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Securing the Foundation Programme

The Foundation Programme (FP) in the UK serves as a critical pathway for medical graduates as they transition into specialized training. This programme, which has undergone significant revisions and updates, focuses on building a solid foundation for future doctors by incorporating workplace-based assessments, a robust e-portfolio system, and a comprehensive FP Reference Guide. Key areas of focus include bridging gaps in oversight, standardizing assessments, facilitating valuable experiences, and ensuring career readiness for trainees. This presentation highlights the past seven years' achievements and the future direction of the FP, ensuring it meets the evolving needs of the NHS and supports effective training for all foundation doctors.

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Securing the Foundation Programme

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  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

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