Incorporating:
The Churchill Hospital
General Practice within Oxford and Banbury
The Horton General Hospital
The Nuffield Orthopaedic Centre
The John Radcliffe Hospital
Oxford Health
A HANDBOOK FOR
FOUNDATION DOCTORS
Produced by the George Pickering Education Centre
August 2015
Welcome to the Oxford University Hospitals NHS Trust.
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.
Good luck with the programme.
Dr Stuart Benham, Dr Asima Bokhari, Mr Alex Lee, Dr Jim Newton and Dr Ruth
Webster
Foundation Training Programme Directors
Dr Sue Burge and Miss Grizelda George
Training Programme Directors with a special interest in Teaching
Chantal Vermenitch – Medical and Dental Education Manager (all posts in the
Oxford locality)
Liz Clarke – Education Centre Manager (all posts in the Banbury locality)
2
CONTENTS
Page
Introduction
5
Contact Details
Key Personnel
Responsibilities of the Foundation Doctor
6
10
12
The Training Programme
13
ePortfolio
The Curriculum and PDP
Supervised Learning Events, Assessment and Appraisal
Teaching and Education
Study Leave, ALS Funding and Taster Weeks
14
14
15
19
24
Support
25
Careers Advice and Planning
Should Things Go Wrong
26
28
Quality Assurance
31
Educational Approval of Posts
Storage of Information
Feedback on Training Posts
32
32
32
Other
33
Trainer of the Month
Further Information and Reading
Notes
Disclaimer
34
36
38
39
3
4
INTRODUCTION
5
CONTACT DETAILS
1 DIRECTOR OF MEDICAL EDUCATION
Professor Peter Sullivan
Contact Details
peter.sullivan@paediatrics.ox.ac.uk
2 FOUNDATION TRAINING PROGRAMME DIRECTORS
All posts in the Oxford locality
1 Dr Stuart Benham
2 Mr Alex Lee
3 Dr Jim Newton
4 Dr Sanja Thompson
5 Dr Ruth Webster
Contact Details
stuart.benham@ndcn.ox.ac.uk
alex.lee@ouh.nhs.uk
jim.newton@ouh.nhs.uk
sanja.thompson@ouh.nhs.uk
ruth.webster@ouh.nhs.uk
All posts in the Banbury locality and Cardiology
Dr Asima Bokhari
Contact Details
asimabokhari@aol.com
6
3
CENTRE STAFF
1 Chantal Vermenitch
Medical and Dental Education Manager
– all posts in the Oxford locality
Contact Details
chantal.vermenitch@ouh.nhs.uk
2 Liz Clarke
Education Centre Manager – all
posts in the Banbury locality
liz.clarke-pgec@ouh.nhs.uk
3 Linda Kempson
F1 Medical Education Administrator
- all posts in the Oxford locality
linda.kempson@ouh.nhs.uk
4 Paula Sabin (maternity leave)
F1 Medical Education Administrator
- all posts in the Banbury locality
mededhgh@ouh.nhs.uk
5 Edit Greenhill
F2 Medical Education Administrator
- all posts
Foundation Programme Study Leave & ILS
Officer
edit.greenhill @ouh.nhs.uk
6 Becca Hodgson
Becca.hodgson@ouh.nhs.uk
Educational and Clinical Supervisors Administrator
- all posts in the OUH
F1 Week Long Shadowing Administrator
George Pickering Education Centre
John Radcliffe Hospital
Headley Way
Headington
Oxford OX3 9DU
Terence Mortimer Education
Centre
The Horton General Hospital
Oxford Road
Banbury OX16 9AL
Fax: 01865 220651 (George Pickering Education Centre)
Website address: www.ouh.nhs.uk/education-centres
7
5
MEDICAL STAFFING
Contact Details
Medical Staffing Manager
Laura Bick
Tel: 01865 (2)28714
Fax: 01865 (7)43468
Laura Bick@ouh.nhs.uk
Medical Staffing Address
Block 229, Carillion Building
John Radcliffe Hospital
Headley Way
Headington, Oxford OX3 9DU
6
FOUNDATION SCHOOL/ HEALTH EDUCATION ENGLAND – THAMES
VALLEY (HETV)
Contact Details
Contact Details
www.thamesvalley.hee.nhs.uk
Tel: 01865 785500
1 Dr Anne Edwards
Foundation School Director
anne.edwards@thamesvalley.hee.nhs.uk
2 Generic email address
foundation@thamesvalley.hee.nhs.uk
7
EDUCATIONAL SUPERVISORS
You will find the name and contact details of your Educational Supervisor in
your Foundation Programme Welcome pack.
8
8
FTPDs
All FTPDs are linked to specialties.
1
FTPD
Dr Stuart Benham
Specialty
 Clinical Placements for Academic Trainees
 General Medicine – JR
 NOC – Bone Infection Unit, Orthopaedic
Surgery
2
Dr Asima Bokhari




