The Ideal Foundation Programme: a trainee perspective

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The Ideal Foundation Programme a trainee
perspective

• Dr Scott Oliver
• StR1 in General Medicine
• (former Foundation Doctor Advisor to the UKFPO)

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A Trainee Perspective

• My foundation programme
• Competences and assessments
• Community placement
• Strengths and weaknesses
• Discussion

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Timeline

• Nov 05 Applied to Foundation Programme
• Feb 06 Appointed
• July 06 Qualified MBChB
• Aug 06 Began FY1

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My Foundation Programme

• Paediatric Surgery
• Adult Medicine
• Adult Surgery
• Neonatal paediatrics
• Renal Medicine
• General Practice

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(Map)
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Competences

• Generic
• History taking, clinical examination
• Venepuncture, cannulation
• Working with other healthcare professionals
• Specialist
• Working with neonates
• Dialysis

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Competences

• Curriculum defines competences by the end of FY2
• FY2 is not equivalent to SHO1

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Teaching

• Routine clinical work
• Formal teaching on/off site
• Courses
• ALS / ATLS
• Trust level courses

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Assessments

• Generally straightforward
• ePortfolio makes things easier
• Require forward planning to be effective

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Community Placement

• Probably essential for true generic training
• Not necessarily general practice
• Link groups of training practices
• Works better towards end of Foundation?

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By the end of FY2

• Ready to begin ST1?
• Ready to apply to ST1?

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By the end of FY2

• Exposure to a broad range of clinical
  environments
• Achieved the Foundation Competences

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What worked well?

• Single Foundation Tutor
• Standard set of assessments
• Geography of placements
• One group of trainees
• Smooth progression into FY2

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Suggested Improvements

• Careers advice from the beginning
• On-site educational supervisor
• Are placements really for 4 months?
• Communication and administration
• Compulsory teaching

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Key Messages

• Variety of clinical settings
• Balance training and service needs
• Keep groups of trainees together
• Communication
• Listen to trainees

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Discussion