ATSM TRAINING IN OBSTETRICS AND GYNAECOLOGY

ATSM DIRECTOR: Rebecca Swingler 

Please read in conjunction with the RCOG website relevant pages. 

  1. Choosing your ATSM including selection process
  2. ATSM Interview
  3. Registering your ATSM as a trainee
  4. Registering your ATSM as a non-trainee
  5. Progression in your ATSM and e-portfolio requirements
  6. Regional ATSM preceptors and local ATSM Educational Supervisors

Choosing your ATSM

When choosing your ATSM, it is worth considering the likely consultant appointments within your region or nationally, your personal career intentions, your capability. We wish all trainees to work towards their strengths to enable them to have the best opportunity for a fulfilling future career.

You must complete two ATSMs to receive your CCT or equivalent. Usually this consists of one that is your career defining ATSM and will often have an intensity of 2. The other ATSM either complements this or shows your breadth of skills. 

To ensure the best chance of success, we strongly recommend each trainee has a discussion with their local educational supervisor when thinking/applying for ATSM reviewing surgical and other skillsets, does the ATSM fit with career intentions, are there any visualised difficulties. Considering your choices at the start of ST5 allows you to work with your educational supervisor through that year to determine which of the ATSM will suit your skills and career aspirations, and should be part of the induction and further educational meetings.

This discussion should be documented on the eportfolio.

ATSM Interview 

The 2020 ATSM interviews will take place in February 2020 the exact date will be confirmed shortly.

All eligible trainees (Entering ST6 from August 2020-July 2021) should contact Caroline Stitfall by Thursday 19th December 2019 to confirm attendance

Interviews are an opportunity for you to discuss your interests, how you want to develop as you move forward in your career and look to a consultant appointment. It also allows us to place you according to the ATSMs you have requested to ensure you are given the best opportunity to complete them. In the rare situation where there are limited places for particular ATSMs the interviews will be used to differentiate between candidates.

The interview will last approximately 20 minutes. Before the interviews you will be asked to send a copy of your current CV to the ATSM Director. At the start of the interview, you will be expected to give a 5 minute presentation (without slides or hand outs) on your aims and ambitions in obstetrics and gynaecology, which ATSMs you wish to do and where you would ideally like to undertake them, and why.

You should also mention :

  • whether you have already met any of  the prerequisites for the ATSM (ie mandatory courses) eg. for fetal medicine you must have already completed the intermediate scanning module.
  • Previously acquired experience and skills that would be relevant to the ATSM for e.g. if you are applying for the Acute gynaecology and Early pregnancy ATSM and have completed the intermediate scanning module. This will highlight to the director that the ATSM may have some areas already of competency and have a rough prediction of when they may complete the module. It will particularly help in modules with significant skills to acquire, for e.g. advanced laparoscopic, benign abdominal or vaginal surgery and feto-maternal medicine.

The interview will be used by the TPD to help with the placement of the trainee for their ST6 year. This is a complex process influenced by many factors other than the interview itself (e.g. when current trainees are coming in and out training because of OOP and leave etc) and it still may not be possible for the highest scoring trainee to go where they want. However, when all other factors are equal, the higher scoring trainee will be given preference. Trainees will be informed of their rotations at least 3 months before their start date.

Trainees can request to know their scores and if they would wish to have more formal feedback can request a meeting with the ATSM Director and TPD.

ATSM registration as a Trainee 

Before you apply for an ATSM, please ensure that you have discussed it with the local ATSM educational supervisor, the ATSM preceptor and the ATSM Director. They should review your work in ST5 considering suitable ATSM as often you will be applying at a rotation change. Please also review the FAQ and the application pages on the RCOG website.

Download the ATSM application form from the RCOG website, obtain the signatures of your local ATSM Educational Supervisor, the Regional ATSM Preceptor and then scan and email to the Rebecca Swingler, ATSM Director for her signature. 

Your training will not be extended to complete ATSMs if you already have two completed ATSMs. Also, your further ATSM completion will not be a consideration when determining where you go for your period of grace, and that unit does not have to honour completion of the ATSM with timetabling. This is in concordance with the RCOG

What’s the latest I can register for an ATSM before being awarded my CCT/CESR(CP)?

