Applying to your Foundation School What you need to know!

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Applying to your Foundation SchoolWhat you need
to know!

• David Wilkinson MD FRCS
• Director of Medical Education, Bradford Teaching
  Hospitals Foundation NHS Trust
• Head of Yorkshire School of Surgery
• Ex Co-Director West Yorkshire Foundation School

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Modernising Medical Careers
(GPR)
GP Training
GP
Registration
F1
F2
BST
HST
Run-through Training
???
Research/Academic Career breaks
CCT (SpR)
NCCG
Article 14
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Specialty Schools

• Paediatrics - Dr Philip Holland
• Medicine - Dr Tony Arnold
• Ophthalmology - Mr John Bradbury
• Psychiatry - Dr Wendy Burn
• O G - Mr David Pring
• Emergency Medicine - Dr Kevin Reynard
• Anaesthesia - Dr Rob Cruickshank
• Surgery - Mr David Wilkinson

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Run-through training

• Paediatrics and Child Health
• Obstetrics and Gynaecology
• General Practice
• Chemical Pathology
• Clinical Radiology
• Histopathology
• Medical Microbiology
• Neurosurgery
• OMFS
• Ophthalmology
• Public Health

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Uncoupled specialties

• Acute Care Common Stem (ACCS)
• Anaesthetics
• Core Medical Training
• Core Surgical Training
• Clinical Oncology
• Occupational Health Medicine
• Psychiatry

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Specialties using a national specialty-led
recruitment process

• Cardiothoracic surgery
• Plastic surgery
• Neurosurgery
• Public Health
• Histopathology
• Academic clinical fellowships

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Foundation Schools
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The structure of a Foundation Programme

• 2 years
• Each year in a different location
• Mix teaching hospitals, district general
  hospitals and other sites
• 55 include exposure to general practice
• At least six specialties
• Common curriculum

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The West Yorkshire Foundation School

• Was born in the summer of 2004, presented to
  the student Job Fair in June, accepted
  applications in November and began in August 2005
• Involves NHS organisations from Airedale,
  Bradford, Calderdale, Dewsbury, Harrogate,
  Huddersfield, Leeds, Pontefract Wakefield
• Foundation Schools are linked to medical schools
• Has a website www.wyfs.nhs.uk

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Which School?

• Where is it?
• How difficult to get in?
• One or two year programmes?
• Acute medicine in F2?
• Opportunities for primary care?
• Generic skills programme?
• Does it matter?

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The application process

• MDAP 2006 died
• MTAS 2007 died
• UK Foundation Programme Recruitment 2008 survived
• www.foundationprogramme.nhs.uk

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Recruitment process

• On line process
• Personal details
• Complete application form
• Rank Foundation Schools
• Matched to School
• Local process to match to programme

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Recruitment process 2008

• Academic quartile
• 30, 35, 40, 45.
• Application form score
• 55
• ? Matched to Foundation School
• Interview, 28th January or 1st February
• ? Matched to individual F1 post

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Why interview?

• To avoid employing overseas graduates whose
  communication skills are not reflected by their
  academic / application form score
• To permit interview performance to influence post
  distribution

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Recruitment process 2009

• Academic quartile
• 34, 36, 38, 40.
• Application form score
• 60
• ? Matched to Foundation School
• ? Interview
• ? ? Matched to individual F1 post

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Which programme?

• Where is it?
• Did I like it as a student?
• Will it help with career decisions?
• Is it for one or two years?
• If one, how is F2 programme determined?
• Does it matter, will it affect my career?

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WYFS intake 2007 - 1
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WYFS intake 2007 - 2
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WYFS intake 2007 - 3

• WYFS offered a place to every applicant who put
  us first
• 184 Leeds graduates entered the School

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UKFPO 2008 - over subscribed
School Applicants Posts
North Central Thames 448 340
North East Thames 320 300
North West Thames 562 266
South Thames 949 843
Northern Ireland 242 234
Scotland 801 766
Oxford 239 228
Severn 309 287
South Yorkshire 207 189
West Yorkshire 288 280
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UKFPO 2008 - under subscribed
School Applicants Posts
Birmingham Shropshire Staffordshire 266 352
Black Country 90 94
Coventry and Warwick 85 94
East Anglian 211 290
Hereford and Worcester 52 73
Leicestershire Northamptonshire Rutland 149 152
Mersey 234 293
North Western 500 540
North Yorkshire East Coast 78 171
Northern 298 392
Peninsular 185 198
Trent 237 295
Wales 275 320
Wessex 211 241
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How is the WYFS organised

• Foundation School Director
• 14 FTPDs
• 1 GP FTP co-ordinator
• 270 educational supervisors
• Many clinical supervisors
• 1 Foundation School manager
• 2 clusters
• Educational and administrative team

