1. NACT 2019
Empowering the trainees by appointing fellows for the Severn Foundation Programme
Dr Callum Taylor and Dr Tim Thorne
Musgrove Park Hospital (Taunton) and Southmead Hospital (Bristol)
Hi Im Tim and this is callum and we are two foundation doctors  and 'foundation fellows' and we are here to talk about our roles and the fellow programme as a whole in our local patch (severn deanery)

2.  5 F1s entering Severn deanery selected each year via competitive application process
 Has run since 2011
 Role runs from start of F1 to end of F2
 In 5 areas: leadership,education, simulation, quality improvement and sustainability
We work in severn deanery – number 12 on map. Spans from taunton to gloucester and bits in between etc. Each year any of the ~270 new F1s can submit short written application for any of the fellow roles. These roles last from the start of f1 to the end of f2 in the five areas listed.
Who are we?

3. Aims: Nurture leadership at an early stage in careers
Empower trainees and open up opportunities
To provide accessible representation for junior doctors
To foster early clinical innovation

4. Opportunities & support
 Each assigned a mentor
 Funding for educational / developmental courses and conferences
 Support for time off work to attend meetings and commitments
 Encouragement / access to opportunities e.g. in research
 Foundation school committee meetings
So how does the role work beyond having the title of 'foundation fellow'? 

5. Five Roles:

6. Simulation fellow
attendS South West Simulation organised by HEE
HelpS to develop Simulation Training within the school
A SIMULATION QIP
"Collaborated alongside members of the acute Thrombolysis team to utilise simulation technologies in trialling thrombolysis pathways and procedures in situ at the Brunel building at Southmead Hospital ”

7. Sustainability fellow
Aligns with NHS wider commitment  to a government target of reducing carbon emissions by 80% by 2050
Promotes sustainable working practices to avoid waste and reduce environmental impact!
Works with the GP Sustainability Scholar in addition to support from the Foundation School.
”Designed, organised and delivered a regional medical teaching programme to Foundation Year 2 doctors, on the subject of medical sustainability”
Important role. Obviously shifting focus in public and private sectors towards reducing energy consumption but this role has wider focus on reducing all types of waste. Save time and money!
The NHS has signed up to a government target of reducing carbon emissions by 80% by To work to help reduce the NHS‘s carbon emissions in all areas, through changing procurement practices, how patients and staff travel and through reducing energy use. Clinicians need to be involved with this process as they are often key in the decision making; regarding patient pathways, what equipment is used and as role models.

8. Leadership fellow
Attend Foundation School Committee meetings. Contribute to the discussions and provide trainee perspective
Attend the twice yearly national FDAB to represent Severn
AMEE 2018
Deanery wide survey 
QI projects
Engaged locally  in F1 hospital to identify high impact actions to improve working environment for junior doctors
My role (f2 leadership fellow)
Pass over to my colleague callum

10. Quality Improvement:
Run a QIP to present at a regional/international meeting.
Coordinating the deanery wide Quality Improvement Projects.

11. Organise a regional QI conference

12. Education: QIP Attend the quarterly Education Strategy Group meetings
Joint Severn and Peninsula Education meetings.
QIP

13. QIP- Surgical Triage and Patient Flow
Informative message sent to junior doctors
Data gathered
How best to raise awareness amongst junior doctors
?Difference found/Next PDSA
ACT
PLAN DO
STUDY

14. “Emoji App”

15. This week at work we’ve been feeling:

16. Mentorship / Opportunities
Teaching
Research
Audit
Mentorship / Opportunities

18. Does empowering junior (foundation) doctors create the innovative and evidence based practice required for the future?

19. Methodology
Additional teaching
Higher education course
National conference - presentation/poster
Regional conference- presentation/poster
Attendance at national meeting
Attendance at regional meeting
Additional Quality Improvement Project
Research
+ Publication
Other additional achivement
Analysis of qualitive feedback from 22 of previous and current cohorts of foundation fellows over period of 7 years ( )
Blinded marking by 2 foundation doctors
Additional questionnaire for current scholars/fellows in the programme

20. 22/30 Fellows through the programme.
36% reported involvement in additional teaching/education curriculum
18% taking additional HE course/degree modules
31% taking part in research/audit cycle during fellowship
30% presentation at national conference
9% published research

21. Is this just simple correlation?
Retrospective
Subjective
Based on unstructured feedback
Would they have achieve this anyway?
Follow up project designed to question this- do foundation fellows create

22. Three way comparison
Cohort
Applicants
Mainstem

23. 100% positive feedback

24. ‘I think the foundation fellow roles are brilliant; I hope you continue this excellent innovation for future trainees’.

25. Future Directions Specialty based fellowship programme
Collaboration with leadership training

26. Summary
5 roles
Designed to nuture leadership, empower trainees, represent junior doctors and foster innovation
Successful for both fellows and their peers
Further development to follow
New challenging program
Nurture leadership,
Empower trainees
To provide accessible representation
To foster clinical innovation
100% positive feedback

27. Many thanks to
Clare van Hamel
All the mentors within the programme

28. Questions?