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

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4. Shape <strong>of</strong> the <strong>Foundation</strong> <strong>Programme</strong>Two year programmes, F1, F2, lengths <strong>of</strong> placements4.1 <strong>The</strong> <strong>Foundation</strong> <strong>Programme</strong> is a two-year programme comprising the F1 and F2 years.4.2 Satisfactory completion <strong>of</strong> the F1 year allows the foundation doctor to apply for fullregistration with the GMC. Satisfactory completion <strong>of</strong> F2 results in the award <strong>of</strong> the<strong>Foundation</strong> Achievement <strong>of</strong> Competence Document (FACD) (see appendix 11g).4.3 On behalf <strong>of</strong> the GMC, deaneries/foundation schools are responsible for prospectivelyapproving the individual placements and rotations that make up the <strong>Foundation</strong><strong>Programme</strong>. In addition, through their quality management processes, deaneries/foundation schools are responsible for ensuring that the placements are structuredas managed rotations, and enable foundation doctors to meet the requirements forsatisfactory completion <strong>of</strong> F1 and the <strong>Foundation</strong> <strong>Programme</strong>.4.4 <strong>The</strong> <strong>Foundation</strong> <strong>Programme</strong> Curriculum (the Curriculum) follows a spiral model. Thismeans that foundation doctors are expected to acquire and demonstrate the same broadoutcomes by the end <strong>of</strong> F1 and by the end <strong>of</strong> F2 but at a higher level <strong>of</strong> competence forF2. <strong>The</strong>re are however different detailed competences between F1 and F2.4.5 Individual placement lengths may vary with placements typically lasting 3, 4 or 6months. <strong>The</strong>y must be long enough to allow foundation doctors to become members<strong>of</strong> the team and allow team members to make reliable judgements about foundationdoctors’ abilities, performance and progress.4.6 <strong>The</strong> placements configured as a rotation for F1 must provide a balanced programmeand enable the acquisition and demonstration <strong>of</strong> the outcomes and competencesset by the GMC in <strong>The</strong> New Doctor and described in the Curriculum. Similarly, theplacements configured as a rotation for F2 must provide a balanced programme andenable the acquisition and demonstration <strong>of</strong> the outcomes and competences describedin the Curriculum. It is important that the two-year <strong>Foundation</strong> <strong>Programme</strong> is alsobalanced and that foundation doctors are able to train within a range <strong>of</strong> differentspecialties and settings.4.7 From time to time, vacancies arise in a <strong>Foundation</strong> <strong>Programme</strong>. Under suchcircumstances, the deanery/foundation school must agree with the employer how tocarry out the recruitment process (see 4.12 - 4.15).Academic <strong>Foundation</strong> <strong>Programme</strong>s4.8 Academic and related (e.g. e-learning, leadership, pharmaceutical medicine)<strong>Foundation</strong> <strong>Programme</strong>s provide foundation doctors with the opportunity to developtheir research, teaching and/or leadership skills and explore academia as a career at thesame time as developing their clinical and generic skills. <strong>The</strong>se training opportunitiesare the product <strong>of</strong> local innovation. By convention, the term “Academic” is used onlyto describe programmes with a research or teaching focus.4.9 <strong>Foundation</strong> doctors appointed to an academic or related programme mustdemonstrate that they have met the requirements for satisfactory completion <strong>of</strong> F1and the <strong>Foundation</strong> <strong>Programme</strong> (see section 10). While there is much variation in howthese programmes are structured, these programmes must support the acquisition<strong>The</strong> UK <strong>Foundation</strong> <strong>Programme</strong>: <strong>Reference</strong> <strong>Guide</strong>8

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