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