You need to allow yourself sufficient time to complete two ATSMs in order to obtain your CCT. If you wish to register for a further ATSM close to your predicted CCT/CESR(CP) date, you’ll need to discuss this with your ATSM Director and other trainers to ensure you are still able to complete the necessary competences for your two ATSMs. Also, your deanery’s priority is to ensure all trainees meet the requirements for CCT before offering additional training opportunities to others.

ATSM registration for Non-Trainees

Please read the RCOG website to confirm your eligibility to apply for an ATSM

  • Applicants must have completed the equivalent of the intermediate competences from the logbook (as ascertained by your local supervisor, who will sign to formally declare in the supplemental form they have assessed this).
  • Applicants must have completed a minimum of 5 years in O&G.
  • Applicants must have approval from their Clinical Director to register for an ATSM.
  • The applicant’s most recent annual appraisal must have been satisfactory.

We are keen to support the career progression and training of all doctors within our region. However, we must ensure that our trainees have their required training before permitting non-trainees to register for an ATSM.

The ATSMs needs to be chosen cautiously as only 1 ATSM will be approved at any time and a maximum of 3 ATSMs will be allowed unless there are exceptional circumstances and support from their hospital.

If a trainee rotates into the hospital wishing to do the ATSM, your training sessions will not continue, as the trainee will have priority even when your application was agreed first.

If your ATSM includes any surgical or ultrasound exposure, the unit needs to be certain and happy to certify that fulfilling your training needs will be not be detrimental to trainees in years 3-5 at the unit.

All non trainees wishing to do an ATSM must purchase the eportfolio from the RCOG – please contact the officer there. Sign off of completion of the ATSM will only occur with the correct eportfolio evidence.

Progression in the ATSM

The RCOG and HEE wish to ensure that all trainees have similar expectations and experiences in their ATSM and are trained to the same standards. Therefore the following documentation and processes are expected for all trainees and non-trainees, and an eportfolio is mandatory for all wishing to complete an  ATSM. Please see the RCOG website for further details.

The preceptor of the ATSM will perform spot checks on eportfolios in the year to ensure progress is being made and assessments are progressing. This will provide quality assurance and help to arbitrate in cases of difficult progression.

The director of ATSM will also have eportfolio access to quality assure that the above has taken place for all trainees and non trainees.

Difficulties with progression in ATSM

  • The ATSM applicant and ATSM educational supervisor locally will meet frequently to confirm progression in the ATSM
  • If competence/goals not progressing at the 6 month meeting, these will be reviewed with the regional preceptor, with evidence of lists attended, cases done and clinics/special interest sessions. This will be a face to face meeting. There should be a report from the local ATSM educational supervisor clearly stating the difficulties, any remediation already in place and outcomes on eportfolio. The ATSM applicant may wish to submit extenuating circumstances. The preceptor will document this meeting on the eportfolio and notify the ATSM director.
  • Possible outcomes of this meeting include ATSM applicant to discontinue at this time, clear objectives for further 6 months, discussion with training unit if there are difficulties accessing training.
  • If at further 6 months [1 year in total] not sufficient progress, then a further meeting with preceptor then ATSM director and ATSM applicant most likely will be advised to discontinue if this is a trainee related cause, and information passed to ARCP panel to this effect.
  • If the ATSM applicant feels that the training unit is not offering training the ATSM requires, they are advised to initially look locally with the educational supervisor or college tutor for improvement, and if this is not possible, or is unsuccessful, to then contact their preceptor and the ATSM director.

Completion of ATSM

When the ATSM applicant has completed all elements of the curriculum, with suitable evidence they need to meet with their ATSM educational supervisor to confirm that all areas of the ATSM are complete.

They will complete the notification of completion of training paperwork as per RCOG guidance

The ATSM applicant will then email the preceptor and arrange an appointment to review the eportfolio and complete the sign off process.

The preceptor will document satisfaction with the evidence within the eportfolio through adding an educational meeting, or countersigning elements of the ATSM curriculum.

The notification of completion of training paperwork will then be sent to Rebecca Swingler the ATSM director who will again review the eportfolio evidence and countersign the notification. This is usually not a face to face meeting if all has been satisfactory. However, if gaps are present in the portfolio, there will be a face to face meeting.

