Transcript PGME update
PGME UPDATE
C M F T A P R I L 2 0 1 4 S H I R L E Y R E M I N G T O N
INTRODUCTION
• • • • • • HEE and future direction –national themes Changes to training Educator revalidation and GMC Educational environment Trust Educational Direction-changing patterns of clinical care Questions
HEE-BEYOND TRANSITION
• • • • New mandate –awaited Large cost savings-administration- high earners One unit –North Locally- Deanery merger continues
CHANGES TO TRAINING
• • • Shape of training Foundation changes Change to rotation dates report
SHAPE OF TRAINING
• • • • • • • Registration changes Foundation unchanged in report Generalist nature of training-community facing Post CCT credentialing Academic-less change Not government approved Work streams-May 2014
FOUNDATION
• • • • ARCPs from 2013 Increased Psychiatry placements All tracks community facing placement No duplication specialities
REVALIDATION
• • • • • • • • • Trainer approval –July 2014 Education related evidence-meetings reflection MSF presentations training development management qualifications Appraisal
THE FUTURE-GMC
• • • • • • • • • • • Generic professional capabilities Leadership Service improvement Patient safety Communication Review of Standards for Training Review of Quality Assurance Approving Educational Environments Review of Standards for Assessment Review of Standards for Curricula Developing Credentialling
EDUCATIONAL ENVIRONMENT
• • NACT document with HEE GMC guidance
Learning Culture in the workplace
Developing openness Involving whole team & patient Shared values & understanding Valuing & including trainees
Individual Trainee
Friendly supportive relationship Appropriate clinical supervision Ensure named supervisor Maximise learning opportunities
Department Faculty Group
Attend meetings & PSGs Discuss trainees’ performance Consistency of approach CPD for educational role
ENVIRONMENT Service Provision
Proactively manage workload Ensure patient safety Allow trainee to take responsibility Teach & role-model efficiencies \
What makes for a Good Learning Environment?
Community Collegiality Criticality
Belonging to and being valued within the organisation. Celebrating success Feeling a part of the whole Colleagues who recognise your worth and support you Multiprofessional, managers, effective leadership and followership Role models Fostering good manners It's alright to ask the dumb question Improvisation, practice develops as we work Professionals working like professionals
TRUST CHALLENGES
• • • • • • Shortened training of generalists Dropping trainee numbers Workload Uncertainty- Healthier together New contracts Tariff in educational funding
TRUST OPPORTUNITIES
• • • • • • • Track record- GMC and CQC reports Tertiary services-realignment of services Community Facing Care Credentialing Flexibility Skilled staff base Leadership and future planning
What professional values are important to you in your clinical practice?
n = 500 doctors in training
QUALITY
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Quality is not an act, it is a habit.
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