What is a Post-CCT Fellowship?
The purpose of post-CCT Fellowships is to deliver training for competencies and capabilities above the Dermatology CCT curriculum, in order to develop tertiary level expertise and fulfil sub-specialist service needs. Fellowship training usually occurs over 12 months but may be extended in order to support less than full time training.
Which Fellowships Currently Exist?
Current Post-CCT Fellowships are:
(i) Cutaneous Allergy - view curriculum
(ii) Hair and Scalp Disorders - view curriculum
(iii) Mohs and Advanced Dermatological Surgery - view curriculum
(iv) Paediatric Dermatology - view curriculum
(v) Vulval Disease - view curriculum
(vi) Photodermatology - view curriculum
Why Have These Curricula Been Developed?
The post-CCT Fellowships in Dermatology were developed in conjunction with relevant sub-specialist organisations to provide a national curriculum standard. Training providers and Fellows are held to this standard for purposes of quality assurance.
In each case the curriculum has followed the service need for delivery of patient care required beyond specialty training.
Curriculum Development and Accreditation
The curriculum, written by the affiliated sub-specialist society, has been submitted for approval by the Dermatology SAC. The training process has been managed by the JRCPTB during a pilot phase until 2016. This role has subsequently become the responsibility of the BAD Education Board.
Further post-CCT Curricula are being developed in conjunction with the sub-specialist societies and will be approved by the BAD Education Board and Dermatology SAC.
Training Site Accreditation and Funding
Post-CCT Fellows are funded by NHS Trusts, seeking to both provide subspecialist training as well as fill a service need. Applications to become an educational provider are submitted to the sub-specialist society for approval, who in turn advises the BAD Education Board on training site approval.
If approved, the post is advertised in open competition, and applicants must be on the GMC Specialist Register for Dermatology as an entry requirement.
Educational Guidance for the Fellow
Educational Guides are appointed by the employing Trust or department and support the Post-CCT Fellows through their period of advanced training. The Educational Guide must register their fellows on their behalf with the BAD Administrator at the start of their training programmes.
There is an initial PDP followed by a mid-point and end-of-year assessment. The educational tools used to assess competencies are similar to those used in the pre-CCT curriculum e.g. mini-CEX, DOPS, CBD, MCR; however the case mix will be both more intense and complex. Logbook recording for procedural based fellowships is required.
How is the Fellowship Assessed?
The Fellow must submit their evidence to the BAD Education Board for distribution to two independent assessors appointed by the relevant sub-specialist society. This is at 6 months into the fellowship and the end of the fellowship (or at 6 monthly intervals if the fellowship is longer than 12 months). A recommendation is then made to the BAD Education Board, who issues a Certificate of Completion if all the curriculum standards are deemed to have been met.