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

10. Progressing as a foundation doctor and completing the Foundation ProgrammeThis placement will focus on the identified weaknesses. The FSD will have the finaldecision. A remedial training placement will be arranged for a fixed period, usuallyfor 3, 4 or 6 months (full-time equivalent). In exceptional circumstances, a furtherfixed-term placement may be agreed. However, the total period of remedial trainingshould not exceed 12 months (full-time equivalent) in total. The foundation doctordoes not have to apply for remedial training. Instead, it will be arranged by the FSDin discussion with the foundation doctor, as far as possible to suit their individualneeds. The e-portfolio will provide evidence of the outcomes the foundation doctorhas already achieved, and will form the starting point for developing a learningplan. The foundation doctor will be expected to satisfactorily complete the full set ofcompetence assessments during their remedial training. If they do, they will be issuedwith an FACD.c. Doctors who fail to meet the requirements for satisfactory completion of the FoundationProgramme at the end of remedial training• In this situation, assessments reveal that the foundation doctor has failed to achievethe standard needed to complete F2 despite having an extended period of remedialtraining.• Exit action: If, at the end of the extended period of remedial training, the doctor’sassessments taken together show that they have not met the required standard,they will not be eligible for the FACD. The foundation doctor should be givenan educational supervisor’s report that lists the outcomes they have achievedwhile in the programme, and their level of performance as assessed at the endof the remedial training. This report should be filed in the e-portfolio, which thefoundation doctor should keep. At this stage the foundation doctor must be referredto the GMC.• Return to training: It is possible that after a career break, or experience of working inanother setting, the foundation doctor, who has failed to achieve the requirementsfor satisfactory completion of the Foundation Programme (despite extendedremedial training), may want to try again. They will have to apply for entry to F2training opportunities through the normal competitive process. Once the foundationdoctor has been appointed, the e-portfolio will provide evidence of the outcomesthey have already achieved, and those they did not achieve even after remedialtraining. This e-portfolio can provide the basis for developing a learning plan.The foundation doctor will be expected to complete the full set of workplace-basedassessments satisfactorily after they return to training, before they will be eligible forthe FACD.d. Doctors who are dismissed from an F2 placement (for example, because of misconduct)• Exit action: If the foundation doctor is dismissed from one placement in the F2rotation, this normally means they are dismissed from the Foundation Programmealtogether following consideration by the FSD. The FSD should provide a letterif the foundation doctor has been dismissed from the Foundation School. Themedical director (or equivalent) of the employing organisation should considerreferring the foundation doctor to the Regional Director of Public Health or to theGMC, depending on the nature and seriousness of the behaviour that led to thefoundation doctor’s dismissal, and whether there is any doubt about their fitness topractise.• Return to training: A foundation doctor returning to training will have to apply forentry to F2 in the normal way. They must state on their application form for F2 if:The UK Foundation Programme: Reference Guide 55