cmft april 2014 shirley remington pgme update. introduction hee and future direction –national...
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CMFT APRIL 2014SHIRLEY REMINGTON
PGME UPDATE
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INTRODUCTION
• HEE and future direction –national themes• Changes to training• Educator revalidation and GMC• Educational environment• Trust Educational Direction-changing patterns of
clinical care• Questions
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HEE-BEYOND TRANSITION
• New mandate –awaited• Large cost savings-administration- high earners• One unit –North• Locally- Deanery merger continues
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CHANGES TO TRAINING
• Shape of training• Foundation changes• Change to rotation dates report
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SHAPE OF TRAINING
• Registration changes• Foundation unchanged in report• Generalist nature of training-community facing• Post CCT credentialing• Academic-less change• Not government approved• Work streams-May 2014
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FOUNDATION
• ARCPs from 2013• Increased Psychiatry placements• All tracks community facing placement• No duplication specialities
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REVALIDATION
• Trainer approval –July 2014• Education related evidence-meetings• reflection• MSF• presentations• training
development • management • qualifications• Appraisal
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THE FUTURE-GMC
• Generic professional capabilities• Leadership• Service improvement• Patient safety• Communication• Review of Standards for Training• Review of Quality Assurance• Approving Educational Environments• Review of Standards for Assessment• Review of Standards for Curricula• Developing Credentialling
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EDUCATIONAL ENVIRONMENT
• NACT document with HEE• GMC guidance
Belonging
to and being valued
within the organis
ation.
Celebrat
ing success
Feeling a part o
f the whole
Colleagues wh
o recognise your wo
rth and support you
Multiprofessional
, managers, effecti
ve leadership and
followership
Role models
Fostering good mann
ers
It's
alright to ask the
dumb question
Improvisation
, practice develops
as we work
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ENVIRONMENTENVIRONMENT
Learning Culture in the workplaceDeveloping opennessInvolving whole team & patientShared values & understandingValuing & including trainees
Individual TraineeFriendly supportive relationshipAppropriate clinical supervisionEnsure named supervisorMaximise learning opportunities
Department Faculty GroupAttend meetings & PSGsDiscuss trainees’ performanceConsistency of approachCPD for educational role
Service ProvisionProactively manage workloadEnsure patient safetyAllow trainee to take responsibilityTeach & role-model efficiencies
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What makes for a Good Learning Environment?
Belonging to and being valued within the organisation.
Celebrating success
Feeling a part of the whole
Colleagues who recognise your worth and support you
Multiprofessional, managers, effective leadership and followership
Role models
Fostering good manners
It's alright to ask the dumb question
Improvisation, practice develops as we work
Professionals working like professionals
Community
Collegiality
Criticality
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TRUST CHALLENGES
• Shortened training of generalists• Dropping trainee numbers• Workload• Uncertainty- Healthier together• New contracts• Tariff in educational funding
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TRUST OPPORTUNITIES
• Track record- GMC and CQC reports• Tertiary services-realignment of services• Community Facing Care• Credentialing• Flexibility• Skilled staff base• Leadership and future planning
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What professional values are important to you in your clinical practice?
n = 500 doctors in training
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QUALITY
• Quality is not an act, it is a habit.
• Aristotle