General Practice posts in the Banbury locality
Horton General Hospital – all posts
Psychiatry posts in the Banbury locality
Cardiology
3
Mr Alex Lee





Anaesthetics and Intensive Care Medicine
Chemical Pathology
ENT, OMFS, Ophthalmology, Plastic Surgery
Neuro ICU, Neurology and Neurosurgery
Paediatrics
4
Dr Jim Newton








Cardiothoracic Surgery
Emergency Medicine
Gastroenterology
Geratology
Histopathology
O&G
Paediatric Surgery
Trauma
5
Dr Sanja Thompson



General Practice posts in the Oxford locality
Psychiatry posts in the Oxford locality
Public Health medicine in the Oxford locality
6
Dr Ruth Webster


Churchill Hospital – GUM, Head and Neck
Oncology, Haematology, Oncology, Renal
Medicine, Dermatology
General Surgery - JR and Churchill

Academic Leads
7
Dr Graham Collins
Professor Helen McShane
9
KEY PERSONNEL
1
DIRECTOR OF MEDICAL EDUCATION
The Director of Medical Education manages postgraduate medical and dental
education for the Oxford University Hospitals 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 (maternity leave) 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.
3
FOUNDATION TRAINING PROGRAMME DIRECTORS (FTPDs)
These individuals will be responsible for the overall management and quality
assurance of the Foundation Programme consisting of 20-40 placements. The
Programme Director will ensure that each placement of the Foundation
Programme meets the Deanery standard for training and that each foundation
doctor is able to access a comprehensive range of experiences which will
enable them to gain the competencies necessary for full registration and
completion of the Programme. You will be linked to a FTPD for the year.
Details of your FTPD will be in your Welcome letter.
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 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.
10
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 supervisor’s 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.
The Clinical Supervisor is allocated by your Department.
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.
11
RESPONSIBILITIES OF THE FOUNDATION DOCTOR
As outlined by the Director of Medical Education and Foundation Training
Programme Directors, with respect to the in-work assessment programme, the
responsibilities of the foundation doctor are that they:
1
Abide by the conditions of taking up a training post
2
Demonstrate professional behaviour in line with Good Medical Practice
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
5
Become fully involved in the educational, supervised learning and assessment
processes, including attending core generic training sessions, meeting regularly
with your educational and clinical supervisors and maintaining an up-to-date
ePortfolio
6
Take part in the school’s career-management process to help you match your
skills, interests and ambitions with the available opportunities
7
Take part in systems of quality assurance and quality improvement in your
clinical work and training. In particular, foundation doctors should complete the
GMC trainee survey, the F2 outcome survey, and end of placement or end of
year surveys required by the deanery/foundation school.
12
THE TRAINING PROGRAMME
13
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 doctor’s 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.
Engaging with the ePortfolio is mandatory.
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 2012 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
Curriculum Outcome Linking
Foundation doctors must use this section of the ePortfolio to plan how you intend to
acquire the knowledge, develop the competences and demonstrate the outcomes,
which are required for satisfactory completion of your training. This section will also
allow you to record evidence that you have achieved and maintained each outcome.
Each outcome must be rated by the foundation doctor and educational supervisor.
Personal Development Plan (PDP)
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 competition of the Foundation Programme. It should also be mapped
to the Curriculum. The PDP should form the basis of all appraisal discussions.
14
SUPERVISED LEARNING EVENTS, ASSESSMENTS AND APPRAISAL
The key principles of the assessment and supervised learning events (SLEs)
process is to:
1.
highlight achievements and areas of excellence
2.
promote regular feedback
3.
supply and demonstrate evidence of progression linked to the
Curriculum
4.
identify doctors who may need additional help
1
SUPERVISED LEARNING EVENTS
SLEs are not assessments – you cannot pass nor fail an SLE – but you can fail to
engage with the learning process. You, with the support of your supervisors, are
responsible for arranging SLEs.
SLEs use the following tools:
1.
2.
3.
4.
Mini-clinical evaluation exercise (Mini-CEX)
Direct Observation of Procedural Skills (DOPS)
Case Based Discussion (CBD)
Developing the Clinical Teacher

