Comprehensive Guide for Foundation Training Programme Directors (FTPDs)

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This guide provides essential information for Foundation Training Programme Directors (FTPDs), emphasizing the importance of their role in supporting and guiding future core and specialty trainees. Key operational requirements, where to find necessary information, and key areas in the role are detailed to help FTPDs navigate their responsibilities effectively.


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  1. FOUNDATION PRESENT An Induction for new FTPD Helen Johnson Sept 2019

  2. DOCTORS OF OUR FUTURE Foundation is important! These are our future core and specialty trainees, our future GP and consultants They have spent 6 years training already 50% leave after f2 [although most are back within 3 years] Foundation is a high risk time for trainees Left their home/university base may have long commutes New responsibilities, new hierarchy Medicine is stressful You, as their FTPD, will potentially be the most important person for their next two years. It is quite a busy job!

  3. KEY OPERATIONAL REQUIREMENTS You must attend meetings! We are a team, not remote islands! Each trust needs to be represented at the foundation forum x 2 and fac dev day and be responsible for sharing the information at trust level Each FTPD needs to attend at least 3 meetings out of: September joint meeting with DME October forum [29thOctober] April faculty development May forum A day at either autumn or spring symposium for level 4/5 educators There maybe mandatory additional training sessions [eg the ARCP this year Dec 17th] Each FTPD must complete the ASDP in a timely way Each FTPD must contribute to any request around the GMC survey Each FTPD must read and respond to emails from the various central teams. Please read the role and responsibility in the foundation guide. Each FTPD must be appraised by either DME or FSD in this role every year, and at least once every 3 years by FSD The following is an overview of key areas rather than a comprehensive coverage!

  4. WHERE TO FIND THE INFORMATION UKFPO website https://www.foundationprogramme.nhs.uk/content/resource-bank Look for foundation guide, ARCP guide etc. HEE EoE website https://heeoe.hee.nhs.uk/foundation https://heeoe.hee.nhs.uk/medical-training/trainee-well-being-hub https://heeoe.hee.nhs.uk/faculty-educators People! Helen B for EAFS, Ritwik B for EBHFS, Helen J Whatsapp for hopefully quick answers! https://heeoe.hee.nhs.uk/foundation/contact-us

  5. KEY AREAS IN ROLE Programme management Education Assessment Training Trainee support 60 hours taught programme Study leave [covered] Prof practice week, inductions, grey Wednesday, tasters E-portfolio ARCP [ 17th December training] GMC surveys and action plans Developing new posts Quality assurance ASDP [covered] Checking posts for recruitment Updating centrally post/trainee changes Trainee general support Trainees in difficulty Supporting educators mentorship

  6. EDUCATION 60 hours minimum [mandatory] taught programme https://heeoe.hee.nhs.uk/foundation/teachingo pportunities 3 days simulation per year VR training Hi fidelity Skills and drills/procedures Hub sessions : 4 clinical per trust 2 clin, 1 professional per trainee E-learning Trust based learning [incl careers fair] 20 hours per rotations ES to confirm. Help: Portfoilo Sim and Hub leads [Charleen, Zilley] Faculty team [mark] Feedback, evaluation, improving Academic foundation docs and fellows Work with portfolio FTPD Troubleshooting Early fixing hubs and dates Academic research trainees Monthly keeping in clinical touch Academic education trainees Education handbook Professional practice week Inductions and shadowing grey Wednesday Marketing, raising profile of foundation school posters, tweet, pictures with permission STUDY LEAVE

  7. No dramatic changes planned! look at careers strategy Early timetable setting for hubs, allowing earlier opening of booking See if we can purchase a more automated system How do we manage trusts notification late? Trainees not booking in? This is a time for consolidation, improving areas of difficulty EDUCATION: FUTURE Using academic foundation and fellows to assess how trainees value the different areas What could we enhance? How best should we be using VR Which hubs work best, and sharing these ideas. Consider position of skills and drills type scenarios often done in specialties, counts as a simulation activity. ? Should we develop more? Should we ask new fellows to make perhaps 5 generic drills for f1 to practice?

