Requirements for satisfactory completion of the Foundation Programme (from the Foundation Programme Reference Guide)

11.1   The Foundation Programme is time and outcome-based. Foundation doctors must complete one year (full-time equivalent) in an approved foundation programme and meet the requirements for satisfactory completion of F2 to be eligible for the award of the foundation achievement of competence document (FACD).

11.2   There is significant overlap between the process for sign-off in F1 (Section 10) and F2 (Section 11) but there are also important differences. Therefore the entire process for progression and sign-off in F2 is set out below.

Requirements for satisfactory completion of F2

11.3   The requirements for satisfactory completion of F2, with guidance notes, are set out in Table 1 below. The deanery/foundation school should make the requirements clear at the beginning of the F2 year.

Section 11: Table 1

Full registration and a licence to practise with the GMC.

To undertake the second year of the Foundation Programme, doctors must be fully registered with the GMC and hold a licence to practise.

Completion of 12 months F2 training (taking account of allowable absence).

The maximum permitted absence from training (other than annual leave) during F2 is four weeks (i.e. the same as F1).

A satisfactory educational supervisor’s end of year report.

The report should draw upon all required evidence listed below.

Satisfactory educational supervisor’s end of placement reports.

An educational supervisor’s end of placement report is not required for the last F2 placement; the educational supervisor’s end of year report replaces this.

Satisfactory clinical supervisor’s end of placement reports.

If the F2 doctor has not satisfactorily completed one placement but has been making good progress in other respects, it may still be appropriate to confirm that the F2 doctor has met the requirements for completion of F2. The last end of placement review must be satisfactory.

Satisfactory completion of the required number of assessments.

 

The minimum requirements are set out in the Curriculum. The deanery/foundation school may set additional requirements.

Team assessment of behavior (TAB) (minimum of one per year).

Evidence that the foundation doctor can carry out the procedures required by the GMC.

A valid Advanced Life Support (or equivalent) certificate.

If the certificate has expired, it may be appropriate to accept evidence that the doctor has booked to attend a refresher course.

Evidence of participation in systems of quality assurance and quality improvement projects.

The Curriculum requires that F2 doctors manage, analyse and present at least one quality improvement project and use the results to improve patient care. F2 doctors are also required to complete the national trainee survey and any end of placement surveys.

Completion of the required number of Supervised Learning Events.

 

The minimum requirements are set out in the Curriculum. The deanery/foundation school may set additional requirements.

Direct observation of doctor/patient interaction:
•   Mini CEX
•   DOPS
(minimum of nine observations per year; at least six must be mini-CEX).

Case-based discussion (CBD)
(minimum of six per year / two per placement).

Developing the clinical teacher
(minimum of one per year).

An acceptable attendance record at foundation teaching sessions.

It is recommended that postgraduate centres (or equivalent) provide a record of attendance for each F2 doctor. It has been agreed that an acceptable attendance record should typically be 70%. However, if the F2 doctor has not attended 70% of teaching sessions for good reasons, it may still be appropriate to confirm that the F2 doctor has met the required standard. If there are concerns regarding engagement or if attendance is below 50%, the FTPD/T should discuss this with the FSD.

Signed probity and health declarations.

A separate form should be signed for F2. This is in addition to the Declaration of Fitness to Practise required by the GMC when applying for full registration.

For detailed information regarding progression and sign-off in F2, please consult Section 11 of the Foundation Programme Reference Guide, available from the National Foundation Programme Website. (Link below)

For information regarding the ARCP process, please consult the guidance available from the national Foundation Programme website.

Process

The ‘End of placement report’ should be completed on e-portfolio at the end of each 4 month placement within the F2 year. These forms will need to be used when the ‘Evidence required to sign off Foundation Achievement of Competency Document’ is completed at the end of the F2 year, and are part of the evidence considered by the ARCP Panel.

The ‘Foundation Achievement of Competency Document’ (on e-portfolio) is automatically created once a satisfactory ARCP outcome is awarded, and both Trust and trainee have signed this.  The FACD will then by signed and released by the Foundation School.

NB: Although trainees are signed-off in early July, this sign-off is provisional and subject to continued satisfactory performance and attendance until the end of their F2 programme.

Key Dates

2nd June 2017

Deadline for completion of SLEs/assessments

30th June 2017                          

Deanery deadline for submission of:
      Foundation Achievement of Competency Document (via e-Portfolio)

2nd August 2017

ST1 start date

Evidence required to sign off Foundation Achievement of Competency Document

Trainee Timeline (F2)