Should there be any concerns or disagreement, the preceptor will discuss with the ATSM director.

The notification of completion of training will be sent on to the RCOG.

Please allow a minimum of a month for all the checking and signing off. This is particularly important if you are approaching your final ARCP and require the completion certificate back from the RCOG to complete the training programme and receive your ARCP. This allows for the annual leave of preceptors and director.

ATSMs Update

Advanced laparoscopic surgery for the excision of benign disease.

This is now recruited to within the region and interviews will be held, within 6 months of the post becoming available.

For all other updates on ATSMs see the RCOG website

ATSMs Preceptors and Local Hospital ATSM Educational Supervisors

 

ATSM

Work Intensity

Regional Preceptor

Hospital

Local ATSM

Educational Supervisor

Abortion Care

1.0

Dr  Manika  Singh Manika.Singh@UHBristol.nhs.uk

Southmead Hospital

Dr Moses

Dr  Singh 

St. Michael’s Hospital

Dr  Moses

Acute Gynaecology and Early Pregnancy

2.0

Dr Jane Mears
Jane.Mears@nbt.nhs.uk

Bath Royal United Hospital

Dr Ficquet / Dr O'Brien 

Gloucester Royal Hospital

Dr Doraiswarmy

Southmead Hospital

Mr Akande / Dr JMears

St. Michael’s Hospital

Dr Oliver / Dr Mahavarkar

Great Western  Hospital

Dr Lalrin 

Taunton Musgrove Park Hospital

Dr Haerizadeh

High Risk Pregnancy

1.0

 Mr Simon Grant

simon.grant@nbt.nhs.uk

 

Bath Royal United Hospital

Dr Farey

Gloucester Royal Hospital

Dr Muslim / Dr Evans-Jones

Southmead Hospital

Mr Grant

St. Michael’s Hospital

Dr Trinder / Dr Bahl

Great Western  Hospital

Dr Narayan / Dr Sindha

Taunton Musgrove Park Hospital

Dr Robson

Advanced Labour Ward Practice

 

 

 

 

 

1.0

 

 

 

 

 

Dr Emma Treloar
Emma.Treloar@UHBristol.nhs.uk

 

 

 

 

 

Bath Royal United Hospital

Dr Jane Farey

Gloucester Royal Hospital

Dr Evans-Jones / Dr Muslim / Dr Swingler

Southmead Hospital

 

Dr Judith Hyde /Dr Sonia Barnfield

St. Michael’s Hospital

Dr Bahl / Dr Basude / Dr Treloar / Dr Strachan

Great Western Hospital

Dr Sullivan 

Taunton Musgrove Park Hospital

 

Advanced laparoscopic surgery for the excision of benign disease 

2.0

Mr Sanjay Vyas
mrsanjayvyas@gmail.com

Southmead Hospital

Mr Vyas 
Miss Appleyard

Benign abdominal surgery (Open and laparoscopic)

