Foundation Information Evenings 26th, 27th & 28th October 2004TCGP – Postgraduate Unit

Modernising Medical Modernising Medical CareersCareers““The Temple Report”The Temple Report”

Foundation Information Evenings 26th, 27th & 28th October 2004TCGP – Postgraduate Unit

Modernising Medical Modernising Medical CareersCareers““The Donaldson Report”The Donaldson Report”

Foundation Information Evenings 26th, 27th & 28th October 2004TCGP – Postgraduate Unit

Modernising Medical CareersModernising Medical CareersFive key principles for reform Five key principles for reform

of training for SHOsof 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

Foundation Information Evenings 26th, 27th & 28th October 2004TCGP – Postgraduate Unit

Modernising Medical CareersModernising Medical Careers Proposals Proposals

1. The five key principles should be the basis for reform of basic specialist and general practice training

2. There should be sufficient opportunities for flexible (part-time) training

3. There should be access to early and regular career advice

Foundation Information Evenings 26th, 27th & 28th October 2004TCGP – Postgraduate Unit

Modernising Medical CareersModernising Medical Careers Proposals Cont….Proposals Cont….

4. 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

5. After completing their foundation programme, doctors should enter a basic specialist programme providing a breadth of education and training within certain broad clinical disciplines

Foundation Information Evenings 26th, 27th & 28th October 2004TCGP – Postgraduate Unit

Modernising Medical CareersModernising Medical Careers

Foundation Information Evenings 26th, 27th & 28th October 2004TCGP – Postgraduate Unit

Modernising Medical CareersModernising Medical CareersGeneral Practice – New Teaching General Practice – New Teaching & Training Opportunities& 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

Foundation Information Evenings 26th, 27th & 28th October 2004TCGP – Postgraduate Unit

Modernising Medical Modernising Medical CareersCareers

Postgraduate Training Postgraduate Training ProgrammesProgrammes• 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

Foundation Information Evenings 26th, 27th & 28th October 2004TCGP – Postgraduate Unit

Modernising Medical CareersModernising 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

Foundation Information Evenings 26th, 27th & 28th October 2004TCGP – Postgraduate Unit

Modernising Medical CareersModernising Medical CareersThe Competencies The Competencies

for Foundation Year 2for Foundation Year 2

Foundation Information Evenings 26th, 27th & 28th October 2004TCGP – Postgraduate Unit

Modernising Medical CareersModernising Medical Careers

• Remuneration - 1½ x Trainer’s Grant pro rata

• Curriculum & Assessment• SHO educational framework • Support in New Teaching Programme

– Foundation Groups

– Buddy Practices • Quality Assurance