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Applying to your Foundation School What you need to know!

Applying to your Foundation School What you need to know!. David Wilkinson MD FRCS Director of Medical Education, Bradford Teaching Hospitals Foundation NHS Trust Head of Yorkshire School of Surgery Ex Co-Director West Yorkshire Foundation School. Modernising Medical Careers. (GPR).

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Applying to your Foundation School What you need to know!

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  1. Applying to your Foundation SchoolWhat you need to know! David Wilkinson MD FRCS Director of Medical Education, Bradford Teaching Hospitals Foundation NHS Trust Head of Yorkshire School of Surgery Ex Co-Director West Yorkshire Foundation School

  2. Modernising Medical Careers (GPR) Registration GP Training GP F1 F2 BST HST Run-through Training ??? Research/Academic Career breaks CCT (SpR) NCCG Article 14

  3. Specialty Schools • Paediatrics - Dr Philip Holland • Medicine - Dr Tony Arnold • Ophthalmology - Mr John Bradbury • Psychiatry - Dr Wendy Burn • O & G - Mr David Pring • Emergency Medicine - Dr Kevin Reynard • Anaesthesia - Dr Rob Cruickshank • Surgery - Mr David Wilkinson

  4. Run-through training • Paediatrics and Child Health • Obstetrics and Gynaecology • General Practice • Chemical Pathology • Clinical Radiology • Histopathology • Medical Microbiology • Neurosurgery • OMFS • Ophthalmology • Public Health

  5. Uncoupled specialties • Acute Care Common Stem (ACCS) • Anaesthetics • Core Medical Training • Core Surgical Training • Clinical Oncology • Occupational Health Medicine • Psychiatry

  6. Specialties using a national specialty-led recruitment process • Cardiothoracic surgery • Plastic surgery • Neurosurgery • Public Health • Histopathology • Academic clinical fellowships

  7. Foundation Schools

  8. The structure of a Foundation Programme • 2 years • Each year in a different location • Mix teaching hospitals, district general hospitals and other sites • 55% include exposure to general practice • At least six specialties • Common curriculum

  9. The West Yorkshire Foundation School • Was “born” in the summer of 2004, presented to the student Job Fair in June, accepted applications in November and began in August 2005 • Involves NHS organisations from Airedale, Bradford, Calderdale, Dewsbury, Harrogate, Huddersfield, Leeds, Pontefract & Wakefield • Foundation Schools are linked to medical schools • Has a website www.wyfs.nhs.uk

  10. Which School? • Where is it? • How difficult to get in? • One or two year programmes? • Acute medicine in F2? • Opportunities for primary care? • Generic skills programme? Does it matter?

  11. The application process • MDAP 2006 died • MTAS 2007 died • UK Foundation Programme Recruitment 2008 survived www.foundationprogramme.nhs.uk

  12. Recruitment process • On line process • Personal details • Complete application form • Rank Foundation Schools • Matched to School • Local process to match to programme

  13. Recruitment process 2008 • Academic quartile • 30, 35, 40, 45. • Application form score • 55  Matched to Foundation School • Interview, 28th January or 1st February  Matched to individual F1 post

  14. Why interview? • To avoid employing overseas graduates whose communication skills are not reflected by their academic / application form score • To permit interview performance to influence post distribution

  15. Recruitment process 2009 • Academic quartile • 34, 36, 38, 40. • Application form score • 60  Matched to Foundation School • ? Interview  ? Matched to individual F1 post

  16. Which programme? • Where is it? • Did I like it as a student? • Will it help with career decisions? • Is it for one or two years? • If one, how is F2 programme determined? Does it matter, will it affect my career?

  17. WYFS intake 2007 - 1

  18. WYFS intake 2007 - 2

  19. WYFS intake 2007 - 3 • WYFS offered a place to every applicant who put us first • 184 Leeds graduates entered the School

  20. UKFPO 2008 - over subscribed

  21. UKFPO 2008 - under subscribed

  22. How is the WYFS organised • Foundation School Director • 14 FTPD’s • 1 GP FTP co-ordinator • 270 + educational supervisors • Many clinical supervisors • 1 Foundation School manager • 2 clusters • Educational and administrative team

  23. Foundation programmes • Trainee centred • Competency assessed • Service based • Quality assured • Flexible • Coached • Structured and streamlined

  24. The trainee • Will benefit from individualised training • Shift in emphasis from service delivery towards educational component • Will make earlier, informed and accurate career choices

  25. Competency assessment • “Tools of the trade” • MSF • DOPS • Mini-cex • CBD • Inter-professional component • Needs to build on undergraduate skills portfolio • Is formative

  26. Service based • Team / Firm structure remains - just! • Practice structure remains • Requires effective communication between employers and the school • Workload monitoring • Professional responsibility • Not students - for now!