Each type of SLE must cover a spread of different acute and long-term
aspects of patients’ conditions.

A different teacher/trainer should be used for each SLE wherever possible,
including at least one at consultant or GP level per placement. Others can
include SASG, SpR, StR (level 3 or above) doctors, nurses or an
appropriate allied health professionals. The educational or clinical
supervisor should also perform an SLE. Teachers/trainers should have
sufficient experience of the area under consideration, typically at least
higher specialty training (with variations between specialties); this is
particularly important with CBDs.
Foundation doctors cannot complete these forms for other doctors.

Each SLE must be demonstrated using the appropriate form on the
ePortfolio
15
1.
2.
Mini CEX (Clinical Evaluation Exercise)
Mini CEX is a snapshot of a doctor/patient interaction. It is designed to assess
the clinical skills, attitudes and behaviours of trainees essential to providing high
quality care.

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 – 3 or more per placement is recommended
DOPS (Direct Observation of Procedural Skills)
This is a structured checklist for giving feedback on the foundation doctor’s
interaction with the patient when performing a practical procedure.

This is optional to supplement mini-CEX. A maximum of 3 DOPS
assessment forms to be completed each year.
You must complete a total combination of 9 Mini CEXs and DOPS
per year.
2.
CBD (Case-based Discussion)
This is a structured discussion with your supervisor about a clinical case you
have been involved in. It is designed to assess, in particular, clinical reasoning
and judgement and will focus on the actual written record in a patient’s notes.

Each CbD must represent a different clinical problem sampling one of the
acute care, chronic illness, psychiatric care etc

