Transcript Document

Foundation Training
- Ten Years and Beyond
• Faculty Briefing 24 February 2015
• Dr Jan Welch
South Thames Foundation School
www.stfs.org.uk
As we were . . . .
• Pre-registration year
• 6 months medicine / 6 months
surgery
• Deaneries
• ‘hidden curriculum’
• Paper
South Thames Foundation School
• Local matching schemes
owned by medical schools
– not open to ‘outsiders’
– natural progression
• ‘Lost tribes’
• Moving every 6 months
• References not competency
www.stfs.org.uk
No . . . .
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Structure
Curriculum / teaching
Reference guide
National recruitment process
e Portfolio
Core procedures / simulation
Supervised learning events
Academic foundation programmes
ARCPs
UKFPO
South Thames Foundation School
www.stfs.org.uk
Modernising Medical Careers
2007
South Thames Foundation School
www.stfs.org.uk
Making foundation better
• Tooke 2008
– Independent inquiry into Modernising Medical Careers
– Extended remit to foundation
– Suggested uncoupling F1 and F2 years
South Thames Foundation School
www.stfs.org.uk
Collins report 2010
Keep 2 years, but recommendations about:
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purpose and role
selection
careers
flexibility
curriculum
specialty distribution
approval of trainers
assessment
supervision
pastoral support
transfer of information
South Thames Foundation School
www.stfs.org.uk
South Thames Foundation School
www.stfs.org.uk
Shape of Training / Greenaway
Report 2013
• Broader specialty training (building on FP)
• Sustainable with opportunities to change roles
and specialties throughout career
• Full Registration should move to the point of
graduation from medical school
South Thames Foundation School
www.stfs.org.uk
Shape of Training /
Steering Group February 2015
(4 nations)
• Changes should be measured and incremental
• Changes must reflect UK basis and be approved by
GMC
• More generic – to include curriculum mapping
exercise
• Work across interfaces / flexibility in training
• Career development for non-consultants outside
training
• STSG will support GMC in credentialing pilots
South Thames Foundation School
www.stfs.org.uk
Broadening the foundation
programme 2014
Requirements
• 4 month placements for
foundation doctors
– psychiatry - 45%
– community
• 80% by 2015
• 100% by 2017
• Reductions in surgical posts
• Repeated medical posts to
include community
elements
South Thames Foundation School
Implications
• Development and education
infrastructure for new posts
• Service pressures on acute
trusts
– surgical posts to go
– other staff required
www.stfs.org.uk
New foundation posts
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New places
New roles eg perioperative medicine
New supervisors
Need for clear objectives eg mental health
competences
• Need for excellent liaison eg patch meetings and
outcomes
South Thames Foundation School
www.stfs.org.uk
Improving Selection to the Foundation Programme (ISFP)
Project group led by Medical Schools Council
www.isfp.org.uk
Educational Performance Measure (EPM)
• reflects educational performance at medical school up to point of
application to Foundation Programme
• 50% of score
Situational Judgement Tests (SJTs)
• extensive research and piloting
• 50% of score
South Thames Foundation School
www.stfs.org.uk
Pastoral support
Training
Support
Group
FTPD/MEM/
DME
Further
services by
referral /
Practitioner
Health
Programme /
PSU
Careers
South Thames Foundation School
Clinical supervisors
Good placement
www.stfs.org.uk
South Thames Foundation School
www.stfs.org.uk
South Thames Foundation School
www.stfs.org.uk
• Skip to content
www.medical careers.nhs.uk
to move to new multiprofessional website
April 2015
South Thames Foundation School
www.stfs.org.uk
Being multi-professional
• Need for workforce to meet workload
– New roles
• Make some foundation developments available
elsewhere – where feasible
– Careers
– Training support
– Policies and procedures
– etft
– Quality
South Thames Foundation School
www.stfs.org.uk
Transfer of Information
• National for medical school to F1
• Local for F1 to F2
• And then?
• 1 HEE
• KSS / London
South Thames Foundation School
www.stfs.org.uk
Destination data – national
Foundation doctors progressing directly into
specialty training
2011
71.3%
2012
67.0%
2013
64.4%
2014
58.5%
South Thames Foundation School
www.stfs.org.uk
Understanding progression
• Gap years?
• GP recruitment – 50%?
• GMC medical education database
– Undergraduate and postgraduate
– Data including exams/foundation ARCP/ FTP
– Recruitment from foundation to core initially
South Thames Foundation School
www.stfs.org.uk
Wish list
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Seamless portfolio
Seamless induction
Quality at a glance
Trained trainers with time
Open access blended learning
South Thames Foundation School
www.stfs.org.uk
Quality dashboards
South Thames Foundation School
www.stfs.org.uk
www.etft.co.uk
– Open access video-based training for trainers
– GP, hospital and pharmacy
– Increasingly widely used
– Role in ‘Approval of Trainers’
South Thames Foundation School
www.stfs.org.uk
www.etft.co.uk
• Currently 18 modules including SLEs,
quality visiting, simulation, and managing
trainees in difficulty
• In development:
– Lessons learnt
– ARCP – Foundation / GP / Specialty
– Foundation supervisor
South Thames Foundation School
www.stfs.org.uk
South Thames Foundation School
www.stfs.org.uk