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Jean Allan, Executive Manager, Medical Directorate The Medical Training Journey

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At the end of year one- subject to satisfactorily achieving the relevant ... December of year 2- application for Specialty Training ... Or not.overseas? Further study? ... – PowerPoint PPT presentation

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Title: Jean Allan, Executive Manager, Medical Directorate The Medical Training Journey


1
Jean Allan, Executive Manager, Medical
DirectorateThe Medical Training Journey
2
  • THE MEDICAL TRAINING JOURNEY
  • 1.Undergraduate Foundation Seamless
  • Transition
  • 2. Foundation Specialty training
  • 3. Specialty training Consultant
    appointment
  • Three simple steps.more about options than
    hurdles

3
Undergraduate to Foundation training
  • Medical degree course lasts five years- option
    of intercalated degree
  • Exposed to all specialties throughout- direct
    and indirect patient contact
  • through clinical placements and simulated
    scenarios
  • Starting to think about career choices
  • Beginning of final year- September- already
    applying for Foundation-
  • what programmes to choose? Two years is a long
    time..
  • By December will know where they will be starting
    training.
  • Graduation permitting!

4
Foundation training
  • Two year programme- 6 X 4 month blocks August
    to August
  • Induction at each stage
  • Generic programme- but exposure to specialties
    other than medicine and
  • surgery to help inform future career choice
  • Ongoing assessment- workplace based, educational
    supervisors reports
  • At the end of year one- subject to
    satisfactorily achieving the relevant
  • competencies- move from Provisional to Full
    registration with the General
  • Medical Council.
  • December of year 2- application for Specialty
    Training
  • Or not..overseas? Further study?

5
Scottish Medical Training
  • Recruitment-
  • Information- being fully aware of all the
    facts/opportunities
  • Application- several at ST1 level across a number
    of specialties
  • Shortlisted
  • Interviewed
  • Offered a place on a programme..

6
Specialty Training
  • August to August
  • First placement allocated
  • Induction
  • Ongoing assessment- workplace based, educational
    supervisors reports
  • Ten months from start of training- first Annual
    Review of Competence Progression- ARCP
  • -formalised evaluation of
    progress against a set of predefined
    criteria

7
Iterative process
  • Satisfactory ARCP-progress to next training year
  • Next Placement allocated- rotate August -
    ongoing assessment- ARCP
  • Leading to Certificate of Completion of
    Training-CCT
  • Final year of training already looking for a
    Consultant post- eligible for interview six
    months pre CCT
  • Consultant post- very similar to Specialty- but
    even more established at personal level.no
    longer the job for life .

8
Other factors which impact on /influence training
  • Ongoing assessment- exams at different stages
    depending on specialty
  • Taking time out of training for further clinical
    or research experience
  • Failure to progress- targetted training
  • Personal circumstances- linked applications
  • -
    Flexible training
  • - work
    life balance
  • - ill
    health
  • - carer
    responsibility
  • Availability of posts service redesign

9
Typical Journey
Consultant Appointment
GP Min Age 28 Psychiatry Min Age 29
Enter Specialty Training
Min Age 25
Enter Foundation Programme
Min Age 23
Medical School
Min Age 18
10
Training is very complex and doctors have a
number of options and decisions to make at each
stage. To assist with this it is the Medical
Directorates aim that Wherever you are in
Scotland either as a Training Programme
Director or Trainee the systems and processes
should be the same
With Clear lines of Accountability and Clear
and accurate information at any time
11
  • Questions??
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