The Foundation Programme Reference Guide - Academy of Medical ...

10. Progressing as a foundation doctor and completing the Foundation ProgrammeSection 10: Table 3 – Guidance for managing F2 doctors who do not meet therequired standarda. Doctors who fail to provide evidence of gaining FP outcomes• This may be, for example, as a result of failure to complete enough assessments,or to provide the outcomes for analysis on time.• Exit action: It is the foundation doctor’s responsibility to do their assessments ontime. If, at the end of the F2 year, they have not built up enough assessments asevidence of their competence, they will not be awarded a FACD. The educationalsupervisor should encourage each foundation doctor to get involved in theassessment process, and to report any difficulties they may have in doing so as soonas they arise. The educational supervisor should report to the FTPD/T any foundationdoctor who does not engage in the assessment process. The FTPD/T will considerfurther in-depth assessment for the foundation doctor concerned, to look at theirhealth, attitudes, skills and the training environment, and to see what support theyneed. At this stage the FTPD/T should involve the FSD. If, despite this support, thefoundation doctor does not complete the necessary number of different types ofassessments, they should be provided with a letter confirming that they have not metthe required standard and that no further training will be offered.• Return to training: If the foundation doctor decides to return to training, they willhave to apply for entry to the F2 programme in the normal way. If they get a placeon the training programme, their e-portfolio may provide a useful starting point fora learning plan. The foundation doctor will normally be expected to complete thefull set of competence assessments following their return to training, before theywill be issued with a certificate of satisfactory completion. They may be given creditfor the time they have already completed in training or the competences they havealready achieved, but this will be at the discretion of the FSD.b. Doctors who fail to achieve the standard for FP completion at the end of the F2 year• For example, assessments may reveal that the foundation doctor has not achievedthe standard needed for F2 within the expected timescale.• Although the educational supervisor should do all they can to identify thosefoundation doctors who are struggling early on, and to provide support as soon aspossible, some foundation doctors will not achieve the necessary standard within theexpected timescale. This failure to progress as expected should automatically leadto a further in-depth assessment that will look at the foundation doctor’s health,attitudes, skills and their training environment, and the appropriate support theyneed. If, at the end of the F2 year, the doctor’s assessments taken together showthat they have not met the necessary standard, they will not be eligible for the F2achievement of competence document. The foundation doctor should be given aneducational supervisor’s report that lists the outcomes they have achieved while inthe programme, and their level of performance as assessed at the time of the F2 year.This report should be filed in their e-portfolio, which the foundation doctor shouldkeep. Depending on the nature and seriousness of the doctor’s under performance,it may be appropriate to refer them to the GMC.• Remedial training: As long as the foundation doctor has been involved in thetraining and assessment process, and tried to improve their weaknesses, they maybe granted an extension to their F2 training through a remedial training placement.The UK Foundation Programme: Reference Guide54