“money, money, money – the cost of education” and the challenge to medical education teams...
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“Money, Money, Money –the cost of Education” and the challenge to Medical Education TeamsAndrew FrankelPostgraduate DeanHealth Education South London
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PGM Workforce Challenges• Service provision
– Current workforce dependent on Dr in PGT
– HEE funding covers only 40% of the cost of PG medical education
– 7 day working– Reconfigurations– Consultant Led/Delivered
SERVICE
TRAINING
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Tarif• Implemented 2014• Transition• Further development• Understanding of purpose
SERVICE
TRAINING
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Inadequacies of Current System• Not aligned to needs of patients
or providers• Speciality Focussed• Doctor Centric
• 42% have a long-term condition
• 23% have multiple conditions
• Onset 10-15 years earlier if socioeconomic deprivation
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Shape of Training
• Fundamentally about the right doctors to treat future patients
• Formal training does not stop at a CST
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Shape of Training Review
Medical School
Full Registration
F1
F2
Certificate of Specialty Training
Credential
Credential
Credential
Continuous ProfessionalDevelopment
Broad BasedTraining
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Paradigm of care 2030
• Diagnose and Cure • TO• Predict and Prevent
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THE WORKFORCE TO DELIVER THE CARE
• Skills Assessments• Integrated Planning
– Physician associates
– ANPs– Associated
Practitioners– SAS Drs
?end
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Broadening the Foundation Programme
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Challenges of BTFP
• Uncertainties over definition of community placements• BTFP already outdated – fails to understand the development
of the “3rd Space”• Sufficient community placements with purposeful clinical
content to meet the Foundation Curriculum• Backfill of service provision in acute trusts as Foundation
Doctors move into community or psychiatry posts• Questions remain about the disposition of medical tariff• Developing appropriate supervision arrangements in new
working environments