“Money, Money, Money – the cost of Education” and the challenge to Medical Education Teams Andrew Frankel Postgraduate Dean Health Education South London

Click to edit Master text styles Second leve Third level Fourth level Fifth level PGM Workforce Challenges Service provision – Current workforce dependent on Dr in PGT – HEE funding covers only 40% of the cost of PG medical education – 7 day working – Reconfigurations – Consultant Led/Delivered SERVICE TRAINING

Click to edit Master text styles Second leve Third level Fourth level Fifth level Tarif Implemented 2014 Transition Further development Understanding of purpose SERVICE TRAINING

Click to edit Master text styles Second leve Third level Fourth level Fifth level Inadequacies of Current System Not aligned to needs of patients or providers Speciality Focussed Doctor Centric 42% have a long-term condition 23% have multiple conditions Onset years earlier if socioeconomic deprivation

Click to edit Master text styles Second leve Third level Fourth level Fifth level Shape of Training Fundamentally about the right doctors to treat future patients Formal training does not stop at a CST

Click to edit Master text styles Second leve Third level Fourth level Fifth level Shape of Training Review Medical School Full Registration F1F1 F1F1 F2F2 F2F2 Certificate of Specialty Training Credential Continuous Professional Development Continuous Professional Development Broad Based Training

Click to edit Master text styles Second leve Third level Fourth level Fifth level Paradigm of care 2030 Diagnose and Cure TO Predict and Prevent

Click to edit Master text styles Second leve Third level Fourth level Fifth level THE WORKFORCE TO DELIVER THE CARE Skills Assessments Integrated Planning – Physician associates – ANPs – Associated Practitioners – SAS Drs

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Click to edit Master text styles Second leve Third level Fourth level Fifth level Broadening the Foundation Programme

Click to edit Master text styles Second leve Third level Fourth level Fifth level Challenges of BTFP Uncertainties over definition of community placements BTFP already outdated – fails to understand the development of the “3 rd Space” Sufficient community placements with purposeful clinical content to meet the Foundation Curriculum Backfill of service provision in acute trusts as Foundation Doctors move into community or psychiatry posts Questions remain about the disposition of medical tariff Developing appropriate supervision arrangements in new working environments