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A HANDBOOK FOR
FOUNDATION DOCTORS
Foundation programme training reflects a new era in medical education that should
be trainee centred, competency assessed, service based, quality assured, flexible,
coached, and structured & streamlined.
The aim of this Handbook is to provide you with useful education and training
information at your fingertips to help you through the Programme. If you have any
concerns, please do not hesitate to contact any of the key contacts listed in this
document.
Chantal Vermenitch Medical and Dental Education Manager (all posts in the
Oxford locality)
Liz Clarke Education Centre Manager (all posts in the Banbury locality)
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CONTENTS
Page
Introduction 5
Contact Details 6
Key Personnel 10
Responsibilities of the Foundation Doctor 12
ePortfolio 14
The Curriculum and Personal Development Plan 14
Supervised Learning Events 15
Assessment 17
Appraisal 18
Teaching and Education 19
Study Leave, ALS Funding and Taster Weeks 24
Support 25
Quality Assurance 31
Other 33
3
4
INTRODUCTION
5
CONTACT DETAILS
6
3 CENTRE STAFF
Contact Details
1 Chantal Vermenitch chantal.vermenitch@ouh.nhs.uk
Medical and Dental Education Manager
all posts in the Oxford locality
5 Vacant
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5 MEDICAL STAFFING
Contact Details
Contact Details
Contact Details
www.thamesvalley.hee.nhs.uk
Tel: 01865 785500
7 EDUCATIONAL SUPERVISORS
You will find the name and contact details of your Educational Supervisor in
your Foundation Programme Welcome pack.
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8 FTPDs
FTPD Specialty
1 Dr Stuart Benham Clinical Placements for Academic Trainees
General Medicine JR
NOC Bone Infection Unit, Orthopaedic
Surgery
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KEY PERSONNEL
1 DIRECTOR OF MEDICAL EDUCATION
The Director of Medical Education manages postgraduate medical and dental
education for the Oxford University Hospitals NHS Foundation Trust, including
the Horton General Hospital. In relation to Foundation Training he will support
the educational and clinical supervisors. The foundation training programme
directors will report to him.
2 EDUCATION CENTRE STAFF
Year 1
Linda Kempson manages the year 1 programme at all sites outside of the
Horton General Hospital. Paula Sabin is the administrator for the year 1
programme at the Horton General Hospital.
Year 2
Edit Greenhill is the administrator for the year 2 programme for all sites.
4 SUPERVISORS
Educational Supervisors
This named individual will act as your educational supervisor for the duration
of your Foundation training at the Oxford University Hospitals NHS
Foundation Trust and will take a special interest in your training and
professional development. The educational supervisor will meet with you
throughout the year. You should make arrangements to meet with your
educational supervisor within a couple of weeks of starting each post, at the
middle and towards the end of each post. You should set out and agree your
educational and training needs and goals for the post and how you are going
to achieve them. Meetings must be recorded on the ePortfolio using the
appropriate forms.
The Education Centre will allocate your Educational Supervisor and details
will be in your Welcome letter.
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Clinical Supervisors
Every foundation doctor will have a named clinical supervisor for each
placement. The clinical supervisor is responsible for overseeing your clinical
work during the placement, providing constructive feedback and completing
the clinical supervisors end of placement report. The doctor responsible for
direct clinical supervision may change on a daily basis, but the clinical
supervisor will remain the same throughout each placement. You should meet
with your clinical supervisor at the beginning of each placement to discuss
what is expected in the placement, learning opportunities available and your
learning needs and at the end for an assessment discussion. Meetings must
be recorded on the ePortfolio using the appropriate forms.
5 MEDICAL STAFFING
Personnel enquiries such as contracts, pay/banding, travel expenses, job
descriptions, working hours etc. should be addressed to HR in the first
instance.
6 FOUNDATION SCHOOL
Enquiries around recruitment, rotations, going abroad for F2 should be
addressed to the Foundation School in the first instance.
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RESPONSIBILITIES OF THE FOUNDATION DOCTOR
3 Work within the HR policies and procedures as outlined by the local education
provider during induction
4 Become familiar with the requirements for satisfactory completion of F1 and the
Foundation Programme
6 Take part in the schools career-management process to help you match your
skills, interests and ambitions with the available opportunities
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THE TRAINING PROGRAMME
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ePORTFOLIO
The Oxford Foundation School uses the NHS ePortfolio. All foundation doctors in a
recognised training programme must maintain an ePortfolio and use it to support
their educational and professional development and career planning. The ePortfolio
is a record of a foundation doctors progress and development through the
foundation years. Successful completion of the Curriculum requires the achievement
of competence in a variety of domains based on Good Medical Practice. Evidence of
achievement of outcomes and increasingly improving performance will be recorded
in the ePortfolio.
