Preliminary Foundation Evening For 3 rd Years

1. Preliminary Foundation EveningFor 3rd Years Isabel, Paddy and Steph January 2006

2. Who are we? • All final years • Interested in helping organise career advice for whole school • Career Group • 3rd year Career Group Reps • Theodora & Victoria • Not the experts, but know enough for now!

3. Why are we here? • Share information equally at one point in time… • …to try and stop the rumour mill !! • To find out what you need • You asked for something

4. What are we going to say? • Overview with some details • Introduction/revision of: • MMC • Foundation Programme • PMETB • Deaneries & Foundation Schools • Who, why, when, where, how & what • Academic Foundation Posts • What you could do now

5. Background

6. Modernising Medical Careers ‘…improve patient care by delivering modernised and focussed career structure for doctors through a major reform of postgraduate medical education... …aims to develop demonstrably competent doctors who are skilled at communicating and working as effective members of a team.’ Ref - www.mmc.nhs.uk

7. MMC • Health minister idea in 2003 • SHO “lost tribe” • After PRHO comes SHO • 6 monthly rotations • Essentially do what you like and try out stuff before choosing specialty and do membership • Problem – takes too long, people get disillusioned etc

8. Foundation Programme • Foundation Programme: 2 year programme after med school • (FY1 = PRHO, FY2 = SHO) • Seamless, continual programme, not separate • Choose specialty after FY2 • Currently three option pathways • Competency based with continual, standard assessment nationwide

9. PMETB • PMETB – Postgraduate Medical Education Training Board • Oversee all training of doctors after medical school • Major body putting foundation and specialist training in place • Allow for improved flexible training, overseas opportunities • ‘Control’ over doctors who are currently non-training posts • staff grades, associate specialists

10. SERVICE PMETB Postgraduate Medical Education Training Board Specialist register F2 Year Consultant Specialty Yr 5+ GMC Specialty Yr 3 Specialty Yr 2 Specialty Yr 1 Specialty Yr 4 F1 Year Medical School SAS NCCG Clinical assistants Trust SHO Research fellow Clinical fellow

12. Deaneries • UK divided into 17 deaneries • 14 England + Wales, NI and Scotland • Responsibilities include: • Management and delivery of postgraduate education • Ensuring training posts provide opportunities for doctors • Also responsible for overseeing trainers and supervisors

13. Foundation Schools • Deaneries contain foundation schools • Sub divisions centred around groups of hospitals • West Midlands deanery has 6: • Birmingham North (Sandwell General, City, Good Hope and Birmingham Heartlands and Solihull) • Birmingham South (Selly Oak, Queen Elizabeth, Birmingham Women’s, Birmingham Children’s & The Royal Orthopaedic) • Black Country (Dudley, Walsall, Wolverhampton) • Coventry and Warwickshire (GEH, Walsgrave, Warwick, St Cross) • Shropshire and Staffordshire (Burton, North-staffs, Mid-staffs, Shrewsbury & Telford) • Herefordshire and Worcestershire (Hereford, Worcester Royal, Redditch Alexandra)

14. Applications Who, Why, Where, How, When & What

15. Applications • Who = YOU! • Why? • National standardised process, all application form ± interview • gain GMC registration and earn money!!!

16. Where? • Anywhere you want! (UK) • First question you need to ask yourself • Then find out the deanery • Email them, check websites • What are their application dates • Any other info required for application

17. Where? • Find out foundation schools, they may offer different advantages/disadvantages • Think about how competitive it is in that deanery • Remember most UK graduates stay local or go to family and most come from SE • Figures?

18. Northern Leicestershire, Northamptonshire and Rutland South Yorkshire and Humber Scotland Northern Ireland South East Thames Where? – ‘Exporting’ deaneries IN ESSENCE - HAVE MORE STUDENTS THAN HAVE POSTS AVAILABLE

19. Where? – ‘Importing’ deaneries IN ESSENCE – HAVE MORE POSTS AVAILABLE THAN STUDENTS • Incomplete data… But thought to be… • Trent, West Midlands, Mersey • Oxford • East Anglia • Bristol WMD – approx. 1000 students but 1100 posts

20. How? • MDAP = Multi Deanery Application Process. Online computer form, one opening and closing date • Leicestershire, Northamptonshire & Rutland • London • North East Thames Foundation School • North Central Thames Foundation School* • North West Thames Foundation School * • Kent, Surrey and Sussex • South East Thames Foundation School* • South West Thames Foundation School • Northern Ireland • North Western • Trent* • West Midlands • Yorkshire*also includes some posts in Devon and Cornwall

21. Non – MDAP (2005) • Eastern • Mersey • Northern • Oxford • Scotland • Severn & Wessex • Severn Foundation School • Wessex Foundation School • South Yorkshire & South Humber • Wales Could change for 2007 entrants as many are considering MDAP process!!