  8. ASSESSMENT A MANDATORY TRAINING DECEMBER 17THFOR ARCP PANEL CHAIRS Must be attended by all FTPD and either an FTPA or MEM, and DME invited Will be unable to chair ARCP without. https://heeoe.hee.nhs.uk/foundation/schools-trusts-and-practices Assessment.eoe@hee.nhs.uk E-portfolio Look and play with it. Understand the rules for sign off! Key new things the LEARN form, use instead of the other SLE We must encourage the use of supervision groups it is about to become mandatory, it is really useful for trainees who are concerning Only 5 links can be made to any one item Encourage PDP with ES. Are all your CS and ES trained? Educator hub. Support required? STEP and TOI [med sch -> F1; F1-> F2] Talk to the deputy FSD about trainees with concerns, who may need additional time or intervention.

  9. TRAINING Trainee feedback and GMC survey Risk areas: review, strategise, ask for help, share practice Surgery ED Medicine Visits by FSD to trusts -> teamwork Areas of best practice to share Innovation in posts/programmes How can we help? Meeting with a dept lead, ES group? Recruitment strategy Priority programmes need to consolidate those agreed Psychiatry LIFT and fellowships Supporting LTFTT and those with adjustments SWAPS [or not] Policies: winter pressure https://heeoe.hee.nhs.uk/foundation/schools-trusts-and-practices

  10. What can your trust offer Is it innovative? Primary/secondary divide fuzzy space? Global health focus? There are going to be expansion posts [with minimal notice] Can we do more for widening participation TRAINING: FUTURE LTFTT/ adjustments for health/ return to practice? Improving our training posts Attracting in high quality trainees

  11. PROGRAMME MANAGEMENT This is the bit that often gets devolved to med staffing or MEM. It does really help if you know your programmes and posts! We do need each trust to tell us by Feb all of the LTFT or trainees that have gone out and are coming back, or just need more time in F1 and F2 [sickness, performance etc]. we need to find them a post! [ie set recruitment to zero] [to the edit box and your deputy] We need to know in may when we send you the people, that code of practice says we have got recruitment right. In July/august, you need to confirm the spreadsheets are right for the upload in September [we ve now done it, but they can be changed] You are responsible for making sure the master copies are as you expect. We are responsible for uploading them correctly! SWAPS TIS Edit.eoe@hee.nhs.uk and your deputy FSD Helen B or Ritwik B

  12. SUPPORT Enhanced shadowing increased for IMG PSW Supporting widening participation LTFTT both in standard posts and priority programmes Welcome and valued Liaison with medical schools Early identification with STEP form Asking applicants to directly contact Peer to peer mentoring schemes Local trust initiatives : tea and empathy; resilience

  13. This is our area for discussion and review as a group How can we best support our trainees Trust based support Groups? ES 121? Enhance mentoring? Resilience? Like our education plan, have a variety of options? SUPPORT: THE FUTURE Online resources? What Is out there? Good day type apps What are universities doing? Can we carry this on in a seamless fashion Deanery options prior to the PSW?

  14. VISION:SUPPORT:RETURN TO PRACTICE Our new initiative. Possibly >1000 doctors out of medicine for >3 years. ? How many want to return. Plan to make a bespoke and safe route back into practice. [HEE EoE initiative, but piloting for UK] Draft doc here: https://heeoe.hee.nhs.uk/foundation/schools-trusts-and-practices Utilising vacant foundation/gp hospital posts from predominantly April-august. Supported clinical observership and then funded enhanced shadowing prior to start, with funded sim and core procedures update. Planned should get alternative to foundation competency sign off, and ability to apply for trust doctor posts whilst awaiting national recruitment. Asking trusts to identify posts and supervisors.

  15. FOUNDATION IS FANTASTIC There are a lot of areas to this role You will meet, encourage, support and make a difference to a lot of trainees lives You will meet and influence a lot of consultant colleagues There is opportunity to shape policy, pilot schemes and develop as an educator It leads to potential wider roles You are part of a broad team

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