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Foundation Programmes and Beyond: August 2006

Foundation Programmes and Beyond: August 2006. Dan Higman MS FRCS Clinical Tutor UHCW Associate Dean MMC Coventry & Warwickshire. Career Structure in Medicine. Consultant / General Practitioner Specialist Trainee / GP Registrar (4 – 7 years) (3 years) Foundation Doctor (2 years)

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Foundation Programmes and Beyond: August 2006

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  1. Foundation Programmes and Beyond: August 2006 Dan Higman MS FRCS Clinical Tutor UHCW Associate Dean MMC Coventry & Warwickshire

  2. Career Structure in Medicine Consultant / General Practitioner Specialist Trainee / GP Registrar (4 – 7 years) (3 years) Foundation Doctor (2 years) Medical Student

  3. Foundation Programmes • 2 year programme, bridging medical school and specialist training • Organised into Foundation Schools • Five Foundation Schools in W Midlands • Coventry & Warwickshire School August 2006 has 84 F1 and >84 F2 posts

  4. Foundation Year 1 • (a.k.a. PRHO, F1, FY1, House officer/dog/plant) • 3 x 4 month rotations • All rotations contain general medicine and general surgery (4 months each) + one other • C&W Foundation School F1 posts rotate between UHCW, GEH and SWGH (not all three!) • Semester based common teaching programme across School • No study leave time or money, except ALS

  5. Assessments during F1 • Portfolio-based assessment programme • Required elements for GMC registration: • 70% teaching attendance • Satis. 0,2 and 4 month appraisals in each post • 360 degree appraisal x 1 • Mini CEX (observed clinical encounter) x 4 • Case-based discussion x 8 • Direct-observed procedural skill x 4 • Audit Project

  6. Foundation Year 2 • All F1’s completing GMC registration are guaranteed an F2 post in the same Foundation School (but which one?) • F2 post in another Foundation School will depend on availability and competitive application

  7. Foundation Year 2 • All rotations are 3 x 4 months • All contain 4 months acute medicine • 50% of rotations will include 4 month general practice • Strong common Generic Skills Programme • PGA in Professional Skills Warwick Uni.

  8. Foundation Year 2 Rotations August 2005: 66 posts • ITU (w) / Orthopaedics (c&w) / Rehabilitation Medicine (w) • ITU (w) / Acute Medicine (w) / Haematology (g) • ITU (w) / A+E (g) / Neurology (w) • ITU (w) / A+E (s) / Orthopaedics (s) • A+E (w) / Orthopaedics (c&w) / General Practice • A+E (w) / Orthopaedics (c&w) / Rehabilitation Medicine (w) • A+E (w) / Orthopaedics (c&w) / Surgery (w) • A+E (w) / Surgery (w) / Respiratory Medicine (w) • A+E (w) / Respiratory Medicine (w) / Medical Microbiology (w) • A+E (w) / Acute Medicine (w) / Medical Microbiology (g) • A+E (w) / Obstetrics & Gynaecology (w) / Genitourinary Medicine (g) • A+E (w) / Obstetrics & Gynaecology (w) / Palliative Care Medicine (g) • A+E (w) / Gastroenterology (w) / Medicine & Clinical Pharmacology (w) • A+E (g) / Surgery (g) / Histopathology (w) • Acute Medicine (w) / Psychiatry (w) / Public Health Medicine (g) • Cardiology (w) / Psychiatry (w) / Public Health Medicine (cov) • Acute Medicine & Cardiology (w) / Geriatric Medicine (w) / Public Health Medicine (cov) • Acute Medicine (w) / Orthopaedics (c&w) / Rehabilitation Medicine (w) • Acute Medicine (g) / Psychiatry (g) / General Practice • Acute Medicine (g) / Psychiatry (r) / Oncology & Palliative Care (w) • Acute Medicine & Gastroenterology (w) / Psychiatry (g) / Geriatric Medicine (g) • Academic Medicine (w) / Research (w) / Cardiology (w)

  9. Academic Posts August 2006 • F1 posts: (current BMJ) 2 rotations: each 3 x 4 months each include surgery & med Each has academic mentor (ortho & med) • F2 posts: 3 rotations: each 3 x 4 months Contain 4 month research period (ortho, medicine, general practice)

  10. Applying to F2 posts within Foundation School • No interviews • No application form or personal statement • Submit rotation preferences (1-8?) and portfolio • Portfolios graded according to assessments • Rotation offers made • In 2005: 56% got first choice rotation 97% got one of first 3 choices

  11. Some issues raised regarding applications • ‘personal’ reasons for changing Deaneries encompass health issues, carer responsibilties and research opportunities • Base Deanery is W Midlands – can be changed with permission from Med Sch & Deanery • First Post must be Base Deanery. 20 of the 40 must be Base Deanery (e.g. 1, 21-40) • Max of 2 MDAP Deaneries per application

  12. Some issues raised regarding applications • First choice Foundation School grades application • Candidate is identified by Medical School only, so academic criteria (not record) can be checked • Referees checked by Trust once selection made • Pay banding at F1 generally 2B / 1A • Pay banding at F2 varies from none to 2B • Trusts may change banding according to rotas and monitoring results

  13. Some issues raised regarding applications Remember Warwick students are at a clear advantage when applying for any post in any Deanery because Warwick produces the most outstanding junior doctors in the country. Any Questions?

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