The completed ePortfolio will contribute to the end of year report. Elements of the
ePortfolio may also be used in specialty interviews by the foundation doctor to
demonstrate competence and highlight achievements. This means that the ePortfolio
may be used to help the foundation doctor gain future employment.
Usernames and passwords for the ePortfolio will be issued by the Education
Centres.
Support for the ePortfolio is provided by the Education Centres. For technical issues
the administrator is foundation@thamesvalley.hee.nhs.uk at the Oxford Foundation
School.
THE CURRICULUM
The Foundation Programme Curriculum 2016 will be used to set out the framework
for educational progression for both foundation year one and two doctors.
The Curriculum and Reference Guide can be can be downloaded from the
Foundation Programme website:
www.foundationprogramme.nhs.uk
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Personal Development Plan
Foundation doctors must have a personal development plan for each placement
within each foundation year. This should be agreed with your educational supervisor
and recorded in your ePortfolio at the beginning of each placement. The PDP should
set out the specific aims and learning objectives and be based on the requirements
for satisfactory completion of the Foundation Programme. It should also be mapped
to the Curriculum. The PDP should form the basis of all appraisal discussions.
Each type of SLE must cover a spread of different acute and long-term
aspects of patients conditions.
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You must complete a total combination of 9 Mini CEXs and DOPS
per year.
Each Mini CEX must represent a different clinical problem, sampling one
of the acute care, chronic illness, psychiatric care etc.
A minimum of 6 Mini CEX assessment forms need to be completed each
year at least 2 Mini CEX completed in each 4 month period.
Each CbD must represent a different clinical problem sampling one of the
acute care, chronic illness, psychiatric care etc
Different teachers/trainers should be used for each CbD
A minimum of 6 CbD s and at least 2CbDs undertaken in any 4 month
period.
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2 ASSESSMENTS
There are 5 different types of assessments:
1. Core Procedures (F1 only)
2. Team Assessment of Behaviour (TAB)
3. Clinical Supervisors End of Placement Report
4. Educational Supervisors End of Placement Report
5. Educational Supervisors End of Year Report
6. Academic Supervisors End of Placement Report
1. Core Procedures
The General Medical Council requires demonstration of competence in a series
of procedures in order for a provisionally registered doctor with a licence to
practise to be eligible for full registration.
It is a requirement that the foundation year one doctor provides evidence within
the ePortfolio of satisfactory performance of each core procedure at least once
during the year.
Two TABs are required for the year and the TAB rounds are as follows:
Round 1 November 2016
Round 2 March 2017
The mix of raters must include:
2 consultants of which the named clinical supervisor should normally be
used
1 doctor more senior than F2
2 Senior nurses (band 5 or above)
2 Allied health professionals, other team members including ward clerks,
secretaries and auxiliary staff
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4. Educational Supervisors End of Placement Report
The educational supervisors end of placement report requires review of the
clinical supervisors report along with the evidence provided within the ePortfolio
and any other source. The outcome of the final assessment discussion should be
agreed by both the foundation doctor and the educational supervisor and
recorded in the doctors ePortfolio Educational Supervisors End of Placement
Report form.
APPRAISALS
YEAR 1
The outcomes recorded following clinical performance reviews and evidence of
engagement in the educational process will feed into the overall performance report
at the end of the year (the Educational Supervisors End of Year Report.) The ARCP
Panel (see above paragraph) will review this report and your other documentation to
inform your medical school as to whether you should complete and issue the GMC
Foundation Year 1 Certificate of Completion (F1CC). Once the certificate is issued,
you will be eligible to apply for full registration with the GMC. The GMC expects
satisfactory achievements in all domains set out in The Trainee Doctor (2011) and
reproduced in the Foundation Programme Curriculum syllabus outcomes.
YEAR 2
The ARCPs Panels overall judgement of satisfactory completion of F2 will allow the
foundation doctor to be eligible to enter core, specialty or general practice training.
This judgement will include an assessment of a foundation doctors ability to take on
increasing levels of responsibility, and will be marked by the issuing of a Foundation
Programme Certificate of Completion (FPCC).
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TEACHING AND EDUCATION
All foundation doctors must have in-house formal education as part of their working
week, which should be relevant and protected (bleep free). This may be aggregated
to release whole/half days for generic training.