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Foundation programmes

• Trainee centred
• Competency assessed
• Service based
• Quality assured
• Flexible
• Coached
• Structured and streamlined

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The trainee

• Will benefit from individualised training
• Shift in emphasis from service delivery towards
  educational component
• Will make earlier, informed and accurate career
  choices

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Competency assessment

• Tools of the trade
• MSF
• DOPS
• Mini-cex
• CBD
• Inter-professional component
• Needs to build on undergraduate skills portfolio
• Is formative

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Service based

• Team / Firm structure remains - just!
• Practice structure remains
• Requires effective communication between
  employers and the school
• Workload monitoring
• Professional responsibility
• Not students - for now!

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Quality Assurance

• Trainee appraisal performance monitoring
• Trainee assessment monitoring
• Attendance at educational events
• Trainee placement assessment feedback
• Deanery visits
• PMETB trainee confidential survey
• GMC, PMETB - Deanery

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Structured and streamlined

• Good geographical basis
• Good local organisation
• Effective F1 to F2 transition
• Effective management and administration
• Electronic portfolio

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Flexible

• Responsive to needs of trainee
• Adapt to trainee career aspirations
• Adapt to trainee personal situation
• Currently only entry into specialist training is
  in August

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Coached

• Contact between supervisors and trainees will
  increase
• Quality and delivery of educational component
• Support from FTPDs
• Careers advice

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The Careers Centre is on Cromer Terrace 3
minutes walk from the Union
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What are they looking for?

• What do they want? Use the person specification
  as the checklist
• www.foundationprogramme.nhs.uk/download.asp?file
  FINAL_2008_Person_Specification.pdf
• Eligibility, Qualifications, Clinical Knowledge
  Skills, Language Skills, Personal Skills,
  Probity.

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The Questions

• Generally 150 words, 8 points
• Non-academic achievement
• Academic achievements (250 words, 5 points)
• Dealing with pressure/challenge
• Prioritise tasks/information.
• Understanding importance of team work.
• Professional behaviour.
• Individual needs of the patient (250 words, 10
  points)
• www.foundationprogramme.nhs.uk/pages/ home/ap
  plication-form

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Tips from Handbook

• www.foundationprogramme.nhs.uk/download.asp?fileF
  oundation_Applicants_Handbook.pdf

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Structure your answers

• Situation or
• Task
• Action / Activities
• Result / Reflection

• Context
• Action
• Result

• Brief intro/scene setting
• bulk of answer concentrates on actions/evidence
• finish with positive outcome (-ve ve via
  reflection)
• Can be applied to interviews

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Top Tips

• Pick a range of activities/achievements
• Dont rely on the scorer presuming anything
• Spell out activities, give examples/evidence
• They cant score what isnt there
• Negative indicators will lose you marks
• Follow all instructions/Answer all questions
• Do not lie. Do not plagiarise

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Top Tips

• Be wary of making negative statements.
• I personally feel that I lack these leadership
  qualities.
• Avoid applying for your colleagues -We..
• Dont be passive be active positive
• The post required organisation skills
• PLEASE DO NOT TYPE IT ALL IN UPPERCASE
• Double check spelling and grammar
• I want to use my brian I am gaol oriented
• Use a WP Keep a copy

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http//www.gmc-uk.org/concerns/hearings_and_decisi
ons/ftp/ftp_panel_varma_20060919.asp
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Example AnswerPlanning Organisation

• Progression through the undergraduate programme
  is a testament in itself to the planning and
  organisational skills I have harnessed.
• Scored 0

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Example AnswerTeamwork

• A friend of mine could not walk home after a
  boozy night so four of us carried her home. Even
  though she was of slight stature, we had quite a
  lot of difficulty carrying her. On reflection, it
  would have been so much easier had we worked as a
  team instead of pulling her in different
  directions. Similarly, I have seen that teamwork
  in the hospital setting increases efficiency.
• Scored 0

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Employment prospects!

• In 2007 251 trainees received FACD
• Of these 212 completed both years
• Of these 203 entered specialty training (96)
• Of the 9 without a job 4 graduated overseas
• 98 of Leeds graduates entered specialty training
• All those unsuccessful are repeating F2

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How do we ensure F2s make successful ST1
applications and are successful in specialty
training?

• Simply deliver generic training to a high
  standard
• Enhance Foundation training to prepare trainees
  for specialty training
• Postgraduate exams
• Career tasting
• Taught courses
• Themed rotations

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Is it all worth it?
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Medical professionalism

• Public trust and confidence will continue to be
  based upon
• competent practice
• commitment to care
• good character of the practitioner

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Is the profession trusted?
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Consultant salary 2006
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Good luck!