Securing the Foundation Programme

1. Securing the Foundation Programme Stuart Carney Deputy National Director, UKFPO

2. Securing the Programme • The first 7 years • FP Curriculum 2012 • FP e-portfolio • Shadowing • FP Reference Guide 2012

3. “Curriculum for Patient Safety” • National • Generic with a focus on acute care • Workplace-based assessments

4. Framework for delivery • Foundation schools • Foundation training programme directors and supervisors • UKFPO and national coordination

5. MMC MTAS Photograph by: Dominic J H Egré MSc MIEM - Institute of Emergency Management

6. Tooke Inquiry recommendations • Dismantle F1 and F2 to guarantee pre-registration jobs for UK graduates • Closer links with Medical Schools • Standardise assessments • “Provisionally Registered Doctors”

7. Evaluation: strengths • A credible generic two-year programme • National curriculum • Educational infrastructure and faculty • National system for entry • Exposure to a range of medical specialties • Vehicle for trainee assessment • Academic Foundation Programme • Quality Assurance

8. Evaluation: concerns • No generally accepted purpose of the FP • Confusion about the role of the trainee • Inadequate supervision • Inadequate transfer of information • Excessive assessment • Does not reflect future NHS needs • Inadequate careers advice • Lack of flexibility

9. FP: Agreed Purpose • Builds on undergraduate education • Provides generic training • Provides opportunities to develop leadership, team-working and supervisory skills • Provides variety of workplace experience to inform career choice • Prepare foundation doctors for specialty (including GP) training

10. FP Curriculum (2012) • Outcomes step up from F1 to F2 • Focus on patients with long-term condition • Streamlined assessment • Supervised Learning Events

11. FP e-Portfolio 33.6% of foundation doctors reported that the learning portfolio helped them with their learning needs 79.1% said their supervisors made clear the competences needed for sign-off (Trainee Survey 2011)

12. Shadowing • England • Minimum of 4 days shadowing and induction • Wales • 4 days shadowing and induction • Northern Ireland • Minimum of 2 days induction • Scotland • TBD

13. FP Reference Guide - principles • applies across the UK; • sets out what is required to deliver the FP Curriculum; • provides guidance for deanery/foundation school quality management; and • is aligned to the Gold Guide, where appropriate

14. FP Reference Guide - changes • Chapter 2: Guiding Principles • Purpose of the Foundation Programme • Chapter 4: Shape of the FP • Placement length • Flexibility • Chapters 5/6: Roles & Responsibilities • Educational and clinical supervisors • Chapter 7: QA, QM and QC • Aligned to GMC QIF

15. FP Reference Guide - changes • Chapter 8: Becoming a Foundation Doctor • Aligned to ISFP • Chapter 9:The Learning Environment • Aligned to FP Curriculum (2012) • Raising concerns about inappropriate tasks • Community experience • Chapters 10 and 11: Sign-off • ARCP • Remediation and appeals in F1

16. Foundation Programme ARCP • Locally organised under deanery guidance • FTPD/T should chair with 2 other panellists • Review e-portfolios together or separately • ARCP outcomes: • F1: 1, 3, 4 & 5 • F2: 3, 4, 5, 6, & 8 • F1 final appeal to University/Medical school

17. FP Reference Guide review • March - April: Draft available for comments • April – May: Final changes • May: GMC “health check” • May: Approval by four health departments • June: Publication