ulcers Cutaneous Lymphoma Systemic diseases presenting in the skin Drug reactions Emergency presentations For the ARCP decision aid the trainee should fulfill the competencies listed in medical dermatology for approximately 50% of core presentations by end year 1; 100% of core presentation by end year 2. In years 3 and 4 the trainee should be consolidating their experience in the core presentations and gaining further experience in the many rarer disorders which may present. It is not expected that the trainee will be experienced in every single disease, some of which may only present once every 5-10 years, but they should be equipped to deal with rarer diagnoses and be able to use clinical and other resources to manage such patients.
Medical Treatment __________________________________________ Not all children with congenital heart defects require treatment. Some may only need to be observed and visit their cardiologist. In other case, surgery or cardiac catheterization may be needed to reduce the effects of and/or repair the defect. Whether babies need surgical or catheterization treatment, they can develop conditions
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