1. THE WAY FORWARD MEDICAL SCHOOL PERSPECTIVE Dean of Medical Education Professor Stuart Carney

2. Shape of Training Medical School Full Registration F1F1 F1F1 F2F2 F2F2 Broad-based specialty training 4-6 Years Broad-based specialty training 4-6 Years Certificate of Specialty Training Credential Continuous Professional Development Continuous Professional Development

3. Shape of Training – timing of full registration Full registration should happen at the point of graduation from medical school. Measures will need to be put in place to make sure graduates are fit to work as fully registered doctors. They will also be restricted to working in approved training environments.

4. If Full Registration were to move Benefits Clarity about organisational roles Lift the cap on non-EEA students at medical schools Risks Graduate employment 4 year programmes Appropriate supervision for F1

5. Variation in perceptions of preparedness General Medical Council The state of medical education and practice in the UK, 2014

6. But is there a problem? F1F2 Monitored Doctors in Difficulty 2.6 – 3.4%2.5 – 3.7% GMC Referrals 0.2 – 0.4%0.1 – 0.3% The UK Foundation Programme Office Foundation Programme Annual Report 2014

7. Preparing for practice Current initiatives Clinical assistantships Shadowing Technology enhanced learning Prescribing Safety Assessment Under consideration National Licensing Exams / relationship to finals Assessment of employability

8. The role of a doctor Synthesises conflicting and competing information to make a diagnosis Deals with uncertainty Manages risk Leadership Accepts ultimate responsibility for actions After: Professor Sir Peter Rubin, What makes a good doctor? Review of Good Medical Practice, June 2011. http://www.gmc-uk.org/guidance/10058.asp

9. Changing patient needs 42% have a long-term condition 23% have multiple conditions Onset 10-15 years earlier if socioeconomic deprivation Barnett K, Mercer SW, Norbury M, Watt G, Wyke S, Guthrie B. Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet 2012;380(9836):37-43

10. Office for National Statistics, 2012

12. Medical graduates need to be: Outstanding, patient-centred doctors Physician scientists Resilient professionals Innovators and leaders of the future