1. 5th March 2015
Promoting excellence amongst Foundation Trainees and gathering constructive feedback on a local programme: an integrated process to deliver two goals
L Sansom1, B Langham2
1Foundation Trainee, Nottingham University Hospitals
2Director of Foundation Training for the East Midlands

2. The local programme

3. Background Trainees: Limited feedback provided to trainees
Lack of recognition of ‘exceptional’ trainees
The Programme:
Limited means of ‘feedback’ to programme organisers
Need for trainee led improvements

4. Background Keogh review: “…juniors often felt disenfranchised…
Junior doctors…..our most powerful agents for change …
Junior doctors in specialist training will not just be seen as the clinical leaders of tomorrow, but clinical leaders of today.”
Ambition 7

5. Methods Identify opportunities that would engage trainees:
‘Foundation Prize’
Scoring
Foundation curriculum
Areas of professional development
Quality of e-Portfolio; Quality of Reflections; TAB Feedback; Educational/Clinical Supervisor report; Contribution to Teaching/Education
Highest scorers (10/10) invited to present

6. Methods Oral presentation (10 minutes)
‘How I would improve the local Foundation Programme’
Questions from panel / audience.
Scored by panel:
Director of Foundation Training
Deputy Director of Medical Education
Foundation Programme Directors
Foundation Programme Administrator

7. Results
12 doctors from FY1 and FY2 presented their ideas at the presentation event.
Top 3 from each year group selected to receive awards.

8. FY1s to carry crash bleep.
FY1/2 advanced clinical skills training.
Consultant supervised teaching programme
Increased use of simulated training

9. Outcomes Advantages of this approach: Potential risks:
Encourages trainees to do well.
Provides feedback to programme in a ‘controlled’ manner.
Problem solving not just raising issues.
Engagement of all trainees
Trainees failing to engage.
Issues raised in front of Senior Educator from HEEM – potential of home goal.
Loss of control over trainees at presentation.
Despite this process, no changes to the local programme happen.

11. Summary Effective method to encourage trainees to aspire to excellence
Provided feedback to the local programme from trainees
Provided solutions to local problems.
Thank you