Dr Andrew Hilson FRCP - Royal College of Physicians

More documents

Recommendations

Info

Shape of Trainingresponse16. Are there other ways trainees can work and train within the service? Shouldthe service be dependent on delivery by trainees at all?Recommendation There needs to be more involvement in (General) Internal Medicine by trained physicians as well astrainees. This will enable a better balance between training and service delivery.Background Trainees cannot always learn unless they are delivering service in their future environment. The balance between training activities and service delivery may need to comprise more trainingactivities in the earlier part of training, with progressive supervised service delivery in the latter part. Giving importance to continuity of care in rota design will allow trainees to learn more effectively andappreciate patient journeys and outcomes. Unless trainees have access to patients and form relationships with patients, they will not be preparedfor delivering care. However, there would need to be an enormous increase in consultant numbers to provide full 24-hourcover, and this may be neither practical nor necessary.17. What is good in the current system and should not be lost in any changes?We emphasise that there is much to be admired in current UK postgraduate training. The RCP and theFederation of Royal Colleges of Physicians has developed a globally respected examination. It is onethat is increasingly sophisticated and mapped on to training curricula.Workplace-based assessments and curricula themselves are well-written, rigorous, objective andcontinuously improved.The current commitment by thousands of educators and supervisors, including many of our members,to the training of junior doctors is exemplary. It is still regarded as an important and rewarding activitydespite the time, the effort, and frequent lack of proper resources.A good supervisor-trainee relationship allows for better experiental learning. This apprenticeshipmodel is also useful outside of the medical specialties.At a regional level, via Schools, the gradual reintegration of education, deanery functions(responsibility for curriculum delivery) and Royal College functions has been a very positive andwelcome development. All sides need to collaborate with each other in the future, and this shouldcontinue in the new environment of postgraduate deans, LETBs and Health Education England.Training of doctors in all environments, and not only in tertiary ‘teaching hospitals,’ raises standardsaround the UK and prepares people for the reality of clinical practice. This should continue and beencouraged nationally.Quality of research in the NHS is currently high, thanks to the work of the National Institute for HealthResearch, including the Integrated Academic Training Pathway. This opportunity should build upon thesuccesses already seen and ensure that we are able to maximise the benefits of research to patientsover the next 30 years and beyond.11 St Andrews Place, Regent’s Park, London NW1 4LETel: +44 (0)20 3075 1649, Fax: +44 (0)20 7487 5218 www.rcplondon.ac.ukRegistered charity no. 210508
Shape of Trainingresponse18. Are there other changes needed to the organisation of medical education andtraining to make sure it remains fit for purpose in 30 years time that we havenot touched on so far in this written call for evidence?Accreditation of training environments should be considered, alongside the proposals for accreditationof trainers.Using technology can greatly enhance teaching and training. Such opportunities should be recognisedand embraced.There has never been a better time for medical education research and this should also beencouraged.It is crucial that proposed changes to education and training also consider service design, serviceplanning and, in England, service commissioning.There is currently poor data on the medical workforce, and our Medical Workforce Unit is keen to helpresolve this issue. Better data will allow reforms to better meet patient and trainee needs.We believe that the Royal College of Physicians has an important role in quality assurance at a nationallevel for any future changes in the shape of training.11 St Andrews Place, Regent’s Park, London NW1 4LETel: +44 (0)20 3075 1649, Fax: +44 (0)20 7487 5218 www.rcplondon.ac.ukRegistered charity no. 210508
Page 1 and 2: Shape of TrainingresponseShape of T
Page 3 and 4: Shape of TrainingresponseTechnology
Page 5 and 6: Shape of Trainingresponse2. What wi
Page 8 and 9: Shape of Trainingresponse5. How can
Page 10 and 11: Shape of Trainingresponse6b. How wo
Page 12 and 13: Shape of Trainingresponse6d. How wo
Page 14 and 15: Shape of Trainingresponse7. How sho
Page 16 and 17: Shape of Trainingresponse There mus
Page 18 and 19: Shape of Trainingresponse12. If tra
Page 22 and 23: Shape of TrainingresponseReferences

Dr Andrew Hilson FRCP - Royal College of Physicians

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?