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UK Foundation Training 15 th June. UKFPO Overview. The UKFPO - what, who and how? Work streams for 2009/10 Surgery in Foundation. Promoting safe and effective care. Operational Framework Foundation Learning Portfolio Career Management Academic Foundation Programmes
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UKFPO Overview • The UKFPO - what, who and how? • Work streams for 2009/10 • Surgery in Foundation
Promoting safe and effective care • Operational Framework • Foundation Learning Portfolio • Career Management • Academic Foundation Programmes • Community placements • Foundation Recruitment • Stakeholder Engagement
Who do we serve? UKFPO provides information, guidance and support for: • 14,500 junior doctors • 7,200 medical students • 50,000 consultants and GPs • 26 foundation schools
UKFPO Office Team 7.6 FTE
UKFPO Special Advisors = 2.5 FTE
UKFPO Committee/Group Group with joint responsibility UKFPO Governance Structure 4 UK Health Departments (DH England: Lindsey Proctor) Conference of Postgraduate Medical Deans (COPMeD) UK Foundation Programme Office (Director: Professor Derek Gallen) FP Standing Committee (Chair: Professor Derek Gallen for COPMeD) Foundation School Directors Sub-Committee (Chair: Professor Derek Gallen) Rules Group (Recruitment) (Chair: DG) Foundation Docs Advisory Board (Chair: CM) Foundation School Managers Forum (Chair: JF) Academic Sub-Group (Chair: SC) Med Student Board (Chair: CM) QAFP Working Group (Chair: JA) FP Excellence Group (Chair: JA) Careers Managers Forum Portfolio Content & Security Group (Chair: SC)
External representation • UK-wide • AoMRC FP Curriculum Sub-Committee • COPMeD • COGPED • Portfolio Management Group (COPMeD) • Recruitment to F1 Steering Group (MSC) • “Tomorrow’s Doctors” revision group (GMC) • England • E-LfH Foundation Executive (DH) • MMC Senior Management Team • MMC Programme Board
Curriculum Review 2010 Achievements • DH commissioned AoMRC to review FP assessment • Secured funding to support AoMRC in review and revision of the curriculum Objectives • Implement a common assessment suite across the UK • Implement 3rd edition of the curriculum from Aug 2010
Operational Framework Review 2010 Achievements • Established editorial board & project plans to run in parallel with curriculum review • Agreed status of document with regulators • Implement revised document from Aug 2010
Academic Foundation Programmes Achievements: • “Rough Guide to Academic Foundation Programmes and Compendium of Academic Competences” • Academic FP recruitment process significantly improved • Sharing notable practice in academic programmes event Objectives: • Define core content of academic programmes • Work with NHIR and other funders/providers of academic programmes to promote the full academic pathway
Recruitment Achievements • 100% of applicants placed • 91.2% of applicants got into their first choice foundation school • Reduced cost to applicants for clinical assessments (those out of practice for “ years)
Careers management Achievements: • Identified careers leads in each university and deanery • Established joint careers advisory group between universities and deaneries • Guidance on “tasters” • Worked with PMETB on Annual Trainee Survey to include career-related questions
Stakeholder engagement Face-to-face communication: • 15 conferences, events and workshops in 2009/10 • 9 UKFPO stakeholder groups/committees • 50 + scheduled meetings per year • 9 groups developed by other organisations of which UKFPO are members • Regular requests for a UKFPO representative to speak at national and international conferences
Stakeholder engagement Other methods of communication with stakeholders: • Website: c.14,500 unique users on busiest day • E-updates: 7,500 subscribers • Podcasts: approx 250 downloads • Email correspondence: approx 30 email enquiries per day; peaking at 150 per day • Press and PR: features placed in BMJ Careers, BMA News, BMA Student News, DoctorPortal, Medical Student and Quack! (Over 75 articles in the past year)
Foundation training aims • Recognise and manage the acutely ill patient • Broad based training • Wider experience in number of specialties • More informed careers guidance • Place the doctors in the locations and specialties that the NHS requires
Surgery in Foundation • What does a good foundation surgery job look like? • Clinic time, theatre time, emergency experience. Teaching! • What do they actually get? • What is the role of simulation training?
Surgery • Over representation in F1 • Real need to understand the future of the NHS • We still have the John Collins review into Foundation • Review of training and EWTD
Surgery • Increased emphasis on community placements • Overall reduction in surgical training numbers • Role of themed F2 rotations • Placement of exams • Another lost tribe
Surgery • Cannot look at Foundation in isolation • Core surgical training (how long?) • Mismatch between core and higher training numbers • Career advice • What is plan B?
Surgery • We need surgeons! • How many? • Where? • Trained to what level? • What are the transferable competences that the NHS and the individual can use to change career pathway?