1.1 YEAR 1
In order to be signed off at the end of the year, you must achieve at least
a 70% attendance rate made up from MANDATORY teaching. The
calculation for the 70% attendance is as follows:
MANDATORY TEACHING
Please note the requirements for teaching are subject to change and you
should check with the Education Centres should you have any queries.
Or
This programme is aimed at the F1s who will be training at posts at the Horton
General Hospital, Psychiatry (Banbury).
For whichever programme you attend you are required to attend every week
and you are required to achieve 100% attendance each week outside of leave,
nights etc. This may mean you will have to complete the missed sessions
online.
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2 Case Based Discussion
Or
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1.2 YEAR 2
In order to be signed off at the end of the year, you must achieve at least
a 70% attendance rate made up from MANDATORY teaching. The
calculation for the 70% attendance is as follows:
MANDATORY TEACHING
The George Pickering Education Centre runs the following programme for all
year 2 doctors regardless of post placement:
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OPTIONAL Teaching
This does not count toward you 70% attendance rate, although attendance is
strongly encouraged.
The Centres run the following courses for F2 doctors and above:
Advanced Communication Skills
Doctors Dealing with Challenging Staff
Interview Skills
Leadership, Management and Building Teams
Teaching Presentation and Facilitation Skills
More details of these courses can be found on the Education Centres website
www.ouh.nhs.uk/education-centres and on the notice boards in the Centres.
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3 OTHER TEACHING AND EDUCATION
The Education Centres do not endorse any of the external sites and/or external
courses which are listed above.
If there is other education and training which you are aware of but is not listed in this
Handbook, please let the Education Centres know, so the Handbook can be
amended.
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STUDY LEAVE, ILS/ALS AND TASTER WEEKS
Study Leave should be used to support the generic training syllabus and to support
learning about different clinical specialties through embedded taster experiences.
This is to support the career exploration component of Modernising Medical Careers
(MMC), as well as to gain an understanding of how the specialty contributes to
patient care.
The Study Leave, Taster Week & ILS Reimbursement Policy covers all types of
study leave (including the ALS course and Taster Weeks) and reimbursement of the
ILS course fee. Please read the policy and the quick guides carefully before
booking any courses, planning any study leave time off, and/or making any
application. These documents contain important information regarding entitlement,
the application process and other pertinent details. The policy, quick guides and
application forms can be found in the study leave section of our website:
www.ouh.nhs.uk/education-centres
F1 doctors are not allocated study leave funding or time off, but may borrow up to
5 days study leave from their F2 year to take a Taster Week during their F1 year.
F2 doctors may be eligible to 30 days study leave per annum; 15 days are
automatically counted for the Monday teaching programme and generic teaching.
This leaves a maximum of 5 days per placement to use on personal/professional
development.
Funding for F2 doctors currently stands at 600 for the 12 month placement.
It is your responsibility to ensure compliance with the study leave policy and
submitting the relevant application.
Study Leave, Taster Week and ILS Reimbursement applications and any queries
regarding study leave should be sent to Edit Greehhill, Foundation Programme
Study Leave & ILS Officer foundation.studyleave@ouh.nhs.uk.
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SUPPORT
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CAREERS ADVICE AND PLANNING
1 YEAR 1
Careers Workshops
These are aimed at Foundation Year 1 doctors contemplating which specialty
to apply for. What do you want out of your career? What are the routes into
training? Whats the bigger picture in medical education and how is it
changing? It also contains exercises to help you assess your skills and
aptitudes and reflect on your experiences in medical school and the
Foundation programme so far. At the workshop you will be given a detailed
handbook which helps you identify factors that may affect your choice of
specialty and provides a framework for action planning.
2 YEAR 2
Careers Workshops
This second workshop is for doctors in Foundation Year 2, whether or not you
have decided which specialty to apply for. The workshop aims to discuss how
recruitment works and what you can do to demonstrate commitment to a
specialty. With lots of practical guidance on compiling your CV, building an
effective ePortfolio and preparing for interviews. Plus up to date information
on changes in medical education.
Careers workshops are also held at both Centres and are mandatory.
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3 SPECIALTY AND DEPARTMENTAL CONTACTS
4 CAREERS FAIR
BMA careers fairs are held nationally.
5 CAREERS ADMINISTRATORS
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SHOULD THINGS GO WRONG
If you do have concerns about your training, it is important that you contact either
your educational or clinical supervisor immediately. This should be done in a formal
setting. If you are still not happy after having spoken to the educational or clinical
supervisor, please contact a foundation training programme director or the Director
of Medical Education.
There are also organisations which deal with doctors in personal trouble.