A minimum of 6 CbD assessment forms needs to be completed each year.
3. Developing the Clinical Teacher
This is a tool to aid the development of a foundation doctor’s skill in teaching and/or
making a presentation and should be performed at least once a year. The foundation
doctor will be encouraged to develop skills in preparation and scene-setting, delivery
of material, subject knowledge and ability to answer questions, learner-lead and
overall interaction with the group. The Developing the Clinical Teacher form on the
ePortfolio must be used to demonstrate this.
16
2
ASSESSMENTS
There are 5 different types of assessments:
1.
2.
3.
4.
5.
6.
Core Procedures (F1 only)
Team Assessment of Behaviour (TAB)
Clinical Supervisor’s End of Placement Report
Educational Supervisor’s End of Placement Report
Educational Supervisor’s End of Year Report
Academic Supervisor’s End of Placement Report
Patients cannot complete any of the assessments.
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.
F2 doctors do not need to complete core procedures.
2. TAB (Team Assessment of Behaviour)
This assessment uses a questionnaire to collate views on how you are doing
from a range of co-workers, as well as a self-rating form. You and your
educational supervisor will agree on 15 raters/assessors to approach. A
minimum of 10 satisfactory returns are required. You must also complete a
Self-TAB before you can ask for assessments from others. The completed TAB
can only be released by your Educational Supervisor.
Two TABs are required for the year and the TAB rounds are as follows:
Round 1 – November 2015
Round 2 – March 2016
The recommended mix of raters is as follows:
 Doctors more senior than F2, including at least one consultant who is your
educational or clinical supervisor or GP principal. You cannot nominate
F1 nor F2s.
 Senior nurses (band 5 or above)
 Allied health professionals
 Other team members including ward clerks, secretaries and auxiliary staff
3. Clinical Supervisor’s End of Placement Report
Towards the end of each placement, the foundation doctor and clinical supervisor
will meet to complete a summative assessment of the foundation doctor’s overall
performance and progress in the placement. The outcome of this assessment
should be agreed by both the foundation doctor and the clinical supervisor and
recorded in the doctor’s ePortfolio using the Clinical Supervisor’s End of
Placement Report form.
17
4. Educational Supervisor’s End of Placement Report
The educational supervisor’s end of placement report requires review of the
clinical supervisor’s 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 doctor’s ePortfolio Educational Supervisor’s End of Placement
Report form.
5. Educational Supervisor’s End of Year Report
This is an overall professional assessment and judgment of the foundation
doctor. Placement reports are drawn together by the educational supervisor in an
Educational Supervisor’s End of Year Report. This will form the basis of the
FTPDs’ recommendation regarding satisfactory completion of F1 and F2.
APPRAISALS
1
Annual Review of Competency Progression (ARCP)
Both F1 and F2 doctors will have an ARCP towards the end of each foundation year.
The ARCP provides a formal process for reviewing foundation doctors’ progress
which uses the evidence gathered by them and supplied by their supervisors.
Foundation doctors will be given notice to ensure that their ePortfolios are up to date
and so that they can meet with their educational supervisor to complete the required
reports, including the end of year report.
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 Supervisor’s 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
Certificate of Experience. 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 ARCP’s Panel’s 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 doctor’s ability to take on
increasing levels of responsibility, and will be marked by the issuing of a Foundation
Achievement of Competence Document (FACD).
2
Interim Training Review (ITR)
Foundation doctors may be required to attend one or more ITRs throughout the year
in order to review their progress in the Foundation Programme. Details of the ITR
schedule will be made available as and when required.
18
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
TEACHING AND EDUCATION OFFERED BY/HELD THROUGH THE
EDUCATION CENTRES
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:
Number of hours attended
Number of hours offered
x
100
=
attendance %
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.
1
a
Mandatory F1 Tuesday Teaching Programme at the George Pickering
Education Centre = 1 hour per week
This programme is aimed at the F1s who will be training at posts at the JR, NOC,
Churchill Hospital and Psychiatry (Oxford).
The teaching takes place on Tuesday from 12.30-1.30pm.
Or
b
Mandatory F1 Wednesday Teaching Programme at the Terence Mortimer
Education Centre = 1 hour per week
This programme is aimed at the F1s who will be training at posts at the Horton
General Hospital, Psychiatry (Banbury).
The teaching takes place on Wednesday from 1.00-2.00pm.
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.
19
2
Case Based Discussion
a
Case Based Discussions = 1 hour
The George Pickering Education Centre offers Case Based Discussions teaching on
a Wednesday from 12.30-1.30pm. If you bring a case to present for the session (two
are presented each time), the session facilitators have agreed to complete a ‘CbD
(Case Based Discussion)’ Supervised Learning Event form for you.
Or
b
Weekly Information Case Discussions (WICeD) = 1 hour
The Terence Mortimer Education Centre offers Weekly Information Case
Discussions (WICeD) every Tuesday from 1.30 to 2.30 pm. This is case based
teaching.
You will be required to attend 5 of either over the year.
3
ALERT (Acute Life-threatening Events Recognition & Treatment) Course
= 7 hours
This is a one day course which trains health care professionals to recognise and
treat the critically ill ward patient. These particular courses have been specially
tailored to a Foundation Year 1 Doctor’s training needs and have also been adapted
to the requirements of the OUH Trust hospitals.
4
Simulation Training = 6 hours
You will be offered a session of simulation training which is run in conjunction with
OXSTaR.
5
Careers Workshops – March/April 2016 = 3 hours
This workshop is aimed at doctors contemplating which specialty to apply for. What
do you want out of your career? What are the routes into training? What's the
bigger picture in medical education and how is it changing? With exercises to help
you assess your skills and aptitudes and reflect on your experiences in medical
school and the Foundation Programme so far. A detailed handbook helps you
identify factors that may affect your choice of specialty and provides a framework for
action planning (see page 28 for further information).
Falling Below the 70% Teaching Attendance
Foundation doctors are required to attend at least 70% of the teaching outside of
nights, leave, study leave, etc. However, if your attendance level overall falls below
70% you must complete self-directed learning to make up for the shortfall and
evidence of this must be provided on the ePortfolio.
One attendance register is held between the Education Centres.
20
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:
Number of hours attended
Number of hours offered
x
100
=
attendance %
MANDATORY TEACHING
The George Pickering Education Centre runs the following programme for all
year 2 doctors regardless of post placement:
1.
Fortnightly Mandatory F2 Teaching


