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Applying to your Foundation School What you need to know!. David Wilkinson MD FRCS Director of Medical Education, Bradford Teaching Hospitals Foundation NHS Trust Head of Yorkshire School of Surgery Ex Co-Director West Yorkshire Foundation School. Modernising Medical Careers. (GPR).

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applying to your foundation school what you need to know

Applying to your Foundation SchoolWhat you need to know!

David Wilkinson MD FRCS

Director of Medical Education, Bradford Teaching Hospitals Foundation NHS Trust

Head of Yorkshire School of Surgery

Ex Co-Director West Yorkshire Foundation School

modernising medical careers
Modernising Medical Careers



GP Training






Run-through Training



Career breaks




Article 14

specialty schools
Specialty Schools
  • Paediatrics - Dr Philip Holland
  • Medicine - Dr Tony Arnold
  • Ophthalmology - Mr John Bradbury
  • Psychiatry - Dr Wendy Burn
  • O & G - Mr David Pring
  • Emergency Medicine - Dr Kevin Reynard
  • Anaesthesia - Dr Rob Cruickshank
  • Surgery - Mr David Wilkinson
run through training
Run-through training
  • Paediatrics and Child Health
  • Obstetrics and Gynaecology
  • General Practice
  • Chemical Pathology
  • Clinical Radiology
  • Histopathology
  • Medical Microbiology
  • Neurosurgery
  • OMFS
  • Ophthalmology
  • Public Health
uncoupled specialties
Uncoupled specialties
  • Acute Care Common Stem (ACCS)
  • Anaesthetics
  • Core Medical Training
  • Core Surgical Training
  • Clinical Oncology
  • Occupational Health Medicine
  • Psychiatry
specialties using a national specialty led recruitment process
Specialties using a national specialty-led recruitment process
  • Cardiothoracic surgery
  • Plastic surgery
  • Neurosurgery
  • Public Health
  • Histopathology
  • Academic clinical fellowships
the structure of a foundation programme
The structure of a Foundation Programme
  • 2 years
  • Each year in a different location
  • Mix teaching hospitals, district general hospitals and other sites
  • 55% include exposure to general practice
  • At least six specialties
  • Common curriculum
the west yorkshire foundation school
The West Yorkshire Foundation School
  • Was “born” in the summer of 2004, presented to the student Job Fair in June, accepted applications in November and began in August 2005
  • Involves NHS organisations from Airedale, Bradford, Calderdale, Dewsbury, Harrogate, Huddersfield, Leeds, Pontefract & Wakefield
  • Foundation Schools are linked to medical schools
  • Has a website
which school
Which School?
  • Where is it?
  • How difficult to get in?
  • One or two year programmes?
  • Acute medicine in F2?
  • Opportunities for primary care?
  • Generic skills programme?

Does it matter?

the application process
The application process
  • MDAP 2006 died
  • MTAS 2007 died
  • UK Foundation Programme Recruitment 2008 survived

recruitment process
Recruitment process
  • On line process
  • Personal details
  • Complete application form
  • Rank Foundation Schools
  • Matched to School
  • Local process to match to programme
recruitment process 2008
Recruitment process 2008
  • Academic quartile
    • 30, 35, 40, 45.
  • Application form score
    • 55

 Matched to Foundation School

  • Interview, 28th January or 1st February

 Matched to individual F1 post

why interview
Why interview?
  • To avoid employing overseas graduates whose communication skills are not reflected by their academic / application form score
  • To permit interview performance to influence post distribution
recruitment process 2009
Recruitment process 2009
  • Academic quartile
    • 34, 36, 38, 40.
  • Application form score
    • 60

 Matched to Foundation School

  • ? Interview

 ? Matched to individual F1 post

which programme
Which programme?
  • Where is it?
  • Did I like it as a student?
  • Will it help with career decisions?
  • Is it for one or two years?
  • If one, how is F2 programme determined?

