CMFT NOVEMBER 2014SHIRLEY REMINGTON

PGME UPDATE

INTRODUCTION

• HEE and future direction –national themes• Changes to training• Educator revalidation and GMC• Educational environment• Trainees charter• Trust Educational Direction-changing patterns of

clinical care• Questions

HEE-BEYOND TRANSITION

• New mandate –awaited• Large cost savings-administration- high earners• One unit –North• Locally- Deanery merger continues

CHANGES TO TRAINING

• Shape of training• Foundation changes• Change to rotation dates report

SHAPE OF TRAINING

• Registration changes• Foundation unchanged in report• Generalist nature of training-community facing• Post CCT credentialing• Academic-less change• Not government approved• Work streams-May 2014

FOUNDATION

• ARCPs from 2013• Increased Psychiatry placements• All tracks community facing placement• No duplication specialities

REVALIDATION

• Trainer approval –July 2014• Education related evidence-meetings• reflection• MSF• presentations• training

development • management • qualifications• Appraisal

THE FUTURE-GMC

• Generic professional capabilities• Leadership• Service improvement• Patient safety• Communication• Review of Standards for Training• Review of Quality Assurance• Approving Educational Environments• Review of Standards for Assessment• Review of Standards for Curricula• Developing Credentialling

EDUCATIONAL ENVIRONMENT

• NACT document with HEE• GMC guidance

Belonging

to and being valued

within the organis

ation.

Celebrat

ing success

Feeling a part o

f the whole

Colleagues wh

o recognise your wo

rth and support you

Multiprofessional

, managers, effecti

ve leadership and

followership

Role models

Fostering good mann

ers

It's

alright to ask the

dumb question

Improvisation

, practice develops

as we work

\

ENVIRONMENTENVIRONMENT

Learning Culture in the workplaceDeveloping opennessInvolving whole team & patientShared values & understandingValuing & including trainees

Individual TraineeFriendly supportive relationshipAppropriate clinical supervisionEnsure named supervisorMaximise learning opportunities

Department Faculty GroupAttend meetings & PSGsDiscuss trainees’ performanceConsistency of approachCPD for educational role

Service ProvisionProactively manage workloadEnsure patient safetyAllow trainee to take responsibilityTeach & role-model efficiencies

What makes for a Good Learning Environment?

Belonging to and being valued within the organisation.

Celebrating success

Feeling a part of the whole

Colleagues who recognise your worth and support you

Multiprofessional, managers, effective leadership and followership

Role models

Fostering good manners

It's alright to ask the dumb question

Improvisation, practice develops as we work

Professionals working like professionals

Community

Collegiality

Criticality

SCARF MODEL FOR WORKING TOGETHER- ROCK

S –status recognition –perceived threatsC-certainty-knowing what is required of youA-autonomy-control – which would you preferR- relatedness-cliquesF-fairness

TRAINEE’S CHARTER

• Environment• Trainer’s responsibilities• Trainee’s responsibilities

TRUST OPPORTUNITIES

• Track record- GMC and CQC reports• Tertiary services-realignment of services• Community Facing Care• Credentialing• Flexibility• Skilled staff base• Leadership and future planning

TRUST CHALLENGES

• Shortened training of generalists• Dropping trainee numbers• Workload• Uncertainty• New contract• Financial pressures

QUALITY

•Quality is not an act, it is a habit.

• Aristotle