22. How? • Your automatic (default) deanery is W.Midlands • Units of Application (UoA) = a given deanery • Group 1 are Non-MDAP deaneries • Can apply into 3 UoA • Group 2 are MDAP deaneries • Can apply to 2 UoA

23. Out of deanery applications • To change default deanery to another requires Med School Deans’ written permission (see Form) • Ensure there are no concerns with respect to ‘Fitness to Practice’

24. Out of deanery applications • Info at the time was scarce • More known due to people having done it • Differs from MDAP • deadlines, process after form, who apply to • 3 examples are: • Miss L  Mersey Deanery • Mr J  Northern Deanery • Miss F  Severn Deanery

25. When? • MDAP opened 15th October 2005, closed 5th December 2005 • Other deaneries varied • For example….

26. When? Closing dates Eastern 8 November 2005 Mersey 28 October 2005 Northern 28 October 2005 Oxford 4 November 2005 Scotland 28 October 2005 Severn & Wessex: Severn Foundation School30 November 2005 Wessex Foundation School8 November 2005 S.Yorkshire & S.Humber 26 October 2005 Wales 25 November 2005

27. What? - Job choices • Mostly 3 x 4month rotations • Medicine, surgery and one other! • There are variations (e.g. 4 x 3 month) • Some apply F1 only, Some joint application F1 and F2 • Nottingham twinned with Cornwall for some F2

28. What job? • All generic experience, just different specialties • Just because you know consultant shouldn’t put you on/off job! • Ask your F1 on placement – find out what rotations are like?

29. WM Deanery & Local Foundation School • Within WM jobs are listed for all Foundation Schools hospitals • If apply and get F1 in C&W Foundation School, F2 job will be guaranteed within same school • If you want to change in F2 it then becomes open competitive process

30. WM Deanery & Local Foundation School • Why stay local? • Familiarity • Friends & support network • PGA in Professional Skills • Stand alone qualification • Core option of MClinSci

31. The jobs locally • There are 77 individual jobs in the four hospitals of UHCW, Warwick, St Cross, GEH • These come in ‘blocks’ of three (each 4 months long) • This makes a total of 26 available rotations • (one rotation only has 2 posts available!!)

32. Examples of local jobs • The jobs… • In the 2005 application for Aug 2006 there were… • 6 rotations had double surgery • 2 rotations included psychiatry • 3 rotations included paediatrics • 1 rotation included A&E • 3 rotations included anaesthetics or ITU • 2 rotations included T&O (in double surgery) • Others were haematology, pathology, pharmacology

33. National jobs • These were pretty similar to C&W • Some did include O&G, choice of rotation, infectious diseases • Length varied • Some were 4x3 month long, few were 2x6 month • Able to see other jobs within MDAP when logged into the ‘Programmes Available’

34. THIS MAY CHANGE FOR YOUR APPLICATION A NATIONAL MDAP SCHEME IS PLANNED

35. Pay scales • Not known for individual jobs • Pay scales can be found on BMJ careers website • PRHO minimum = 20,295 • SHO minimum = 25,324 • Some bands are expected to remain despite EWTD • Further info see Ox.Handbk.The Foundation Programme pg 105

36. The Form • Newdoctor website… • The statement of achievements section… • The marking of it! • 6 areas to tackle with 2 examples for each • 12 actual answers • Each answer graded 0-4 based on quality of answer • Max 48 points • Where possible each answer should be unique (NB – will provide examples of our answers in June)

37. Foundation Academic Programmes –An introduction Isabel Costello

38. What I will cover • What is academic medicine • What are FAPs • Options available • Posts in West Midlands Deanery • Posts in other deaneries

39. What are Clinical Academics? • Broadly- practicing clinicians with an additional interest • joint appointments with a university or other research institution • Clinical expertise, PLUS • Research expertise (most) • Expertise in medical education (fewer)

40. What the future career pathway for researchers might look like…

41. FAPs- What are they? • FAPs= Training programme for newly qualified doctors who are considering an academic career • Introduction to academic medicinewhilst attaining the clinical training required as part of the Foundation Programme WHY? • New initiative: part of Modernising Medical Careers • Not enough academic doctors • No clear route of entry or transparent career structure

42. Options available • Academic F1 job in West Midlands Deanery • Academic F1/F2 rotation Academic component is usually in F2 • Apply for stand-alone academic F2 following F1

43. Academic F1 posts in West Midlands Deanery NEW IN 2006!!

44. Academic F1 posts in West Midlands Deanery • AIMS: • Same clinical experience but a flavour of academic medicine • Exposure to clinical academics to decide if this is the area you wish to pursue • WHERE? • Coventry and Warwickshire Foundation School only • Mentorship of the academic firms of Professors of • Orthopaedics (Professor Griffin) • Diabetes (Professor Kumar)

45. Academic F1 posts in West Midlands Deanery • DOING WHAT? • Standard F1 clinical experience: 3x4month jobs • Additionally: • Attend the academic sessions of the Professional firms • Get involved in an academic research or audit project.  Could lead to publication of an abstract/short paper

46. This year’s rotations: • General Medicine & Diabetes/General & Upper GI Surgery/Anaesthetics • General Medicine & Cardiology/General & transplant Surgery/Trauma & Orthopaedics = 6 posts: 3 for each rotation

47. What happens after the academic F1? OPTIONS: • Academic F2 post with a 4 month period of research in Diabetes/Cardiovascular or Orthopaedics • By 2007 an academic F2 in General Practice should also be established • Academic F2 in another deanery • Non-academic F2 rotation

48. Can I wait till F2? • Currently at C&W Foundation School the F1 and F2 posts are not linked. • Application for F2s would be open to all Warwick Foundation School F1s.

49. How to Apply • FAPs in all deaneries are applied to directly • Can simultaneously apply to jobs through usual matching schemes For WMD this year: • Closing date for application- 7th November 2005 • Required: • Application form • Supporting letter from medical school • CV • Interview- for either post, asked preference

50. Posts in other deaneries • Who offers them? • Structure varies • Some joint F1/F2, some F2 only • Academic element can be integrated or could count as one rotation • Where are they advertised? • Application process varies • Need permission from med school to move out of deanery • Examples- • Mr H London Deanery • Mr T Oxford Deanery