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Securing the Foundation Programme. Stuart Carney Deputy 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
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Securing the Foundation Programme Stuart Carney Deputy 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 MTAS Photograph 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 • England • Minimum of 4 days shadowing and induction • Wales • 4 days shadowing and induction • Northern Ireland • Minimum of 2 days induction • Scotland • TBD
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 Principles • Purpose of the Foundation Programme • Chapter 4: Shape of the FP • Placement length • Flexibility • Chapters 5/6: Roles & Responsibilities • Educational and clinical supervisors • Chapter 7: QA, QM and QC • Aligned to GMC QIF
FP Reference Guide - changes • Chapter 8: Becoming a Foundation Doctor • Aligned to ISFP • Chapter 9:The Learning Environment • Aligned to FP Curriculum (2012) • Raising concerns about inappropriate tasks • Community experience • Chapters 10 and 11: Sign-off • ARCP • Remediation 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 & 5 • F2: 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