South Thames Foundation Schoolwww.stfs.org.uk Foundation Training - Ten Years and Beyond Faculty Briefing 24 February 2015 Dr Jan Welch

South Thames Foundation Schoolwww.stfs.org.uk 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

South Thames Foundation Schoolwww.stfs.org.uk No.... Structure Curriculum / teaching Reference guide National recruitment process e Portfolio Core procedures / simulation Supervised learning events Academic foundation programmes ARCPs UKFPO

South Thames Foundation Schoolwww.stfs.org.uk Modernising Medical Careers 2007

South Thames Foundation Schoolwww.stfs.org.uk Making foundation better Tooke 2008 – Independent inquiry into Modernising Medical Careers – Extended remit to foundation – Suggested uncoupling F1 and F2 years

South Thames Foundation Schoolwww.stfs.org.uk 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

South Thames Foundation Schoolwww.stfs.org.uk

South Thames Foundation Schoolwww.stfs.org.uk 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

South Thames Foundation Schoolwww.stfs.org.uk 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

South Thames Foundation Schoolwww.stfs.org.uk Broadening the foundation programme 2014 Requirements 4 month placements for foundation doctors – psychiatry - 45% – community 80% by % 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

South Thames Foundation Schoolwww.stfs.org.uk 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

South Thames Foundation Schoolwww.stfs.org.uk Improving Selection to the Foundation Programme (ISFP) Project group led by Medical Schools Council 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

South Thames Foundation Schoolwww.stfs.org.uk Pastoral support Training Support Group Further services by referral / PSU FTPD/MEM/ DME Practitioner Health Programme / Careers Clinical supervisorsGood placement

South Thames Foundation Schoolwww.stfs.org.uk

South Thames Foundation Schoolwww.stfs.org.uk

South Thames Foundation Schoolwww.stfs.org.uk Skip to content careers.nhs.uk to move to new multi- professional website April 2015

South Thames Foundation Schoolwww.stfs.org.uk 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

South Thames Foundation Schoolwww.stfs.org.uk Transfer of Information National for medical school to F1 Local for F1 to F2 And then? 1 HEE KSS / London

South Thames Foundation Schoolwww.stfs.org.uk Destination data – national Foundation doctors progressing directly into specialty training % % % %

South Thames Foundation Schoolwww.stfs.org.uk 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

South Thames Foundation Schoolwww.stfs.org.uk Wish list Seamless portfolio Seamless induction Quality at a glance Trained trainers with time Open access blended learning

South Thames Foundation Schoolwww.stfs.org.uk Quality dashboards

South Thames Foundation Schoolwww.stfs.org.uk – Open access video-based training for trainers – GP, hospital and pharmacy – Increasingly widely used – Role in ‘Approval of Trainers’

South Thames Foundation Schoolwww.stfs.org.uk Currently 18 modules including SLEs, quality visiting, simulation, and managing trainees in difficulty In development: – Lessons learnt – ARCP – Foundation / GP / Specialty – Foundation supervisor

South Thames Foundation Schoolwww.stfs.org.uk