1. CMFT APRIL 2014 SHIRLEY REMINGTON PGME UPDATE

2. INTRODUCTION HEE and future direction –national themes Changes to training Educator revalidation and GMC Educational environment Trust Educational Direction-changing patterns of clinical care Questions

3. HEE-BEYOND TRANSITION New mandate –awaited Large cost savings-administration- high earners One unit –North Locally- Deanery merger continues

4. CHANGES TO TRAINING Shape of training Foundation changes Change to rotation dates report

5. SHAPE OF TRAINING Registration changes Foundation unchanged in report Generalist nature of training-community facing Post CCT credentialing Academic-less change Not government approved Work streams-May 2014

6. FOUNDATION ARCPs from 2013 Increased Psychiatry placements All tracks community facing placement No duplication specialities

7. REVALIDATION Trainer approval –July 2014 Education related evidence-meetings reflection MSF presentations training development management qualifications Appraisal

8. THE FUTURE-GMC Generic professional capabilities Leadership Service improvement Patient safety Communication Review of Standards for Training Review of Quality Assurance Approving Educational Environments Review of Standards for Assessment Review of Standards for Curricula Developing Credentialling

9. EDUCATIONAL ENVIRONMENT NACT document with HEE GMC guidance Belonging to and being valued within the organisation. Celebrating success Feeling a part of the whole Colleagues who recognise your worth and support you Multiprofessional, managers, effective leadership and followership Role models Fostering good manners It's alright to ask the dumb question Improvisation, practice develops as we work Belonging to and being valued within the organisation. Celebrating success Feeling a part of the whole Colleagues who recognise your worth and support you Multiprofessional, managers, effective leadership and followership Role models Fostering good manners It's alright to ask the dumb question Improvisation, practice develops as we work

10. \ ENVIRONMENT Learning Culture in the workplace Developing openness Involving whole team & patient Shared values & understanding Valuing & including trainees Individual Trainee Friendly supportive relationship Appropriate clinical supervision Ensure named supervisor Maximise learning opportunities Department Faculty Group Attend meetings & PSGs Discuss trainees’ performance Consistency of approach CPD for educational role Service Provision Proactively manage workload Ensure patient safety Allow trainee to take responsibility Teach & role-model efficiencies

11. What makes for a Good Learning Environment? Belonging to and being valued within the organisation. Celebrating success Feeling a part of the whole Colleagues who recognise your worth and support you Multiprofessional, managers, effective leadership and followership Role models Fostering good manners It's alright to ask the dumb question Improvisation, practice develops as we work Professionals working like professionals Community Collegiality Criticality

12. TRUST CHALLENGES Shortened training of generalists Dropping trainee numbers Workload Uncertainty- Healthier together New contracts Tariff in educational funding

13. TRUST OPPORTUNITIES Track record- GMC and CQC reports Tertiary services-realignment of services Community Facing Care Credentialing Flexibility Skilled staff base Leadership and future planning

14. What professional values are important to you in your clinical practice? n = 500 doctors in training

15. QUALITY Quality is not an act, it is a habit. Aristotle