Update on Careers and LTFT Training

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Update on Careers and LTFT Training

• Melanie Jones
• Associate Dean

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Careers Issues

• Supporting undergraduates
• Supporting postgraduates
• Careers of Medical Educators
• Making Careers in Wales attractive
• A clear understanding for all of medical career
  pathways

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Recruitment 2007excl GP
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Supporting Postgraduates

• Foundation (pre registration)
• Early years F2 and core trainees
• Speciality Registrars
• SAS, Trust registrars, clinical fellows
• Consultants early, mid, late
• GPs early, mid, late
• Pyramidal structure simple local for all, more
  complex - local referral process, very complex-
  deanery

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Escalating Careers Support
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Career Manager

• Sally Blake
• Starts March 1st 2008
• Previous work with Cardiff University Careers
  service
• Will provide advanced careers support to trainees
  and trainers

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Mentors

• Supportive role, advanced career support
• Tony Starcewski lead, developing mentoring
  strategy for Wales
• RCP mentor training in N Wales
• Swansea Trust already have mentoring programme
• ? others
• Extend to all specialities across Wales

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Improved Library provisionfor careers support

• Set of core texts on careers decision making and
  support
• Sent to all PG centres in 2007
• For use by trainees and supervisors
• Suggestions for further inclusions

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Recommended Reading
If you want a copy contact Jonesmj4_at_cf.ac.uk
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4 Stage approach to Career Planning

• Agreed model for medical careers management in UK
• 1. Self assessment
• 2. Career Exploration
• 3. Decision making
• 4. Plan implementation
• Realistic, Opportunities, Anchors, Development,
  Stress.

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Careers which change

• Health / disability
• Life events
• Training / career not progressing
• Wrong speciality choice
• Wrong location
• Running out of steam
• Leaving medicine (incl early retirement)
• Need processes to support all

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Reality of careers in Medicine

• Earlier choices (or not)
• More UK medical graduates
• No patronage / bias in selection
• NHS will train the workforce it requires
• Not everyone gets their first choice
• Competition ratios
• Feminisation of workforce
• Work-life balance more important for all
• Medical Unemployment

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Women in Medicine Opportunity BlocksReport of
the CMO 2006

• The number of flexible training places for
  doctors should be expanded.
• A national working group should be established
  to recommend changes to workplace childcare
  provision which are matched to the needs of women
  doctors.
• In surgery and other specialties where the
  proportion of women is low, mentorship schemes
  should be reinforced.

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Foundation

• Careers skills and support in curriculum
• Discussion and information
• Support in careers thinking and decision making
• FPD need skills to lead
• Educational supervisors to support training for
  this
• Referral for complex or impartial support

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SCI59

• On line self assessment tool
• OU development Gale and Grant
• Improves self awareness if used correctly
• Gives 10 specialities most likely to enjoy
• Gives 10 specialities which will be a challenge
• Available for all F1 and F2 in Wales
• Take it with a pinch of salt, help with results
  needed
• Licenses for use in Wales, contact mortr_at_cf.ac.uk
  for user name and password
• For use by others on request i.e. trainee in
  difficulty, PGO. Deanery
• Also free use if BMA member

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Speciality Training

• Careers support from trainers, ed sup, college
  tutors
• PGO role
• Careers lead in School
• Flexible Training Lead in School
• Supporting those not progressing
• Careers thinking and decision making for senior
  trainees

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Career Breaks

• Gold Guide OOPC 6.109-114
• Option available after 1 year in training
• Up to 2 years with agreement of TPD
• Trainee also advised to discuss with deanery
• 6 months notice of return to programme
• Arrangements for planned return
• ??? demand

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Careers Support to Career Grades incl GP

• Continuing career development / education for
  Trust Registrars and SAS
• Provision of PMETB prescribed training to access
  specialist register better links with training
  programmes and trusts
• Generic career development skills for consultants
  and GPs
• Mid and late career planning workshops /info

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Training for Careers Support

• Who? FPD, Ed Sup, PGO, College Tutors,
  speciality career leads, heads of school, TPD,
  deanery.
• What? basic skills, info, advice, advanced
  training, improved communication, how and who to
  refer
• HOW? Careers Manager, Med Ed, Associate Dean.

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Challenges

• Competition from other parts of UK
• Improved access to information and understanding
  of career pathways amongst UG and PG trainees
• Reality check more UK grads in future, more
  into Trust posts
• Feminisation of workforce
• Supporting IMG
• Supporting medical workforce not in training

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Improving Careers Development

• Must have a happy workforce generation Y (those
  born after 1980) place happiness as key factor in
  life decisions
• Sunday Times 2007 57 Medicine UG Cardiff
  satisfied with course
• PMETB Trainee and Trainer surveys
• Development of Wales Career Strategy
• UK Careers Website launch April 2008
• Input from Schools to Careers Fair Oct 2008

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Update on LTFT Training
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UK Survey Nov 2007
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Gold Guide Recommended Options

• 1. Slot shares preferred method of inclusion as
  posts previously approved
• 2. Reduced hours in full time post
• 3. Supernumerary only if 1 and 2 not possible
• Prospective approval of posts

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Wales LTFT

• Total 95, all category 1 reasons.
• Turnover of 35 per annum
• 25 predicted to start in 2008
• 95 female
• 30 in slot shares
• 6 in reduced hours Em Med, genetics, neurology
• More slot shares have enabled budgetary
  realignment to support other areas

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New PMETB approval of supernumerary posts

• Previous Form B time consuming, burden on
  trainee and trainers
• New recommendations issued Dec 2007
• Deanery will work with speciality colleagues
  locally to develop programme prior to submission
• Deanery submit PMETB form A after proposed
  programme has College approval what is your
  college process? Central? Delegated?
• QA working with LTFT to develop simple processes
  for new posts
• Trainee cannot start until approval received
• Posts must be within the educational capacity of
  location
• Approved post can subsequently be used for others

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Recruitment 2008

• Home deanery assesses eligibility and issues
  certificate / confirmation note
• Accept others assessment
• Wish to train LTFT indicated on equal opportunity
  monitoring form
• Selectors remain blind
• Present confirmation of eligibility to STO
• If appointed, place in slot share when possible
• Consider reduced hours option
• Expected to start in full time post if
  supernumerary post not approved before Aug start
  date.

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Finally....maternity leave and fixed term posts

• FTSTA, LAT, LAS and Trust appointed F1 and F2
• Post ends on date identified on fixed term
  contract
• Maternity pay by Trust continues until end of
  maternity leave eligibility
• No right to return if contract has ended whilst
  on maternity leave
• WAG / Deanery guidance note sent to all Trust HR
  depts December 2007