Foundation training - University College London · Usually linked FY1 and FY2 though some schools you have to apply for FY2 during FY1 All should do 1 Community placement within 2

Foundation training Dr Kilian Hynes MB, FRCP, MA, MSc, FRCEM.

Deputy Director North Central Thames Foundation School

General about NHS

Foundation Training

Foundation Schools

Commonly asked questions

Agenda

NHS worst ever

Horrible junior doctor contract imposed

Rubbish pay

Loads of vacant posts and those who are in post have to work twice as hard

Why bother?

Why not leave now?

Current state of Medicine

Medical care and patient outcomes has been continuously improving

Medical training is better than ever

The NHS is probably in a slight trough at the moment but the underlying trend is positive

It appears everybody is unhappy in the NHS but this is similar for most working environments

Do not Despair This is not true!

You are genuinely doing good for society

Varied-There is a place for virtually everybody in medicine

Interesting

Constantly changing and offers opportunities for personal growth

Medicine still is a great career

Emergency Department (A&E) Consultant at Barnet Hospital and Service Line Lead for that Department

Caldicott Guardian for Royal Free London

Deputy Director NCTFS

I love my job(s)

Who am I?

Graduation

Foundation Year 1

Foundation Year 2

Core/Specialty Training

GMC Provisional registration

GMC Full registration

Competency based and there is an emphasis on team working and personal qualities (e.g empathy)

Have to complete time period

Eportfolio

Generic training

Clinical supervisor, Educational supervisor and Foundation Training Programme Director

Curriculum

Usually 3x 4 month jobs

Usually linked FY1 and FY2 though some schools you have to apply for FY2 during FY1

All should do 1 Community placement within 2 years Foundation training

45% do Psychiatry within 2 years

Usually 4 months A&E or Assessment unit in FY2

Rotations

Pivotal role often organisational

Usually greater time spent with patients than any of the rest of team

Organise investigations and chase up results

Liaise with relatives

More interaction with nursing staff

Foundation Year 1

Sleep pattern and punctuality

Personal organisation

Secure accommodation and social environment

Social media

Professionalism

Pitfalls in taking this massive step up in responsibility

North Central Thames

North East Thames

North West Thames

South Thames

East Anglian

Oxford

Foundation Schools (1)

LNR

Mersey

North Western

Northern

Peninsula

Severn


Trent

Wessex

West Midlands – Central

West Midlands – North

West Midlands – South

York and Humber


Northern Ireland

Scotland

Wales


UCL

Royal Free with Hampstead and Barnet sites

Whittington

North Middlesex

Will have extremely high competition ratio as we are halving in size by losing East of England Trusts

North Central Thames Foundation School

Minimal

Highly standardised and regulated generic training

FY2 Abroad

Differences Between Foundation Schools

Online from 3-14 October 2016 for 2017

Ranked according to EPM and SJT (50:50)

Can apply to Academic Foundaton Programme as well

Special Circumstances – Carer or Medical needs

Linked Application

Low stakes process!!

Application Process

Any advantage in being strategic with ranking

Foundation Schools or Jobs - NO

Advantages of going outside London

1. Less competitive

2. More appreciated

3. Cheaper

Strategic Considerations

Officially no

If you wish to apply for competitive Specialty-Yes

Exams

Publications

Audit??

Good eportfolio

Do you need to do extra during Foundation Programme

Foundation school might suggest that generic general skills more important so no

In practice may help you interview better

A chance to confirm whether you are making the right career decision

Should I apply for rotations similar to my long term career choice?

May need a break

Try working in another country

Need to improve application for core training

Bad idea to take year out if no structure and just locuming

What about taking year out after Foundation Programme?

Any Questions?

Foundation training - University College London · Usually linked FY1 and FY2 though some schools you have to apply for FY2 during FY1 All should do 1 Community placement within 2

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