Securing the Foundation Programme
Stuart CarneyDeputy National Director, UKFPO
Securing the Programme
The first 7 years FP Curriculum 2012 FP e-portfolio Shadowing FP Reference Guide 2012
“Curriculum for Patient Safety”
National Generic with a focus on acute care Workplace-based assessments
Framework for delivery
Foundation schools Foundation training programme directors
and supervisors UKFPO and national coordination
MMC
MTASPhotograph by: Dominic J H Egré MSc MIEM - Institute of Emergency Management
Tooke Inquiry recommendations
Dismantle F1 and F2 to guarantee pre-registration jobs for UK graduates
Closer links with Medical Schools Standardise assessments “Provisionally Registered Doctors”
Evaluation: strengths
A credible generic two-year programme National curriculum Educational infrastructure and faculty National system for entry Exposure to a range of medical specialties Vehicle for trainee assessment Academic Foundation Programme Quality Assurance
Evaluation: concerns
No generally accepted purpose of the FP Confusion about the role of the trainee Inadequate supervision Inadequate transfer of information Excessive assessment Does not reflect future NHS needs Inadequate careers advice Lack of flexibility
FP: Agreed Purpose
Builds on undergraduate education Provides generic training Provides opportunities to develop
leadership, team-working and supervisory skills
Provides variety of workplace experience to inform career choice
Prepare foundation doctors for specialty (including GP) training
FP Curriculum (2012)
Outcomes step up from F1 to F2 Focus on patients with long-term condition Streamlined assessment Supervised Learning Events
FP e-Portfolio
33.6% of foundation doctors reported that the learning portfolio helped them with their learning needs
79.1% said their supervisors made clear the competences needed for sign-off
(Trainee Survey 2011)
Shadowing
EnglandMinimum of 4 days shadowing and induction
Wales4 days shadowing and induction
Northern IrelandMinimum of 2 days induction
ScotlandTBD
FP Reference Guide - principles
applies across the UK; sets out what is required to deliver the
FP Curriculum; provides guidance for
deanery/foundation school quality management; and
is aligned to the Gold Guide, where appropriate
FP Reference Guide - changes
Chapter 2: Guiding PrinciplesPurpose of the Foundation Programme
Chapter 4: Shape of the FPPlacement lengthFlexibility
Chapters 5/6: Roles & ResponsibilitiesEducational and clinical supervisors
Chapter 7: QA, QM and QCAligned to GMC QIF
FP Reference Guide - changes
Chapter 8: Becoming a Foundation Doctor Aligned to ISFP
Chapter 9:The Learning EnvironmentAligned to FP Curriculum (2012)Raising concerns about inappropriate tasksCommunity experience
Chapters 10 and 11: Sign-offARCPRemediation and appeals in F1
Foundation Programme ARCP
Locally organised under deanery guidance FTPD/T should chair with 2 other panellists Review e-portfolios together or separately ARCP outcomes:
F1: 1, 3, 4 & 5F2: 3, 4, 5, 6, & 8
F1 final appeal to University/Medical school
FP Reference Guide review
March - April: Draft available for comments April – May: Final changes May: GMC “health check” May: Approval by four health departments June: Publication
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