1 TRUST SERVICES
Education Centres
Chantal Vermenitch - Medical Education Manager
George Pickering Education Centre
chantal.vermenitch@ouh.nhs.uk
http://ouh.oxnet.nhs.uk/Pages/WelcometothePoliciesPages.aspx
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Medic Support
Medic Support is a confidential staff support service for doctors and dentists in
training, offering psychotherapy and psychology in Oxford.
medic.support@oxfordhealth.nhs.uk
4 NATIONAL SERVICES
Alcoholics Anonymous
www.alcoholics-anonymous.org.uk
Narcotics Anonymous
Tel: 0300 900 1212
www.ukna.org
The Samaritans
Tel: 08457 909090 (UK)
www.samaritans.org.uk
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Sick Doctors Trust
Provision of early intervention and treatment for doctors suffering from addiction to
alcohol or other drugs.
Tel: 0370 444 5163
www.sick-doctors-trust.co.uk
Support4Doctors
Information and advice for doctors in the UK.
www.support4doctors.org
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QUALITY ASSURANCE
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EDUCATIONAL APPROVAL OF PROGRAMMES
The General Medical Council (GMC) is responsible for ensuring that the placements
within the Foundation Programme meet the required standards of training,
education, appraisal and assessment.
Sometimes this responsibility is delegated to the Postgraduate Dean who will inspect
the posts and programmes on a regular basis and will wish to talk to you about your
experiences. Attendance at these inspections is therefore mandatory and you will be
informed in advance of the date of any inspection.
STORAGE OF INFORMATION
The Centres will keep information about your training and education in the
Foundation Programme for 5 years after the date of completion of the programme.
After this time all information will be destroyed.
Collated feedback on training posts gathered from any reviews or appraisals will be
sent to the Oxford Foundation School, the Clinical Directors, Departmental Leads
and Educational Leads.
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OTHER
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FURTHER INFORMATION AND READING
1 LITERATURE
1. Good Medical Practice General Medical Council (2013)
2. The Foundation Training Curriculum The Foundation Programme
Office (2016)
3. The Foundation Reference Guide The Foundation Programme Office
(2016)
4. The Rough Guide to the Academic Foundation Programme and
Compendium of Academic Competencies UK Foundation
Programme Office (2013)
5. The Rough Guide to the Foundation Programme UK Foundation
Programme Office (2015)
2 WEBSITES
1. British Medical Association - www.bma.org.uk
2. Foundation Programme www.foundationprogramme.nhs.uk
3. General Medical Council www.gmc-uk.org
4. Medical and Dental recruitment Selection (England)
www.specialtytraining.hee.nhs.uk
5. National Patient Safety Agency www.npsa.nhs.uk
6. Health Education England Thames Valley
www.thamesvalley.hee.nhs.uk
7. Oxford University Hospitals Trust www.ouh.nhs.uk
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1 Royal College and Faculty Websites
1. Acute Care Common Stem www.rcoa.ac.uk
2. College of Emergency Medicine www.rcem.ac.uk
3. Faculty of Intensive Care Medicine www.ficm.ac.uk
4. Faculty of Pharmaceutical Medicine www.fpm.org.uk
5. Faculty of Public Health Medicine - www.fph.org.uk
6. Joint Royal Colleges of Physicians Board www.jrcptb.org.uk
7. Joint Committee on Higher Surgical Training - www.jcst.org
8. Royal College of Anaesthetists - www.rcoa.ac.uk
9. Royal College of General Practitioners www.rcgp.org.uk
10. Royal College of Obstetricians and Gynaecologists www.rcog.org.uk
11. Faculty of Occupational Medicine - www.fom.ac.uk
12. Royal College of Ophthalmologists - www.rcophth.ac.uk
13. Royal College of Paediatrics and Child Health - www.rcpch.ac.uk
14. Royal College of Pathologists - www.rcpath.org
15. Royal College of Physicians of London www.rcplondon.ac.uk
16. Royal College of Psychiatrists www.rcpsych.ac.uk
17. Royal College of Radiologists www.rcr.ac.uk
18. Royal College of Surgeons of England www.rcseng.ac.uk
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NOTES
36
DISCLAIMER
The advice and information contained in this Handbook is offered to assist you with
your training and is given in good faith. As many of the official Foundation
programme documents are working documents, there may be amendments or
changes to the Foundation Programme which the Education Centres and all
individuals involved with the Programme are unable to predict at the time of
publication of this Handbook. Doctors must check with either of the Education
Centres or other individuals involved with the Foundation Programme to ensure they
have the latest information and advice.
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