Foundation Programme Curriculum: Key Changes for 2016 David Kessel Chair AoMRC Foundation Programme Committee New Improved ?

Approved in Parts!

Regulator’s requirements Generic Professional Capabilities Framework

Purpose of Foundation No Change

2016 v 2012? Vincent: It’s the little differences. A lotta the same s**t we got here, they got there, but there they’re a little different. Jules: Example?

Terminology Level of performance Foundation Professional Capability = Outcomes of foundation training Descriptor Expectation / Indicative example of practice

Level of Performance High level indicators for F1 and F2 Minimum level which must be met or exceeded for progression at the end of each year of training Sign off dependent on evidence of achievement in each of the 20 foundation professional capabilities New!

Level of Performance F1 Indicators

Level of Performance F1 Mapped to most relevant foundation professional capability

Level of Performance F1

Successful Completion F1 Foundation Year 1 Certificate of Completion (F1CC) Recommendation to the GMC that the foundation doctor be granted full registration Eligible for progression into F2 training. New!

Level of Performance F2 F1 plus Description of step up in performance from F1

Level of Performance F2

Successful Completion F2 Foundation Programme Certificate of Completion (FPCC) Eligible to enter a core, specialty or general practice training programme. New!

Organisation of Curriculum

The Syllabus sections 12 subsections 40 subheadings > 100 outcomes Competences Remove to Improve!

Key Structural Changes sections 12 subsections 40 subheadings > 100 outcomes Competences sections Ooops!

Sections Professional Behaviour and Trust Communication, Team-working and Leadership Clinical Care Safety and Quality

Key Structural Changes sections 12 subsections 40 subheadings > 100 outcomes Competences sections 20 foundation professional capabilities (outcomes) Section 1 Foundation Professional Capability 1 Foundation Professional Capability 2…

Profesional Behaviour and Trust Foundation Professional Capabilities 1.Acts professionally 2.Delivers patient centred care and maintains trust 3.Behaves in accordance with ethical and legal requirements 4.Keeps practice up to date through learning and teaching 5.Demonstrates engagement in career planning

Communication, Team- working and Leadership Foundation Professional Capabilities 6.Communicates clearly in a variety of settings 7.Works effectively as a team member 8.Demonstrates leadership skills

Clinical Care Foundation Professional Capabilities 9.Recognises, assesses and initiates management of the acutely ill patient 10.Recognises, Assesses and manages patients with long term conditions 11.Obtains history, performs clinical examination, formulates differential diagnosis and management plan 12.Requests relevant investigations and acts upon results 13.Prescribes safely 14.Performs procedures safely 15.Is trained and manages cardiac and respiratory arrest 16.Demonstrates understanding of the principles of health promotion and illness prevention 17.Manages palliative and end of life care

Safety and Quality Foundation Professional Capabilities 18.Recognises and works within limits of personal competence 19.Makes patient safety a priority in clinical practice 20.Contributes to quality improvement

Key Structural Changes sections 12 subsections 40 subheadings > 100 outcomes Competences sections 20 professional capabilities Descriptors Section 1 Foundation Professional Capability 1 Descriptors F1 / F2 Foundation Professional Capability 2 Descriptors F1 / F2

Descriptors Indicative examples and general expectations Web Based

Descriptors Indicative examples and general expectations

Assessment Clinical Supervisor’s Reports Educational Supervisor’s Reports TAB Informed by Observation of practice Feedback from PSG Evidence of achievement of 20 outcomes No Change

Supervisors’ reports Sign off outcome level Based on achievement of >100 outcomes

Supervisors’ reports 2016 Comment at section level Is the foundation doctor on course to meet or exceed the minimum level of performance in each of the 20 foundation professional capabilities required for sign off by the end of the year of training?

Supervisors’ reports 2016 Comment at section level Is the foundation doctor on course to meet or exceed the minimum level of performance in each of the 20 foundation professional capabilities required for sign off by the end of the year of training? No concern Some concern Major concern

Supervisors’ reports No Concern Indicates that this doctor is performing at the expected level for this stage of foundation training, that there are/have been no issues which still need to be addressed and is on course to meet/exceed minimum expected level of performance required for sign off across all 20 foundation professional capabilities (Foundation Programme training outcomes) by the end of the year of training Issues which have been satisfactorily resolved should be recorded in the ‘educators’ notes’ section of the e- portfolio On Track!

Supervisors’ reports Some Concern Indicates that there are or have been aspects of performance which are ongoing and considered to need extra support in order to meet/exceed minimum expected level of performance required for sign off across all 20 foundation professional capabilities (Foundation Programme training outcomes) by the end of the year of training Needs Support

Supervisors’ reports Major Concern Indicates that there are or have been aspects of performance which which if not corrected may not meet the minimum expected level of performance required for sign off across all 20 foundation professional capabilities (Foundation Programme training outcomes) by the end of the year of training and may impact on this doctor’s ability to satisfactorily complete the current year of Foundation training Risks not being signed off

Supervisors’ reports Comments in support of rating for each section Concerns regarding performance? Drop down menu Select outcome/s +/- descriptor/s where concerns exist Narrative to justify Discuss with trainee Document

End of Year ES end of year report ARCP Review of evidence whether the foundation doctor has met or exceeded the minimum level of performance in each of the 20 foundation professional capabilities to allow them to progress to the next stage of training?

Foundation Programme Report Future Part of GMC QA Review of delivery foundation programme training Data collection e.g. – % doctors in difficulty – % requiring support – Performance of Foundation Schools Watch this space!