Transcript Developing a Foundation Programme Taster: The South Wales

Developing a Foundation
Programme Taster Course:
The South Wales Oncology Experience
Dr Jennifer Kahan
Dr Samantha Cox
Content
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The foundation programme & taster courses
The structure of our taster programme
Participant views & feedback
Future plans
Collins Report
Simpler access to tasters
• To give insight into careers
of the specialty
• Facilitate career decision-making
• Promote careers reflection
The UK Foundation Programme
Office Guidance Document for
Foundation Schools, March 2011
Organisation of Oncology Taster
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Established in 2012
Three x1 week attachments, 9 trainees/year
Open to all FY2 and FY1 in last 4 months
Advertised nationally via deanery websites
and careers fair
• Co-ordinated by Velindre Education
Department
Organisation of Programme
Co-ordinating SpR
Recruit enthusiastic consultants
Overall named consultant
Named point of contact for each session
• New & follow-up
• Inpatient/outpatient
• Radiotherapy planning
• Pharmacy
• Nuclear medicine
• Ward
Draft Timetable
Consultant
SpR
Monday
Tuesday
Consultant
8.15am –sign in
Medical
8.30am – MDT & Lymphoma clinic
oncology 12.30pm - AOS (Acute Oncology
consultant
Service)
On Call SpR
Clinical
Oncology Neville Hall Hospital clinic and Lung
Consultant
Clinical Oncology
Consultant
Wednesday
Medical
oncology
consultant
Thursday
Morning
Clinic & Location
Medical
oncology
consultant
8am University Hospital of Wales
Colorectal MDT
Clinical oncologist
Afternoon
Clinic & Location
Ward based session with on call
SpR– Meet SpR at AOS meeting,
NHH clinic
1.00 - 2.00pm – Physic Planning
Programme director 2.00 – 5.00pm – SpR Teaching
9.00am - Colorectal and Upper GI
clinic
Clinical Radiotherapy – Lung
Senior pharmasist 2.00 – 3.00pm – Pharmacy
Programme director 3.00 – 4.00pm - Career in Oncology
Radiologists
Friday
Clinical
9.00am - Radiotherapy planning
Oncology
Consultant
4.00 – 5.00pm – CT Sim
AOS
1.30 – 2.30pm - AOS MDT
Nuclear medicine 2.30 – 3.30pm - Nuclear Medicine
dept
Senior radiothrapist 3.30 – 4.30pm - Radiotherapy
Main Reception
4.30pm –Sign out
Application Form
• Eligible? – FP1 in last rotation and FP2s
• Subject to educational supervisor signing off
study leave
• Signed study leave form 6wks prior to start
• Own transport
• Generic letter to candidate
‘Thinking Oncology? Think Wales’
• Free to attend 1 day session or ‘open day’
• Alternate years 2012, 2014
• Seminars
– What its like to be consultant/registrar in Wales
– Visit to radiotherapy department
– Talks by members of MDT
• Drew on taster week but with an aim to
improve recruitment in Wales
Potential Difficulties of Developing a
Taster Course
• Advertising
– Via postgraduate department
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Availability of consultants
Ability for juniors to get study leave
Coordinated study leave and consultant rota
F1s and are restricted but show interest
Clash with other commitments in foundation
calendar
Feedback
• Overall positive
• 100% report useful
• Improved the likelihood of attendees to apply for speciality training
Percentage (%)
Trainee-Rated Likelihood of Applying to Clinical Oncology
Specialty Training
90
80
70
60
50
40
30
20
10
0
Very Unlikely
Unlikely
Unsure
Before taster
Likely
After taster
Very Unlikely
2013 Feedback
• 8 FP2s
• 100% found it easy to apply
• 80% rated organisation of week ‘good’ or ‘very
good’
• 100% rated week as a ‘very useful’ insight into
specialty
Trainee Comments
Fantastically
organised!
Would
recommend
to anyone!
How the Programme has Developed….
• Reports summarising trainee comments
– More exposure to different cancer sites
– Time on ward with drs
– Want to have a go at planning RT themselves
South Wales Strategy for Recruitment
and Training
• 67% fill rates of Clin Onc posts 2011
• 100% fill rates 2012-14
• Taster is one of the innovations locally to improve
recruitment
– TOTW
– Website
– Careers fairs
The Future…
• Bank of consultants
• Established timetable
• Move with developments of the hospital
– Incorporation of AOS
• Develop programme in Singleton Hospital,
Swansea (South West Wales Cancer Centre)
Summary
• Sustainable and useful project
– Praised by the Wales’ Deanery as a ‘Rewarding
Innovative Process’
• Model could easily be applied to other
specialities
• Becomes easier with subsequent years
References
1. Collins, J. Foundation for Excellence: An
Evaluation of the Foundation Programme.
Medical Education England, 2010.
2. The UK Foundation Programme Office
Guidance Document for Foundation Schools,
March 2011.
Acknowledgements
• Angela Voyle-Smith
• Dr Mick Button
• Consultants of Velindre and allied health
professionals
Thank You
Any Questions?
Innovation Wales website
http://www.walesdeanery.org/index.php/en/wa
les-deanery-quality-unit-innovation.html