Modernising Medical Careers

1
Modernising Medical CareersThe Temple Report
2
Modernising Medical CareersThe Donaldson Report
3
Modernising Medical CareersFive key principles
for reform of training for SHOs

• Training should be programme based
• Training should begin with broadly-based
  programmes pursued by all trainees
• Programmes should be time limited
• Training should allow for individually tailored
  or personal programmes
• Arrangements should facilitate movement into and
  out of training and between training programmes

4
Modernising Medical Careers Proposals

• The five key principles should be the basis for
  reform of basic specialist and general practice
  training
• There should be sufficient opportunities for
  flexible (part-time) training
• There should be access to early and regular
  career advice

5
Modernising Medical Careers Proposals Cont.

• After graduating doctors should undertake an
  integrated, planned two-year foundation programme
  of general training
• The first year equating to the current
  pre-registration house officer year
• The second (post registration) incorporating a
  generic first year of current SHO training
• After completing their foundation programme,
  doctors should enter a basic specialist programme
  providing a breadth of education and training
  within certain broad clinical disciplines

6
Modernising Medical Careers
7
Modernising Medical CareersGeneral Practice
New Teaching Training Opportunities

• Foundation Course 2 Years
• PRHO 1st Year SHO
• Basic Training
• Six 4 month posts
• PRHO year eg surgery, medicine,
• paediatrics
• SHO year to include element of community
• training 4 months in General Practice

8
Modernising Medical CareersPostgraduate Training
Programmes

• Foundation Programme 2 years
• Basic Specialist Training Programmes (and
  individual programmes)
• General medicine, general surgery, general
  practice, child health, mental health, obstetrics
  gynaecology, general pathology, anaesthetics
• Higher Specialist Training Programmes including
  GP Vocational Training

9
Modernising Medical Careers

• Tayside -
• Foundation Year 1 93 posts ( 3 x 4month) in 6
  programmes
• Foundation Year 2 -100 posts (3 x 4 month) in 6
  programmes
• 11 GP posts (3 x 4 month) in F2 33 attachments
• Evenly distributed across the 6 programmes

10
Modernising Medical CareersThe Competencies for
Foundation Year 2
11
Modernising Medical Careers

• Remuneration - 1½ x Trainers Grant pro rata
• Curriculum Assessment
• SHO educational framework
• Support in New Teaching Programme
• Foundation Groups
• Buddy Practices
• Quality Assurance