  27. Quality Assurance • Trainee appraisal performance monitoring • Trainee assessment monitoring • Attendance at educational events • Trainee placement assessment feedback • Deanery visits • PMETB trainee confidential survey • GMC, PMETB - Deanery

  28. Structured and streamlined • Good geographical basis • Good local organisation • Effective F1 to F2 transition • Effective management and administration • Electronic portfolio

  29. Flexible • Responsive to needs of trainee • Adapt to trainee career aspirations • Adapt to trainee personal situation • Currently only entry into specialist training is in August

  30. Coached • Contact between supervisors and trainees will increase • Quality and delivery of educational component • Support from FTPD’s • Careers advice

  31. The Careers Centre is on Cromer Terrace 3 minutes walk from the Union…

  32. What are they looking for? • What do they want? Use the person specification as the checklist: • www.foundationprogramme.nhs.uk/download.asp?file=FINAL_2008_Person_Specification.pdf • Eligibility, Qualifications, Clinical Knowledge & Skills, Language Skills, Personal Skills, Probity.

  33. The Questions • Generally 150 words, 8 points • Non-academic achievement • Academic achievements (250 words, 5 points) • Dealing with pressure/challenge • Prioritise tasks/information. • Understanding importance of team work. • Professional behaviour. • Individual needs of the patient (250 words, 10 points) • www.foundationprogramme.nhs.uk/pages/ home/application-form

  34. Tips from Handbook www.foundationprogramme.nhs.uk/download.asp?file=Foundation_Applicants_Handbook.pdf jjjjjjjjjjjjjjjjjjjjjjjjjjjj

  35. Structure your answers • Situation or • Task • Action / Activities • Result / Reflection • Context • Action • Result • Brief intro/scene setting • bulk of answer concentrates on actions/evidence • finish with positive outcome (-ve = +ve via reflection) • Can be applied to interviews jjjjjjjjjjjjjjjjjjjjjjjjjjjj

  36. Top Tips • Pick a range of activities/achievements • Don’t rely on the scorer presuming anything… • Spell out activities, give examples/evidence • They can’t score what isn’t there • Negative indicators will lose you marks • Follow all instructions/Answer all questions • Do not lie. Do not plagiarise jjjjjjjjjjjjjjjjjjjjjjjjjjjj

  37. Top Tips • Be wary of making negative statements. • “I personally feel that I lack these leadership qualities.” • Avoid applying for your colleagues -“We..” • Don’t be passive – be active & positive • “The post required organisation skills…” • PLEASE DO NOT TYPE IT ALL IN UPPERCASE • Double check spelling and grammar • “I want to use my brian” “I am gaol oriented” • Use a WP & Keep a copy jjjjjjjjjjjjjjjjjjjjjjjjjjjj

  38. http://www.gmc-uk.org/concerns/hearings_and_decisions/ftp/ftp_panel_varma_20060919.asphttp://www.gmc-uk.org/concerns/hearings_and_decisions/ftp/ftp_panel_varma_20060919.asp jjjjjjjjjjjjjjjjjjjjjjjjjjjj

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  41. Example Answer:Planning & Organisation • Progression through the undergraduate programme is a testament in itself to the planning and organisational skills I have harnessed. • Scored: 0 jjjjjjjjjjjjjjjjjjjjjjjjjjjj

  42. Example Answer:Teamwork • A friend of mine could not walk home after a boozy night so four of us carried her home. Even though she was of slight stature, we had quite a lot of difficulty carrying her. On reflection, it would have been so much easier had we worked as a team instead of pulling her in different directions. Similarly, I have seen that teamwork in the hospital setting increases efficiency. • Scored: 0 jjjjjjjjjjjjjjjjjjjjjjjjjjjj

  43. Employment prospects! • In 2007 251 trainees received FACD • Of these 212 completed both years • Of these 203 entered specialty training (96%) • Of the 9 without a job 4 graduated overseas • 98% of Leeds graduates entered specialty training • All those unsuccessful are repeating F2

  44. How do we ensure F2’s make successful ST1 applications and are successful in specialty training? • Simply deliver generic training to a high standard • Enhance Foundation training to prepare trainees for specialty training • Postgraduate exams • Career tasting • Taught courses • Themed rotations

  45. Is it all worth it?

  46. Medical professionalism Public trust and confidence will continue to be based upon • competent practice • commitment to care • good character of the practitioner

  47. Is the profession trusted?

  48. Consultant salary 2006

  49. Good luck!

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