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By the end of the training period trainees will, in respect of achieving sufficient knowledge of professional practice to offer basic advice on the interpretation of results be able to:
By the end of the training period the trainee will be able to demonstrate the ability to analyse, evaluate and synthesise relevant knowledge and its application to their professional practice with respect to
By the end of the training period the trainee will be able to demonstrate a critical understanding of current relevant research, theory and knowledge and its application to the performance, adaptation and mastery of the following technical procedures and laboratory skills:
By the end of the training period the trainee will be able to apply knowledge of developing independent practice to perform, adapt and master the clinical skills necessary to:
Throughout their training, trainees are given increasing responsibility and independence appropriate for their demonstrated level of competence and professional development, as judged by their clinical and educational supervisors. The purpose of this stage of training is to take such graded responsibility further, to enable the transition to the independent practice required of an FRCPath holder.
Demonstration of the skills required for independent practice is a requirement of the curriculum, and the relevant competencies must be assessed and achieved prior to completion of the training programme.
Currently, the most appropriate context in which to train for and achieve the competencies for independent practice is out-of-hours working, in an ‘on-call’ setting. However, there may be practical alternatives to this training context. If a training programme does not offer the opportunity to develop and demonstrate these skills through out-of-hours working, there must be alternative arrangements agreed by the relevant individual overseeing training.
Since the trainee will have reduced supervision during this form of training, to ensure patient safety and to optimise the benefits of this training, the following criteria must be met before it starts:
The ultimate responsibility for the quality of patient care and the quality of training lies with the clinical supervisor. However, the trainee will be expected to exercise professional judgement in recognising the limits of their capabilities and in involving senior colleagues in complex or challenging issues/decisions. The arrangements for obtaining such help and advice, at any time during this training period, must be formal and explicit. Although the purpose of this training is to enable independent working, the trainee must not be discouraged from asking for help from a clinical supervisor during this period at any time.
After a period of independent practice, the trainee must be debriefed by the clinical supervisor. The purpose of this debrief is to ensure that patients are being managed safely, and that prompt feedback is provided on the trainee’s performance against the relevance competencies for this form of training (see below) and other competencies in the curriculum. The debriefing session may take the form of ‘handover’ to colleagues.