2.
Second Monday of each month 2.00–4.00 pm = up to 2 hours
Fourth Wednesday of each month 2.00-4.00pm = up to 2 hours
Simulation Training = 6 hours
You will be offered a session of simulation training which is run in conjunction
with OXSTaR.
3.
Careers Workshops – September/October 2015 = 3 hours
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 (see page 28 for further information).
Falling Below the 70% Teaching Attendance
Foundation doctors are required to attend at least 70% of the teaching outside
of nights, leave, study leave, etc. However, if your attendance level overall
falls below 70% you must complete self-directed learning to make up for the
shortfall and evidence of this must be provided on the ePortfolio.
21
OPTIONAL Teaching
This does not count toward you 70% attendance rate, although attendance is
strongly encouraged.
1
Case Based Discussions
The George Pickering Education Centre offers Case Based Discussion teaching on
a Wednesday from 12.30-1.30pm. If you bring a case to present for the session (two
are presented each time), the session facilitators have agreed to complete a ‘CbD
(Case Based Discussion)’ Supervised Learning Event form for you.
2
Weekly Information Case Discussions (WICeD)
The Terence Mortimer Education Centre offers Weekly Information Case
Discussions (WICeD) every Tuesday from 1.00 to 2.30 pm. This is case based
teaching.
2
COURSES FOR F2 DOCTORS
The Centres run the following courses for F2 doctors and above:
 Advanced Communication Skills
 Court Skills in a Day
 From Foundation to Specialty
 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.
22
3
OTHER TEACHING AND EDUCATION
1
Foundation Programme Website
This resource aims to assist foundation doctors in improving their
knowledge and understanding of the generic and clinical topics as set
out in the Curriculum. There is a wealth of resources available,
including eLearning modules, to help consolidate and develop
knowledge and skills to deliver safe and effective patient care.
www.foundationprogramme.nhs.uk
2
Oxford University Hospitals Trust Website
Details of other teaching which takes place in the Trust can be found at
the following link www.ouh.nhs.uk/education-centres
3
Many of the departments which have foundation doctors also have
‘in house’ training and education sessions. Please check with the
department or look on the Education Centres’ noticeboards for
further details.
4
ALS, APLS, ATLS, ATLS Reverification and ATLS instructor, ILS
NLS and EPLS
Contact: http://ouh.oxnet.nhs.uk/Resuscitation/Pages/default.aspx
5
www.123doc.com offers doctors a one stop service combining
medical lecture course, online e-study, online video lectures, books
and detailed revision materials
6
www.doctors.net.uk runs a series of online educational modules
that have essential information to help you look after your patients and
yourself. All modules are accredited by the UKCEA, RCP or RCOA
respectively.
7
www.e-lfh.org.uk has foundation training modules
8
www.learning.bmj.com provides over 300 learning resources for
doctors in primary and secondary care.
9
www.Onexamination.com provides online revision for medical
examinations.
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.
23
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.
The study leave year runs from August – July.
RETROSPECTIVE STUDY LEAVE APPLICATIONS WILL NOT BE ACCEPTED
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 edit.greenhill@ouh.nhs.uk.
24
SUPPORT
25
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? What’s 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.
Careers workshops are held at both Centres and are mandatory.
George Pickering Education Centre
Formal careers advice should be sought from your educational supervisor in
the first instance. Appointments can also be made to see one of the
