Emergency Care Advanced Clinical Practitioners

Advanced Clinical Practitioners - Emergency Care


Emergency Care Advanced Clinical Practitioner Curriculum

The Royal College of Emergency Medicine (RCEM) and Health Education England (HEE) are pleased to announce their co-production of an Emergency Care Advanced Clinical Practitioner (ACP) Curriculum, which has full endorsement by the Royal College of Nursing (RCN). The pilot curriculum has been developed by a working party with representatives from Health Education England, the Royal College of Emergency Medicine and specialists in Emergency Care, and was published in May 2015. Higher Education Institutions provide high quality Masters level courses in advanced practice however these do not include specialty specific competences or nationally defined curricula. There is variation in the range of competences acquired, and no standardisation of the level of competence of the practitioner. The Emergency Care Advanced Clinical Practitioner (ACP) curriculum provides an opportunity for standardisation and consistency.   EC ACP curriculum (Adult and Paediatric)
EC ACP curriculum (Adult only)
EC ACP curriculum (Paediatric only)

An Assessment Descriptors document is a supplement to the curriculum.

A formal process has now been established in order that Emergency Care ACPs can demonstrate the competences required within the curriculum. The first, formal credentialing process took place in June 2016, with ACPs gaining access to the Royal College of Emergency Medicine e-portfolio (adapted for Emergency Care ACPs) from June 2015. Robert Crouch, Consultant Nurse at University Hospital Southampton NHS Foundation Trust and Chair of the HEE/RCEM Emergency Care ACP Curriculum Development Group commented, “This has been a very positive development for RCEM and HEE, and we are pleased to have received wide-spread support for this development from so many individuals and organisations, including the Royal College of Nursing. I am particularly grateful to the Curriculum Development Group for their hard work and enthusiasm throughout this development”.

ACP Forum

The Emergency Medicine Advanced Clinical Practitioners’ Forum is a new and exciting initiative intended to provide a focus and representation for ACPs and trainee ACPs (tACPs) within the College.

More information can be found here

ACP Forum meetings

We are undertaking virtual meetings at the moment, due to the COVID-19 crisis.

You can access recordings of the meetings here. Please note that this access is only available to current members of RCEM.

ACP Programmes

The College is committed to supporting a multi-professional workforce, including Advanced Clinical Practitioners. Developing  a programme of development for ACPs is a huge amount of work and is not simply about preparing for credentialing. The work cannot be underestimated and it may be helpful to visit or speak to leads where there are established programmes to hear about the challenges and solutions.  Most regions also have an ACP lead or a long established site where there will be someone to give advice –this practical programme advice is not within the remit of the ACP Credentialing Panel or the ACP forum.  

Supervision

The clinical and educational supervision of an individual ACP is also a time consuming role, usually over three years or more. This is not unlike developing our medical trainees or any other group, so similar principles apply of enabling attendance at formal teaching, shop floor supervision, completion of workplace based assessment and some kind of annual review of practice and keeping up-to-date. Supervision is about feedback and support for developing skills and must not focus only on the portfolio and evidence, but on the individual developing clinical competence to the ST3 equivalent level.  

Emergency Care ACP Supervisor Training Day

The EC-ACP Supervisor Training day due to be held on 14 May 2020 has been cancelled following the escalation of Covid-19.

A remote ACP Supervisor Training session will be held on Friday 17th July 2020 from 9:30am-1pm. To register please click here

The next EC-ACP Supervisor Training day will be held on 11 November 2020. Registration will open on 30 September 2020 and will close one week prior to the event.

Please note that this training is aimed at ACP Supervisors who will be signing off the final ACP credentialing checklist. It is not suitable for ACPs intending to credential. If you are a credentialed ACP currently supervising tACPs and wish to attend this training, please email acp@rcem.ac.uk prior to registering.

Presentations from the RCEM EC-ACP Supervisor Training Day which took place on 13 September 2019 can be downloaded below:

Session 1: Outline of the credentialing process
Session 2: The nature of supervision
Session 3: The portfolio and curriculum
Session 4: Common competences
Session 5: Major and acute presentations
Session 6: MastersPGDip, academic declaration, CV and experience needed
Session 7: Practical procedures
Session 8: The STR and FGS
Session 9: The checklists

Credentialing

We recommend that all educational supervisors of ACPs complete the RCEM ACP Supervisor Training but recognise that this may not have been possible at the beginning of supervision for current tACPs. We are providing three training days in 2020 to offer maximum flexibility to colleagues, and would anticipate that all supervisors complete training over the next 12-18 months.  The final sign-off for credentialing must be by a trained RCEM supervisor who understands the final credentialing process. This should be the educational supervisor who has worked with the ACP over the years and is able to evaluate their performance in the workplace and agree, with the other members of the supervising faculty, that they are ready to credential. In exceptional circumstances it may be possible for an educational supervisor who has been trained from a neighbouring department to complete the sign-off if there is no one formally trained at the site. However this will only be acceptable if there has been a documented meeting with the local ES and ACP and that there is evidence that the visiting supervisor has properly reviewed all evidence and seen the ACP in practise at some point. This is likely to take 6-8 hours and a meeting of a minimum of 2 hours to discuss the evidence.  

