Review of Tomorrows Doctors - PowerPoint PPT Presentation

1 / 16
About This Presentation
Title:

Review of Tomorrows Doctors

Description:

Changes in medicine: Technology. Patient demography and expectations. Health care systems ... areas such as legal and ethical issues, and the operation of the ... – PowerPoint PPT presentation

Number of Views:44
Avg rating:3.0/5.0
Slides: 17
Provided by: james488
Category:

less

Transcript and Presenter's Notes

Title: Review of Tomorrows Doctors


1
Review of Tomorrows Doctors
  • Ben Griffith

2
The GMCs role in medical education
  • Promotes high standards
  • Currently covers undergraduate education and the
    first year of training after graduation (F1)
  • Quality assures delivery of standards and
    outcomes QABME and QAFP
  • PMETB to be merged with GMC from 2010 (and GMC
    will then regulate undergraduate, postgraduate
    and continued practice)
  • Co-ordinates all stages of medical education

3
Tomorrows Doctors (2003)
  • Sets standards for the knowledge, skills and
    behaviours undergraduate medical students learn
    in the UK
  • Provides a framework for UK medical schools to
    use in designing their own curricula/schemes of
    assessment
  • First published 1993
  • Last reviewed and published 2003

4
Tomorrows Doctors changes since 2003
  • Changes in continuum of medical education
  • New schools and growth in student numbers
  • Foundation Programme
  • Streamlining of postgraduate education
  • PMETB created and to be merged with GMC
  • Changes in medicine
  • Technology
  • Patient demography and expectations
  • Health care systems

5
Sources for the review
  • QABME
  • Research
  • GMC guidance
  • Educational frameworks
  • Engagement

6
Dr Jan Illings research findings
  • Graduates looked forward to being a doctor.
  • While communication is a strong area at
    graduation, F1s were under-prepared for some
    complex communication tasks.
  • Other clinical skills are well practised, but not
    in contexts which sufficiently mimic the clinical
    environment.
  • Knowledge of non-clinical areas such as legal and
    ethical issues, and the operation of the NHS, was
    lacking at the start of F1.
  • Prescribing was a significant area of
    under-preparedness.

7
Dr Jan Illings recommendations
  • Undergraduates preparedness will be
    improved by more experiential learning in
    clinical practice
  • Ensure that placements have more structure and
    consistency
  • Ensure that students are given a greater role in
    medical teams.
  • Establish fuller and more prescriptive guidelines
    on shadowing.
  • Specify the limits of the F1 role.
  • Address particular weaknesses in prescribing.

8
Tomorrows Doctors proposed structure
9
Standards for delivery of teaching, learning and
assessment
10
Domain 2 Quality assurance, review and
evaluation
  • 26. Quality data will include evaluations by
    students and data from medical school teachers
    and other education providers
  • 31. all education providers of clinical
    placements, clinical tutors and supervisors,
    students, employers and patients should be
    involved in quality management and control
    processes. Their roles must be defined and
    information made available to them about this.
  • 36. Any problems identifiedshould be
    addressedwith documentation of actions and
    feedback to students and staff

11
Standards for delivery some key issues
  • Generally, whether proposed standards are
    appropriately prescriptive (Q3)
  • Whether to drop quantitative standard for SSCs
    (Q5)
  • Practical experience in all years
  • Placements planned and structured
  • Agreements between schools and providers
  • Student Assistantships
  • Induction (Q8-Q10)
  • Feedback and assessment (Q13-Q16)

12
Outcomes for graduates
13
Overarching outcome
  • To make the care of patients their first concern
    in accordance with Good Medical Practice,
    applying their knowledge in a practical and
    ethical manner and using their ability to provide
    leadership and to analyse complex and uncertain
    situations.

14
Outcomes for graduates some key issues
  • Generally, whether outcomes meet expectations of
    public and needs of employers (Q19-Q21)
  • Impact on disabled students (Q22-Q23 and others)
  • Scientific knowledge and understanding (Q25-Q26)
  • Communication skills (Q28)
  • Prescribing skills (Q31)
  • List of practical procedures (Q32-Q35)
  • Leadership (Q37)
  • Knowledge of the NHS (Q38).

15
Timetable
  • Consultation to 27 March 53 Qs or 10 Qs
  • Council approval to be sought 8 July 2009
  • Publication of new edition late summer 2009
  • Presentations to medical schools and revisions to
    QABME late 2009
  • Implementation in medical schools from 2010/11

16
Contacts
  • Consultation on-linehttp//www.gmc-uk.org/tomorr
    owsdoctors
  • Email tomorrowsdoctors_at_gmc-uk.org
  • Telephone Ben Griffith on 020 7189 5283
  • Post Tomorrows Doctors 2009
    Consultation Education Section General Medical
    Council Regents Place 350 Euston Road London
    NW1 3JN
Write a Comment
User Comments (0)
About PowerShow.com