foundation training programme directors. Further advice can be sought via the
George Pickering Education Centre.
Terence Mortimer Education Centre
Careers advice is available from the foundation training programme director
via an appointment made through the EducationCentre.
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.
George Pickering Education Centre
Formal careers advice should be sought from your educational supervisor in
the first instance. Appointments can also be made to see one of the
foundation training programme directors. Further advice can be sought via the
George Pickering Education Centre.
Terence Mortimer Education Centre
Careers advice is available from the Foundation Training Programme
Director via an appointment made through the Education Centre.
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3
SPECIALTY AND DEPARTMENTAL CONTACTS
George Pickering Education Centre
The Centre can provide you with details of college tutors and departmental
contacts that will be able to provide you with career advice about a particular
specialty.
Terence Mortimer Education Centre
The Centre can provide you with details of college tutors who will be able to
provide you with career advice about a particular specialty.
4
CAREERS FAIR
BMA careers fairs are held nationally.
5
CAREERS ADMINISTRATORS
George Pickering Education Centre
For details of the careers workshops please contact Linda Kempson for F1
and Edit Greenhill for F2.
Terence Mortimer Education Centre
For details on the careers workshops please contact Liz Clarke at the Terence
Mortimer Education Centre.
6
DELIVERING CAREERS ADVICE
The following are organisations that offer or have careers advice:
1 The British Medical Journal (BMJ) Careers www.bmjcareers.com
2 NHS Careers www.nhscareers.nhs.uk
3 British Medical Association www.bma.org.uk
4 Medical Forum www.medicalforum.com
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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
Centre for Occupational Health and Wellbeing
The Occupational Health consultants have a special interest in the health and
wellbeing of doctors, and offer a confidential and supportive service.
John Radcliffe Hospital
Horton General Hospital
– 01865 223325
– 01295 229442
Education Centres
Chantal Vermenitch - Medical Education Manager
George Pickering Education Centre
chantal.vermenitch@ouh.nhs.uk
Liz Clarke - Medical Education Manager
Terence Mortimer Education Centre
Liz.clarke-pgec@ouh.nhs.uk
2
OUH TRUST POLICIES
Addressing Bullying & Harassment
Raising Concerns at Work (Whistleblowing)
Internal confidential email address: raiseconcerns@ouh.nhs.uk
Confidential telephone no: 01865 (2)28720
http://ouh.oxnet.nhs.uk/Pages/WelcometothePoliciesPages.aspx
3
HEALTH EDUCATION THAMES VALLEY SERVICES
Professional Support Unit (PSU)
The PSU at Health Education Thames Valley (Oxford Deanery) provides a
comprehensive career development service for all doctors including, help for
individual doctors and an advisory service for other agencies with responsibility for
governance.
psu@thamesvalley.hee.nhs.uk
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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
British Medical Association
The BMA offers support for employment, professional, ethical and personal matters.
The doctors for doctors counselling service is available 24/7. Tel: 08459 200 169 or
01455 254 189.
www.bma.org.uk
British Doctors and Dentists Group
The BDDG is a service for recovering alcoholic and drug dependant doctors,
dentists, and students.
Tel: 0779 2819 966
www.bddg.org
Doctors Support Network
Anonymous confidential peer support.
Tel: 0844 395 3010
www.dsn.org.uk
Medical Defence Union
www.themdu.com
The Medical Protection Society
www.medicalprotection.org/uk
Narcotics Anonymous
Tel: 0300 900 1212
www.ukna.org
