COSL Board Meeting - July 2017

July 22, 2017

A COSL board meeting was held on Friday 14th July. On the agenda there was a HET update, Foundation Project, SLTN conference feedback, Community Educational Provider Networks, STiP, Generalism workstream, and excitingly the launch of the website by the Free Open Access Medical education fellow.


Kimmee Khan attended on behalf of the SLTN - here's her summary of the meeting:


HET Update

Health Education Training team reported on the delay on distributing rotas for August change over. This has been due to programme glitches when operating on a large scale, so HET needed to process the data manually. They have apologised for the delay and are hopeful this will not happen again. HET are also ironing out glitches and fixing messing coding in Synapse to improve sending out trainee notifications.


Foundation Project on GMC Survey

This project was lead by Sukie Shinn, with the intention to improve departmental induction, MAST training, and study leave process. She performed site visits in March and April 2017 for information gathering, June and July to revisit trusts in anticipation to trust induction in August. She will be visiting trusts again in August – December to see how induction has improved and how to improve it further.


South London Trainee Network Conference

Poorna Nagasinghe represented the South London Trainee Network Executive Committee and presented the feedback from their conference in May 2017. The conference received excellent feedback. Publicity of the SLTN still needs to be improved. DMEs have been asked to mention the SLTN during their August induction and perhaps show the video from the conference.


CEPNs (Community Educational Provider Network)

On-going work stream lead by HEE. Network set up to improve multi professional working. Mostly revolving around undergraduate medical students with placements in the GP setting. It also involves an expanded network of allied health professionals in training.



Pilot model of innovative training set up to improve interface between primary and secondary care. This project involved 4 rheumatology and GIM trainees attending clinics in a general practice setting, linked with GPs with specialist interest in Rheumatology. Outcomes included improved trainee understanding regarding consultation skills in primary care, patient journey, and patient flow between primary and secondary care. GP trainers also benefited from having specialist trainees, however GP trainers mentioned need for more resources eg. time and staff room. Future directions include STiP 2, for Diabetes and Endocrinology, Respiratory and Renal.



Modernising acute medical pathway project based on Shape of Training and the 5 year forward view. Patients are increasingly becoming elder and multi-morbid which requires more generalist care. The aim is to create specialists who are also generalists. There is a plan to implement a change to Internal Medicine Training and increase the core medical training to 3 years, with some compulsory posts (eg. ICU) and the third year as a medical registrar. Followed by 4 years of specialty training. Lots of projects aimed to improve generalist training. These include the Chief medical registrar programme, accessing the wider workforce, using admission avoidance schemes (eg. urgent clinics, ambulatory care centre) all with the aim to improve service to patients and training to doctors.  This is an on-going work stream.


Free Open Access Medical education Update

Ben Balogun, FOAM fellow presented the website which will be available to the public shortly. This is an open access website for emergency medicine trainees and allied health professionals who work in London.  It has a wealth of information including cases, imaging, videos (eg. of local training days), help for FRCEM exams and relevant publications.


Placement Fee

Traceability of the money for education and training is going to be reviewed, with the aim to give DMEs signoff on release of the funds ONLY if education and training activities specified (education PAs etc.) are actually being actioned.  This will make it easier for DMEs to implement training initiatives for trainees. AF invited suggestions from DMEs to develop a unified scorecard for trust finance directors. These meetings will commence in the next year and will be ongoing from there – a long-term project.




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