Foundation Curriculum

1. Foundation Curriculum

2. Initial Focus Recognition of ill patients Treatment of the acutely ill patient Professionalism Now A consultation paper to 21st January Focus on acutely ill patient plus Quality and safety issues Infection control To date

3. Complex discussion paper • General educational principles – adult learning and education climate • Generic and acute care competencies to be achieved by end of F2 • Foundation curriculum • Assessment tools to be used & the 6 acute scenarios • Governance or operation of system

4. Education background 1 Shift to adult education theory and team learning Knowles – 4 basic assumptions: • Tendency to self direction in learning • Bring experiences and use experiences • Learning based in real world problems • Wish to use new knowledge

5. Educational background 2 Brookfield’s 6 principlesof facilitation of adult learning: • Participation in learning is voluntary • Respect for learners = effective practice • Requires collaboration • Praxis is at the heart of learning • Fosters a spirit of critical reflection • Empowers self directed learning

6. Generic competencies • Good clinical care – management of clinical care / self / environment / infection control • Communication • Maintaining GMP • Professionalism

7. The collapsed patient Abnormal physiology Fluid challenge Review if unstable Requesting help Consideration of differential diagnosis Interpretation of blood gasses Management of patients with impaired consciousness Use of analgesia Management of acute psychosis Continuity of care Appropriateness of interventions Acute care competencies 1 - 13 acute care situations

8. Acute care competencies 2 • Resuscitation skills - ILS and ALS • Organisation and teamwork involved in acute admission • Investigation of the acutely ill patient

9. Rated by………… • A 9 point scale with descriptors • 3 broad bands • 1 – 3 unsatisfactory • 4 – 6 - should be at his level at start of F1 • 5 – 7 – should achieve this be end of F2

10. Generic domains Clinical care Quality & patient safety Communication Maintaining GMP Professionalism Teaching Acute illness domains Management of ill patients Resuscitation Administration of “the take” Discharge planning Investigations Practical procedures Mapped to……… the Foundation Curriculum – the KSA

11. Assessment tools MSF Mini CEX Workplace Based Assessment CbD NB – mapped to GMP domains 6 acute care scenarios Airway Breathing Circulation Neurological Psychological Pain Assessed by………

12. Governance issues • Trainee responsible for organisation and timing of assessments • Mini CEX / WPBA / CbD / MSF to be done in each placement • One assessment per acute care scenario (i.e. one from each heading)