SFTP – GMC Policy updates Clare Owen, Policy Manager

1. SFTP – GMCPolicy updates Clare Owen, Policy Manager

2. Introduction • GMP 2013 • MSC & GMC SFTP survey • Mental health guidance • Provisional Registration • Policy updates

3. Good Medical Practice

4. GMP 2013 - Changes • Aligned with appraisal framework for revalidation. • Doctors must ensure their patients are receiving basic care. • New duties relating to community care. • Mentoring – doctors should be willing to support junior colleagues.

5. Good Medical Practice

6. Good Medical Practice

7. Work to be done • Updating the SFTP guidance to reflect the new version of GMP • How to make the updated guidance relevant to medical students? • An opportunity to look again at the advice we give to medical schools

8. MSC & GMC Survey • In 2012 both organisations carried out a joint survey on SFTP • The first part of the survey looked at the relationships between different bodies involved in the SFTP process. • The second part asked for views of the current joint guidance on SFTP and how it might be improved. • 23 medical schools responded

9. Survey results • 17 schools explicitly said that they found the guidance helpful • 2 schools said the guidance was not helpful • Medical schools would like more practical examples and case studies which show how the guidance should be applied in practise.

10. Survey results More guidance was requested on: • The link between SFTP and provisional registration. • The relationship between SFTP and health and disability

11. Mental health guidance • Based on research • Due to be published in July 2013

12. Mental health guidance Key points: • Medical schools should put measures in place to promote good mental health and wellbeing in their students. • Staff should not treat students

13. Mental health guidance Key points: • Confidentiality policies • Monitoring students • SFTP processes can be used to remove a student from the course but they must only be used as a last resort.

14. Provisional registration Update on 2012 registration process: • 7182 applications from UK medical schools • 520 made a positive declaration • 447 needed further investigation • 7 were taken to a panel for further consideration • 4 were refused registration

15. Provisional registration Applicant A: • Sent inappropriate emails – medical school investigated • Student uncooperative with investigation • Criticised academic staff • Some health issues and lacking insight

16. Provisional registration Applicant B: • Investigated by medical school in 2011 for a range of issues • These issues included dishonesty and failing to follow instructions.

17. Provisional registration Applicant C: • Convicted of assault following the consumption of illegal drugs • Lack of candour with the medical school and the GMC about the offence • Lack of insight • No evidence that they had support services in place to prevent a relapse of their drug use

18. Provisional registration Applicant D: • Subject to FTP panel in July 2012 which looked at their health and conduct • There was evidence of cognitive impairment • Misconduct included a lack of engagement and unpredictable outbursts • The medical school panel found the student fit to graduate but had concerns

19. Policy updates • GMC letter to VC’s about only graduating students who are FTP. • MSC database of excluded students. • Pool of panellists to hear F1 appeals • FTP and TOI

20. Questions cowen1@gmc-uk.org