2.0

Mr Sanjay Vyas mrsanjayvyas@gmail.com

Bath Royal United Hospital

Mr Walker / Mr Johnson / Mr Luker

Gloucester Royal Hospital

Mr Whittaker / Mr Kaloo / Dr Vellayan

Southmead Hospital

Mr Vyas / Dr Mahavarkar

St. Michael’s Hospital

Dr Crouch

Great Western  Hospital

Mr Griffiths / Dr Lalrinawmi 

Taunton Musgrove Park Hospital

Dr Haerizadeh / Dr Attilia

Benign Gynaecological Surgery: Hysteroscopy

1.0

Mr Mark Whittaker
mark.whittaker1@nhs.net

Bath Royal United Hospital

Mr Sholapurka

Gloucester Royal Hospital

Mr Whittaker / Dr Vellayan

Southmead Hospital

Mr Naaisa / Miss  Appleyard

St. Michael’s Hospital

Dr Crouch / Dr Mahavarkar

Great Western  Hospital

Mr Jones / Dr Torbe

Taunton Musgrove Park Hospital

Dr Haerizadeh / Dr Attilia

Colposcopy

1.0

Dr Naomi Crouch naomi.crouch@UHBristol.nhs.uk

Bath Royal United Hospital

Mr Johnson  / Mr Luker

Gloucester Royal Hospital

Miss Hillaby / Mr Rolland

Southmead Hospital

Miss Appleyard

St. Michael’s Hospital

Dr Crouch

Swindon Great Western  Hospital

Dr Torbe

Taunton Musgrove Park Hospital

Mr Milliken / Mr Morrison

Fetal medicine

2.0

Mr Simon Grant
simongrant61@gmail.com

Gloucester Royal Hospital

Mr Hayman

Southmead Hospital

Mr Grant / Mr Abdel-Fattah

St. Michael’s Hospital            

Mr Overton / Mr Denbow /
Dr Liebling

Taunton Musgrove Park Hospital

Dr Robson

Labour Ward Lead

2.0

Dr Emma Treloar
Emma.Treloar@UHBristol.nhs.uk

Bath Royal United Hospital

Dr  Farey

Gloucester Royal Hospital

Dr  Evans-Jones

Southmead Hospital

Dr Barnfield

St. Michael’s Hospital

Dr Bahl / Dr Basude

Swindon Great Western Hospital

 Dr Sullivan

Taunton Musgrove Park Hospital

 

Maternal Medicine

2.0

Dr Jo Trinder Johanna.trinder@bristol.ac.uk

Bath Royal United Hospital

Miss Dunlop

Gloucester Royal Hospital

Mr Mahendran / Mr Hayman

Southmead Hospital

Mr Draycott / Sonia Barnfield

St. Michael’s Hospital

Dr Trinder / Dr Mohan

Swindon Great Western Hospital

Dr Narayan / Dr Santosh

Taunton Musgrove Park Hospital

Dr Robson

Medical Education

1.0

Mr Chendrimada Madhu
Chendrimada.madhu@nbt.nhs.uk

Gloucester Royal Hospital

Dr Swingler

Southmead Hospital

Mr Chendrimada Madhu

St. Michael’s Hospital

Dr Nama

Swindon Great Western  Hospital

Dr Sinha  /Mr Abdelrazik / Mr Jones

Taunton Musgrove Park Hospital

 

Menopause

1.0

Miss Tracy Appleyard

 

Southmead Hospital 

Miss Appleyard

Oncology

2.0

Miss Jo Bailey jo.bailey@UHBristol.nhs.uk

Bath Royal United Hospital

Mr Johnson

Gloucester Royal Hospital

Miss Hillaby / Mr Gornall /
Mr Rolland

St. Michael’s Hospital

Mr Murdoch / Miss Bailey /
Mr Patel / Mr Nama

Swindon Great Western Hospital

Dr Amy Keightley 

Taunton Musgrove Park Hospital

Mr Milliken / Mr Morrison

Paediatric and adolescent gynaecology

1.0

Dr Naomi Crouch
Naomi.Crouch@UHBristol.nhs.uk

St. Michael’s Hospital

Dr Strachan / Dr Crouch

Sexual Health

1.0

Dr Sharon Moses Sharon.Moses@UHBristol.nhs.uk

 

 

Subfertility and reproductive Health

2.0

Mr Valentine Akande
vakande@gmail.com

Bath Royal United Hospital

Mr Walker / Mr Coates

Gloucester Royal Hospital

Miss Reddy

Southmead Hospital

Mr Akande

St. Michael’s Hospital

Dr Jeffreys

Swindon Great Western Hospital

Mr Kevin Jones

Urogynaecology and Vaginal Surgery

2.0

Mr Mark James
mark.james@nhs.net

Bath Royal United Hospital

Miss Quereshi

Gloucester Royal Hospital

Mr Rahmanou / Mr James

Southmead Hospital

Dr Sen 

St. Michael’s Hospital



Swindon Great Western Hospital

Mr Abdelrazik / Mr Griffiths

Taunton Musgrove Park Hospital

Mr Naiguib

Vulval Disease

1.0

Miss Kathryn Hilliby
khillaby@nhs.net

Gloucester Royal Hospital

Miss Hillaby

St Michaels

Dr Crouch / Dr Mahavarkar

Swindon Great Western Hospital

Dr Torbe