medical education and the future patricia hamilton director of medical education (england)
Post on 13-Dec-2015
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MEE
• Coherent professional voice on education and training
• Coordination of changes to postgraduate training pathway
• Integration of service and professional perspectives
MEE
• Professional high level scrutiny of and advice on the quality of workforce planning at national level;
• Professional scrutiny of and advice on the education and
training commissioning plans developed at SHA level
FoundationProgramme
Selection Overall review
Shadowing
Core training forUncoupledSpecialities
SpecialityTraining
General Practice
Speciality Training
CCT for entryto the
SpecialistRegister
ConsultantCPD life
long learning
CCT for entryTo the
GP register
GPCPD life
long learning
Selection Credentialing
Broad based entry
Extension of training
Credentialing48 hour Quality
Accreditation of supervisors
Use of simulationLeadership
New specialties
Workforce planningCommissioning quality
Workforce planning
Time for Training
A review of the impact of the European Working Time Directive on the quality of trainingProfessor Sir John Temple
BUT
“This is precluded when trainees have a major role in out of hours service, are poorly supervised and access to learning is limited”
Positive impact where well implemented
• Good rota design
• Involvement of experienced doctors
• Enhanced supervision
• Increased training opportunities
• Improved patient safety and experience
• Better work/life balance
Problems
• Gaps in rotas
• Emergency/OOH workloads
• Traditional apprenticeship models
• Current pattern of service
Implement a consultant delivered service
• Direct responsibility 24/7
• Work more flexibly
• Align with CCT holder output
• Consultant contract
• Reward consultant trainers
• How will we afford this?
Response from SoS
To bring the Directive back to the European Commission in order to limit its impact on UK health services
• Not to go back to the past with tired doctors working long hours
• To align the New Deal with the Directive
• The service and the profession to change working practices
• Implement the consultant contract and job planning more effectively
• Determine the appropriate service contribution of the trainee
The Centre for Workforce Intelligence
• Mouchel and Manchester University
• Plus Workforce Review Team
• Commissioned to – Model numbers for 2011
– Model CCT output and consultant delivered service
– Model future numbers over next 5 years
Specialist Registration before subspecialty
Post CCT Fellowships
Transferable competences
Hybrid trainingprogrammes
Abandon CCT concept
Train
hospitalists
CESR/ CCTBecomes CSR
Exit examinations
Define role and
responsibility of
trainee
OUTSIDE THE BOX
Flexible duratio
n
of tra
ining
DefineE-learning/
simulationusage
More recruitment
entry points
SoS Vision for health and care
• A patient-led NHS • Delivering better health outcomes • A more autonomous and accountable system• Improved public health• A focus on reforming long-term and social care
Training and Education
• Employers and staff agree plans and funding for workforce development
• This determines education commissioning plan
Through similar mechanisms for nurses, midwives and AHPs
For doctors, healthcare scientists and pharmacists
Through
• The professions will play a leading role in deciding the structure and content of training, and quality standards
• All providers will pay to meet the costs of training
• The national commissioning board will provide oversight
• The CfWI will act as a constant source of information
Timescale
“Reforms will be managed so changes do not destabilise individual providers”
“the summer” Engagement process with stakeholders
“the autumn” Consultation paper
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