SFTP – GMC Policy updates Clare Owen, Policy Manager.

SFTP – GMC Policy updates

Clare Owen, Policy Manager

Introduction

GMP 2013 MSC & GMC SFTP survey Mental health guidance Provisional Registration Policy updates

Good Medical Practice

GMP 2013 - Changes

Aligned with appraisal framework for revalidation.

Doctors must ensure their patients are receiving basic care.

New duties relating to community care.

Mentoring – doctors should be willing to support junior colleagues.

Good Medical Practice

Good Medical Practice

Work to be done

Updating the SFTP guidance to reflect the new version of GMP

How to make the updated guidance relevant to medical students?

An opportunity to look again at the advice we give to medical schools

MSC & GMC Survey

In 2012 both organisations carried out a joint survey on SFTP

The first part of the survey looked at the relationships between different bodies involved in the SFTP process.

The second part asked for views of the current joint guidance on SFTP and how it might be improved.

23 medical schools responded

Survey results

17 schools explicitly said that they found the guidance helpful

2 schools said the guidance was not helpful

Medical schools would like more practical examples and case studies which show how the guidance should be applied in practise.

Survey results

More guidance was requested on:

The link between SFTP and provisional registration.

The relationship between SFTP and health and disability

Mental health guidance

Based on research Due to be published in July 2013

Mental health guidance

Key points:

Medical schools should put measures in place to promote good mental health and wellbeing in their students.

Staff should not treat students

Mental health guidance

Key points:

Confidentiality policies

Monitoring students

SFTP processes can be used to remove a student from the course but they must only be used as a last resort.

Provisional registration

Update on 2012 registration process:

7182 applications from UK medical schools

520 made a positive declaration 447 needed further investigation 7 were taken to a panel for further

consideration 4 were refused registration

Provisional registration

Applicant A: Sent inappropriate emails – medical

school investigated Student uncooperative with

investigation Criticised academic staff Some health issues and lacking

insight

Provisional registration

Applicant B: Investigated by medical school in

2011 for a range of issues These issues included dishonesty

and failing to follow instructions.

Provisional registration

Applicant C: Convicted of assault following the

consumption of illegal drugs Lack of candour with the medical

school and the GMC about the offence

Lack of insight No evidence that they had support

services in place to prevent a relapse of their drug use

Provisional registration

Applicant D: Subject to FTP panel in July 2012

which looked at their health and conduct

There was evidence of cognitive impairment

Misconduct included a lack of engagement and unpredictable outbursts

The medical school panel found the student fit to graduate but had concerns

Policy updates

GMC letter to VC’s about only graduating students who are FTP.

MSC database of excluded students.

Pool of panellists to hear F1 appeals FTP and TOI

Questions

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