The Respiratory Curriculum (2010) states that:
Knowledge of the NHS, and of how it is constituted, financed and administered, is essential for those practising within it. So, too, is a whole range of personal attributes required if the modern doctor is to function competently within the NHS, including leadership skills, team working skills, personal organisation abilities and time management abilities.
Leadership and management skills are now explicitly outlined in the curriculum, with a much heavier emphasis than in years gone by. Section C of the syllabus is entirely dedicated to medical leadership and includes a number of specific domains:
Section I is dedicated to Management and NHS Structure and specifies that trainees should demonstrate knowledge of: clinical coding; EWTD; National Service Frameworks; NHS financing and budgeting; and the role of the Independant Sector amongst other areas. Behaviours include ‘shows willingness to improve managerial skills (e.g. management courses) and engage in management of the service.’
Trainees may find the following resources helpful in understanding the changing NHS landscape:
Trainees who are in the later stages of training should reflect on how they can demonstrate competency in the above areas and seek opportunities to join committees, identify areas of service improvement, contribute to business plans etc. Demonstration of such knowledge and skills will be essential for attaining a Consultant position.
Completion of a recognised management training course is a mandatory requirement for training. Options include:
NB. The Medical Leadership Competency Framework, developed by the Academy of Medical Royal Colleges and the NHS Institute for Innovation and Improvement, has informed the inclusion of leadership competencies in the Respiratory Medicine curriculum. The Framework has suggested possible assessment methods but, on reviewing these, the need for more specific methods was identified.
JRCPTB and the RCP Education Department has established a working group to develop and evaluate leadership assessment methods. These may include variants of CbD and ACAT, as well as the Case Conference Assessment Tool currently being piloted. Still no news on this but watch out in the new curriculum coming in 2020! Start collecting evidence ASAP.