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This document outlines key aspects of the Foundation Programme (FP) as presented by Stuart Carney, Deputy National Director at UKFPO. It covers the curriculum, assessment frameworks, and the importance of early exposure to medical specialties. The 2012 curriculum emphasizes patient safety, workplace-based assessments, and the need for improved supervision and flexibility in training. It also discusses the challenges and recommendations from the Tooke Inquiry to ensure adequate training for UK graduates, fostering leadership and teamwork among foundation doctors.
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Securing the Foundation Programme Stuart Carney Deputy National Director, UKFPO
Securing the Programme • The first 7 years • FP Curriculum 2012 • FP e-portfolio • Shadowing • FP Reference Guide 2012
“Curriculum for Patient Safety” • National • Generic with a focus on acute care • Workplace-based assessments
Framework for delivery • Foundation schools • Foundation training programme directors and supervisors • UKFPO and national coordination
MMC MTAS Photograph by: Dominic J H Egré MSc MIEM - Institute of Emergency Management
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”
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
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
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
FP Curriculum (2012) • Outcomes step up from F1 to F2 • Focus on patients with long-term condition • Streamlined assessment • Supervised Learning Events
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)
Shadowing • England • Minimum of 4 days shadowing and induction • Wales • 4 days shadowing and induction • Northern Ireland • Minimum of 2 days induction • Scotland • TBD
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
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
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
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
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