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PGME update

PGME update. CMFT April 2014 Shirley Remington. 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. HEE-beyond transition.

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PGME update

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  1. PGME update CMFT April 2014 Shirley Remington

  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 SHAPE OF TRAINING

  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

  10. 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 ENVIRONMENT \ 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

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