South Thames Foundation School Foundation Training - Ten Years and Beyond Faculty Briefing 24 February 2015 Dr Jan Welch

South Thames Foundation School www.stfs.org.uk

Foundation Training- Ten Years and Beyond

• Faculty Briefing 24 February 2015

• Dr Jan Welch


As we were . . . .

• Pre-registration year• 6 months medicine / 6 months

surgery• Deaneries• ‘hidden curriculum’• Paper

• Local matching schemes owned by medical schools– not open to ‘outsiders’– natural progression

• ‘Lost tribes’• Moving every 6 months• References not competency


No . . . .

• Structure• Curriculum / teaching• Reference guide• National recruitment process• e Portfolio• Core procedures / simulation• Supervised learning events• Academic foundation programmes• ARCPs• UKFPO


Modernising Medical Careers

2007


Making foundation better

• Tooke 2008

– Independent inquiry into Modernising Medical Careers

– Extended remit to foundation

– Suggested uncoupling F1 and F2 years


Collins report 2010

Keep 2 years, but recommendations about:• purpose and role • selection• careers• flexibility• curriculum• specialty distribution • approval of trainers • assessment • supervision • pastoral support • transfer of information



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


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


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

Implications

• Development and education infrastructure for new posts

• Service pressures on acute trusts– surgical posts to go– other staff required


New foundation posts• 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


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

http://www.isfp.org.uk/Pages/EPM.aspx

http://www.isfp.org.uk/SJT/Pages/default.aspx

http://www.isfp.org.uk/SJT/Pages/default.aspx


Pastoral support

Training Support Group

Further services by referral /

PSU

FTPD/MEM/ DME

Practitioner Health

Programme / Careers

Clinical supervisors Good placement




• Skip to content www.medical careers.nhs.ukto move to new multi-professional website

April 2015


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


Transfer of Information

• National for medical school to F1• Local for F1 to F2

• And then?• 1 HEE• KSS / London


Destination data – national

Foundation doctors progressing directly into specialty training2011 71.3%

2012 67.0%

2013 64.4%

2014 58.5%


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


Wish list

• Seamless portfolio• Seamless induction• Quality at a glance• Trained trainers with time• Open access blended learning


Quality dashboards


www.etft.co.uk

– Open access video-based training for trainers– GP, hospital and pharmacy– Increasingly widely used– Role in ‘Approval of Trainers’

http://www.etft.co.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

http://www.etft.co.uk/


Documents

South Thames Foundation School Foundation Training - Ten Years and Beyond Faculty Briefing 24 February 2015 Dr Jan Welch