New Emergency Care ACP credentialing process from 2018

A new process is being introduced following a successful pilot.  From 2018 there will be no face-to-face meeting between assessors and applicants and there will be no detailed feedback before the credentialing day.  ACPs who wish to apply must be confident, along with their supervisors, that they will have appropriate evidence on ePortfolio before the end of the application window (anything uploaded afterwards will not count) of acquisition of all required competences.  Please refer to the guidance for further information.   Please note that a fee of £295 will be charged and that there will be no discount for re-application following an unsuccessful attempt.

ACPs, Credentialing and COVID

The Spring Credentialing window has closed, evidence is being evaluated and the panel will meet as planned on 13 May 2020. The Supervisor training day on 14 May 2020 is cancelled.

Candidates for the Autumn 2020 window should continue to collect evidence in their portfolio and work towards submission for credentialing which will open on 28 August 2020 with the panel meeting on 12 November 2020.

ACPs who are nearing completion of the portfolio will be anxious about access to mandatory courses and workplace based assessments. We recognise that there is a significant reduction in opportunities for WPBAs and possibly for supervision meetings. The chief priorities are clinical safety and patient/staff wellbeing. We would recommend supervision meetings by Skype or  other electronic device - it is critical to continue to seek the guidance and support of your educational supervisor at this time.

However, as the process for credentialing is purely based on examination of evidence, there will be no opportunity for a change in the amount and type of evidence required. This may mean that applicants will need to defer their application for 6 months until Spring 2021. We will apply the rules for currency of evidence (all within 5 years and majority in 3) flexibly for each individual.

In addition, and specifically relating to mandatory courses (and those only), a life support course booked for within 6 months of the credentialing date with evidence of the place allocated will be accepted and the credential approved AFTER the submission of successful completion of the course.

The guidance on the RCEM website will provide information on all other aspects of credentialing. We anticipate that the Spring 2021 credentialing window will be significantly large, so we advise ACPs to apply early once the window opens.

Spring 2020 EC-ACP Credentialing application window

The application window for the Spring 2020 EC-ACP credentialing opportunity has now closed. Details of the Autumn 2020 EC-ACP credentialing opportunity will be published shortly.

Please note that a new pre-screening process and an updated academic declaration form were introduced for the Spring 2020 credentialing opportunity:

  • Academic Component Declaration Form: this now requires the ACP to indicate which module of their level 7 Advanced Practice degree met each RCEM academic learning outcome. Failure to complete this new form will mean the portfolio is not considered. Previous versions of this form will not be accepted.
  • Pre-screening: Due to the volume of portfolios to be reviewed, a pre-screening process has been introduced. This process, undertaken by the College staff, will identify portfolios where there is evidence clearly missing according to the screening checklist.

Having confirmed the evidence is missing, the Credentialing Panel will reject the application and the ACP will have to resubmit (for a full fee and against the guidance and checklist valid at the time) within a future credentialing window. A small administrative charge will be retained from the application fee.

Credentialing applicants should pay particular attention to the following elements of their portfolios of evidence:

  • Supervisor signing off the portfolio must have attended the RCEM ACP Supervisor Training (please see below)
  • Correct academic declaration is completed with the learning outcomes mapped
  • The correct checklist (see above to download) is used, and the complete checklist is uploaded
  • There is clear evidence in the CV of three years of complete practice as a tACP at the time of submission (minimum 30 hours per week pro-rata in EM)
  • Checklist has only one item listed per competence (or two if adult and child)
  • Each item in curriculum should have max 7 items (excluding e-learning) - more may be accepted for CCompetences (within reason)
  • Common competences are signed off at appropriate level – i.e. the majority at level 2 with only a few at level 4
  • Mandatory courses are in date
  • FGS and STR are present for at least the last 12 months
  • There is an appropriate balance of mini-CEX and CBD in consultant assessments – approx. 50:50
  • Scanned documents should be PDF format
  • MSF: this should be the summary report only - not individual forms
  • All documents have any patient identifiable information removed, including hospital numbers
  • Examination of the joint must be a different assessment to the manipulation assessment
  • If adult and child application – there must be evidence of experience in children in the patient log/CV and some additional evidence of paediatric cases within the adult competences that are not replicated in the children’s curriculum
  • You do not need to email the checklist as well as upload; however,the checklist should be uploaded as a Word document, rather than a PDF
  • All applicants must have prescribing competences
The Guide to RCEM Emergency Care ACP Credentialing has been updated and will be uploaded after the application window closes to avoid any confusion.

Further information

  • Presentations from our recent Emergency Care ACP Conference:  

For information on access to the RCEM e-portfolio adapted for Emergency Care ACPs/Associate Membership (ACP), please see the initial application form.

RCEMLearning


The College has an eLearning resource, RCEMLearning, content of which has been mapped to the curriculum.  For information about accessing the RCEMLearning site, please contact RCEMLearning@rcem.ac.uk

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