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MMC Why?

MMC Why?. CMO “Unfinished Business” Lost tribe of SHOs Followed Calman Perceived lack of skills > For the NHS > Management of acutely ill patient > Shortened, focussed, run through training. MMC – What?. Modernising Medical Careers www.mmc.nhs.uk

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MMC Why?

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  1. MMC Why? • CMO “Unfinished Business” • Lost tribe of SHOs • Followed Calman • Perceived lack of skills > For the NHS > Management of acutely ill patient > Shortened, focussed, run through training

  2. MMC – What? • Modernising Medical Careers www.mmc.nhs.uk • Phase 1 – Foundation Training - August 2005 • Phase 2 – Specialist Training - August 2007

  3. MMC – What? Foundation Training • Year 1 – F1 =PRHO - GMC registration and Medical School • Year 2 – F2 = SHO posts

  4. Foundation Training – What? • Curriculum - Acutely ill - NHS Skills - Team working - Clinical Governance - Risk Management - Occupational Health • Ready for Specialty training

  5. Foundation Schools – How? • Mapped to Medical Schools and Deaneries • Head of School - 3 PA’s - Reports to Deans • Trust Programme Directors - 1 per 20-40 FTs - 1 PA

  6. MMC Phase 1 “Fears” of Service • Costs - Direct - Indirect (eg Consultant time) • Disappearing SHOs • Inexperienced F2 Trainees • Time out to train • ? Benefits

  7. Foundation - Assessments • 6 per year Minicex 6 point scale • 4-6 per year DOPS • 2 per year Multisource feedback • 6 – 8 per year Case Discussion

  8. Impact on Service – MMC 1 • Costs • Funded • Foundation Schools • Trust Programme Directors 1PA/30 FTs • GP Placements/ Academic Placements • Indirect costs • Consultant time

  9. Impact on Service • Disappearing SHO – No! • Straight trade SHOs for F2 (=F1) • Mainly medicine/surgery • Enhances supply to A&E, psychiatry

  10. Impact on Service • Are F2 trainees as good as SHOs? • Different Species – but always had 1st year SHOs • Less experienced • Not doing what they wanted • Informal feedback • Able and competent • Enthusiastic

  11. Impact on Service • Time out to train • In works training • Tasters • 5 days focussed experience and participation • Multi-professional training • (1 day once a month) • Assessments • Use of Study Leave • 15/30 days

  12. MMC Speciality Training • Starts August 2007 • SHOs to GO • Enrolled into training • Adopts RITA Process • Selection from F2

  13. Service Impact Questionnaire • 52% - no additional clinical supervision • Cause assessment supervision/appraisal • 4 month placements work well • 17/25 too early to tell • “no difference at all” • “observing trainees- have picked up bad habits early and corrected them”

  14. Medical Model (and neurosciences)

  15. Selection From F2 National, e-based, deanery, speciality Selection centres, multiple stations (PACES) From MST2 ? Person Specification ? Role of MRCP

  16. AssessmentsBasic and Higher Medical Training • Minicex • DOPS • MSF • Knowledge based assessments • Pilots underway (Neurology, Cardiology, Dermatology, Gastroenterology, Geriatrics)

  17. Basic Neuroscience Training • 2 year training post foundation • Neurology, neurosurgery, neurophysiology, neuroradiology, neuropaediatrics • Also stroke, rehab, psych, geriatrics, ? GPs • ? Content

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