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2010 Neurology Curriculum

2010 Neurology Curriculum

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Neurology August 2010 Page 1 of 46
SPECIALTY TRAINING CURRICULUMFORNEUROLOGYAUGUST 2010
Joint Royal Colleges of Physicians Training Board
5 St Andrews PlaceRegent’s ParkLondon NW1 4LBTelephone: (020) 79351174Facsimile: (020)7486 4160Email:
ptb@jrcptb.org.uk
 Website:
www.jrcptb.org.uk
 
 
Neurology August 2010 Page 2 of 46
Table of Contents
1
 
Introduction........................................................................................................3
 
2
 
Rationale...........................................................................................................3
 
2.1
 
Purpose of the Curriculum..........................................................................3
 
2.2
 
Development...............................................................................................3
 
2.3
 
Training Pathway........................................................................................3
 
2.4
 
Enrolment with JRCPTB.............................................................................4
 
2.5
 
Duration of Training....................................................................................4
 
2.6
 
Less Than Full Time Training (LTFT)..........................................................4
 
2.7
 
Dual CCT....................................................................................................5
 
3
 
Content of Learning...........................................................................................5
 
3.1
 
Programme Content and Objectives...........................................................5
 
3.2
 
Good Medical Practice................................................................................5
 
3.3
 
Syllabus......................................................................................................6
 
4
 
Learning and Teaching....................................................................................32
 
4.1
 
The Training Programme..........................................................................32
 
4.2
 
Teaching and Learning Methods...............................................................32
 
4.3
 
Research..................................................................................................34
 
4.4
 
Academic Training....................................................................................35
 
5
 
Assessment.....................................................................................................36
 
5.1
 
The Assessment System..........................................................................36
 
5.2
 
Assessment Blueprint...............................................................................37
 
5.3
 
Assessment Methods................................................................................37
 
5.4
 
Decisions on Progress (ARCP).................................................................39
 
5.5
 
ARCP Decision Aid...................................................................................41
 
5.6
 
Penultimate Year Assessment (PYA)........................................................42
 
5.7
 
Complaints and Appeals...........................................................................42
 
6
 
Supervision and Feedback..............................................................................42
 
6.1
 
Supervision...............................................................................................42
 
6.2
 
Appraisal...................................................................................................43
 
7
 
Managing Curriculum Implementation.............................................................44
 
7.1
 
Intended Use of Curriculum by Trainers and Trainees..............................44
 
7.2
 
Recording Progress..................................................................................45
 
8
 
Curriculum Review and Updating....................................................................45
 
9
 
Equality and Diversity......................................................................................45
 
 
Neurology August 2010 Page 3 of 46
1 Introduction
Neurology is the specialty encompassing the diagnosis, investigation and long termmanagement of adults with neurological symptoms and diseases.The specialty also involves the care of patients with stroke disease and sometrainees may elect to undertake an additional one year training scheme in strokemedicine to achieve subspecialty recognition. Some neurology trainees may alsoelect to undertake dual training in neurology and neurophysiology or othersubspecialty. Equally neurophysiology trainees complete 12 months training inneurology within the neurophysiology training programme.
2 Rationale
2.1 Purpose of the Curriculum
The purpose of this curriculum is to define the process of training and thecompetencies needed for the award of a certificate of completion of training (CCT) inneurology. This curriculum covers the period of training following successfulcompletion of both a two year Foundation Programme and a two year Core MedicalTraining (CMT) Programme, through to the recognised award of CCT.The curriculum covers training for all four nations of the UK.
2.2 Development
This curriculum was developed in 2009 by the Specialty Advisory Committee (SAC)for neurology under the direction of the Joint Royal Colleges of Physicians TrainingBoard (JRCPTB). It was written by the curriculum sub-committee, which includedboth a lay and trainee representative, and reviewed by the full SAC. It replaces theprevious version of the curriculum dated 2007, with changes to ensure the curriculummeets GMC’s standards for Curricula and Assessment, and to incorporate revisionsto the content and delivery of the training programme. Major changes from theprevious curriculum include the incorporation of leadership, health inequalities andcommon competencies.
2.3 Training Pathway
Specialty training in Neurology consists of core and higher speciality training. Coretraining provides physicians with: the ability to investigate, treat and diagnosepatients with acute and chronic medical symptoms; and with high quality review skillsfor managing inpatients and outpatients. Higher speciality training then builds onthese core skills to develop the specific competencies required to practiseindependently as a consultant Neurologist.Core training may be completed in a Core Medical Training (CMT) or Acute CareCommon Stem (ACCS) programme. The full curriculum for specialty training inNeurology therefore consists of the curriculum for either CMT or ACCS plus thisspecialty training curriculum for Neurology.The approved curriculum for CMT is a sub-set of the Curriculum for General InternalMedicine (GIM). A “Framework for CMT” has been created for the convenience oftrainees, supervisors, tutors and programme directors. The body of the Frameworkdocument has been extracted from the approved curriculum but only includes the

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