Psychiatrists’ Support Service – Royal College of Psychiatrists The PSS at the
RCPsych is a confidential support and advice telephone line for psychiatrists who
find themselves in professional difficulty.
Tel: 0207 245 0412
pss@rcpsych.ac.uk
www.rcpsych.ac.uk/pss
The Samaritans
Tel: 08457 909090 (UK)
www.samaritans.org.uk
29
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
30
QUALITY ASSURANCE
31
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.
FEEDBACK ON TRAINING POSTS
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.
32
OTHER
33
TRAINER OF THE MONTH AWARDS
2014-2105
As nominated by the Foundation Doctors
1. Dr Quentin Ainsworth – Consultant Cardiothoracic Anaesthetist
2. Dr Sophie Arndtz – Specialty Registrar
3. Mr Dan Armstrong - Orthopaedic Hand Fellow
4. Dr Adam Bailey – Consultant Gastroenterologist
5. Mr Ashwath Bandi - Paediatric Surgery Registrar
6. Dr Graham Barker – ICU Consultant
7. Miss Catherine Bradshaw - Paediatric Surgery Registrar
8. Dr Simon Chamberlain – Consultant Anaesthetist
9. Dr Shona Chung – CTCC Anaesthetic Fellow
10. Dr Tom Cosker – Senior Orthopaedic Fellow
11. Dr Tania Davison - Paediatrics Speciality Doctor
12. Mr Nicholas De Pennington – Neurosurgery Registrar
13. Dr James East – Consultant Gastroenterologist
14. Dr Susannah Eves – Surgical Registrar
15. Mr James Fitzgerald – Consultant Neurosurgeon
16. Mr Sinclair Gore – Plastic Surgery Consultant
17. Mr George Grammatopoulos – Orthopaedic Registrar
18. Mr Max Gibbons – Orthopaedic Consultant
19. Dr Catherine Grebenik – consultant Cardiothoracic Anaesthetist
20. Dr David Hallsworth – Anaesthetic Registrar
21. Mr Shwan Henari – Orthopaedic Registrar
22. Dr John Hughes – Specialty Registrar
23. Mr Irfan Kabir - Paediatric Surgery Registrar
24. Dr Harshan Lamabadasuriya – Locum Paediatric Consultant
25. Dr David Lewis – Consultant Physician
26. Dr Josephine Lightowler – Acute Medical Consultant
27. Dr John Livesey – CT1 ACCS
28. Dr Antonia Lloyd-Lavery – Dermatology Registrar
29. Dr Jose Lomas– Infectious Diseases Consultant
30. Dr Sanjiv Manek - Consultant Histopathologist
31. Mr John McMaster – Trauma and Orthopaedic Consultant
32. Dr Stuart McKechnie - ICU and Anaesthetic Consultant
33. Professor Niall Moore – Consultant Radiologist
34. Mr Mike Mota – Ophthalmology Registrar
35. Dr Jim Newton – Consultant Cardiologist
36. Dr Barbara Onen – CT2 Medicine
37. Dr Eugene Ong - Core Medical Registrar
38. Dr Harish Patel – Specialty Registrar
39. Mr Puneet Plaha – Consultant Neurosurgeon
40. Dr Kim Rajappan – Consultant Electrophysiologist
41. Mr Alex Ramsden – Consultant Plastic and reconstructive Surgeon
42. Dr John Reynolds – General Internal Medicine Consultant
43. Dr Charles Roehr – Neonatologist
34
44. Dr John Ryan – Specialty Registrar
45. Dr Claire Skerritt - Paediatric Surgery Registrar
46. Dr Justin Sims – Paediatric Consultant
47. Dr Sophie Tanner – CMT Registrar
48. Mr Hemanshoo Thakkar – Paediatric Surgery Registrar
49. Dr Julia Thompson – Specialty Registrar
50. Dr Richard Turner – Consultant Dermatologist
51. Ms Silke Wagener – Paediatric Surgery Consultant
52. Mr Duncan Whitwell – Orthopaedic Consultant
53. Dr Chris Zammit – General Medicine Consultant
35
FURTHER INFORMATION AND READING
1
LITERATURE
1. Good Medical Practice – General Medical Council (2013)
2. The Foundation Training Curriculum – The Foundation Programme
Office (2012)
3. The Foundation Reference Guide – The Foundation Programme Office
(2012)
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 (2010)
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
36
1
Royal College and Faculty Websites
1.
Acute Care Common Stem - www.accsuk.org.uk
2.
College of Emergency Medicine - www.collemergencymed.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
37
NOTES
38
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.
39