Does it matter, will it affect my career?

wyfs intake 2007 3
WYFS intake 2007 - 3
  • WYFS offered a place to every applicant who put us first
  • 184 Leeds graduates entered the School
how is the wyfs organised
How is the WYFS organised
  • Foundation School Director
  • 14 FTPD’s
  • 1 GP FTP co-ordinator
  • 270 + educational supervisors
  • Many clinical supervisors
  • 1 Foundation School manager
  • 2 clusters
  • Educational and administrative team
foundation programmes
Foundation programmes
  • Trainee centred
  • Competency assessed
  • Service based
  • Quality assured
  • Flexible
  • Coached
  • Structured and streamlined
the trainee
The trainee
  • Will benefit from individualised training
  • Shift in emphasis from service delivery towards educational component
  • Will make earlier, informed and accurate career choices
competency assessment
Competency assessment
  • “Tools of the trade”
    • MSF
    • DOPS
    • Mini-cex
    • CBD
  • Inter-professional component
  • Needs to build on undergraduate skills portfolio
  • Is formative
service based
Service based
  • Team / Firm structure remains - just!
  • Practice structure remains
  • Requires effective communication between employers and the school
  • Workload monitoring
  • Professional responsibility
  • Not students - for now!
quality assurance
Quality Assurance
  • Trainee appraisal performance monitoring
  • Trainee assessment monitoring
  • Attendance at educational events
  • Trainee placement assessment feedback
  • Deanery visits
  • PMETB trainee confidential survey
  • GMC, PMETB - Deanery
structured and streamlined
Structured and streamlined
  • Good geographical basis
  • Good local organisation
  • Effective F1 to F2 transition
  • Effective management and administration
  • Electronic portfolio
  • Responsive to needs of trainee
  • Adapt to trainee career aspirations
  • Adapt to trainee personal situation
  • Currently only entry into specialist training is in August
  • Contact between supervisors and trainees will increase
  • Quality and delivery of educational component
  • Support from FTPD’s
  • Careers advice
what are they looking for
What are they looking for?
  • What do they want? Use the person specification as the checklist:
  • Eligibility, Qualifications, Clinical Knowledge & Skills, Language Skills, Personal Skills, Probity.
the questions
The Questions
  • Generally 150 words, 8 points
  • Non-academic achievement
  • Academic achievements (250 words, 5 points)
  • Dealing with pressure/challenge
  • Prioritise tasks/information.
  • Understanding importance of team work.
  • Professional behaviour.
  • Individual needs of the patient (250 words, 10 points)
  • home/application-form
tips from handbook
Tips from Handbook


structure your answers
Structure your answers
  • Situation or
  • Task
  • Action / Activities
  • Result / Reflection
  • Context
  • Action
  • Result
  • Brief intro/scene setting
  • bulk of answer concentrates on actions/evidence
  • finish with positive outcome (-ve = +ve via reflection)
  • Can be applied to interviews


top tips
Top Tips
  • Pick a range of activities/achievements
  • Don’t rely on the scorer presuming anything…
    • Spell out activities, give examples/evidence
    • They can’t score what isn’t there
    • Negative indicators will lose you marks
  • Follow all instructions/Answer all questions
  • Do not lie. Do not plagiarise


top tips38
Top Tips
  • Be wary of making negative statements.
    • “I personally feel that I lack these leadership qualities.”
  • Avoid applying for your colleagues -“We..”
  • Don’t be passive – be active & positive
    • “The post required organisation skills…”
  • Double check spelling and grammar
    • “I want to use my brian” “I am gaol oriented”
  • Use a WP & Keep a copy




example answer planning organisation
Example Answer:Planning & Organisation
  • Progression through the undergraduate programme is a testament in itself to the planning and organisational skills I have harnessed.
  • Scored: 0


example answer teamwork
Example Answer:Teamwork
  • A friend of mine could not walk home after a boozy night so four of us carried her home. Even though she was of slight stature, we had quite a lot of difficulty carrying her. On reflection, it would have been so much easier had we worked as a team instead of pulling her in different directions. Similarly, I have seen that teamwork in the hospital setting increases efficiency.
  • Scored: 0


employment prospects
Employment prospects!
  • In 2007 251 trainees received FACD
  • Of these 212 completed both years
  • Of these 203 entered specialty training (96%)
  • Of the 9 without a job 4 graduated overseas
  • 98% of Leeds graduates entered specialty training
  • All those unsuccessful are repeating F2
how do we ensure f2 s make successful st1 applications and are successful in specialty training
How do we ensure F2’s make successful ST1 applications and are successful in specialty training?
  • Simply deliver generic training to a high standard
  • Enhance Foundation training to prepare trainees for specialty training
    • Postgraduate exams
    • Career tasting
    • Taught courses
    • Themed rotations
medical professionalism
Medical professionalism

Public trust and confidence will continue to be based upon

  • competent practice
  • commitment to care
  • good character of the practitioner