1. Harmonisation Final year undergraduate with F1

2. BBC 3 Junior doctors: your life in their hands “Watching the pressure that the junior docs are under makes you wonder how any of them make it through” The Times

3. BBC 3 Not done procedures No understanding of the actual f1 job Could not take bloods or put up IV lines Simulation was mentioned but only as the only time they had done a procedure Even though it is edited!

4. BBC 3 WE MUST BE ABLE TO DO BETTER THAN THAT!

5. What are we talking about Clinical placements Assistantships Shadowing Induction Accelerated skills Competence Confidence Patient safety

6. Tomorrow’s doctors 109-students must use practical and clinical skills, rehearsing their eventual responsibilities as an f1 doctor. This should take the form of a student assistantship, assisting a junior doctor and under supervision, undertakes most of the duties of an F1 doctor

7. Tomorrow’s doctors 110-properly prepared for their first F1post Period working with the f1 doctor whose post they will take up Shadowing period as close to start of job and normally for one week

8. What does it look like? Have to take the two years as a whole Seamless transfer between student and employed status Ward and community based work Simulation as prelude to actual competence with patient not as substitute Curriculum review

9. Final year Use the E-Portfolio Understand and undertake the assessments that occur in postgraduate Graded increase of responsibility in patient care Understanding of the mentoring and educational role

10. Final Year Clear understanding of all the competencies expected up till end of F1 Use of simulation through to actual patient to acquire and document the attainment of the competencies Understanding of the concept of working for the organisation and the contribution that they can make

11. Final Year Wide range of clinical assistantships working closely with the f1 and the team Time spent shadowing the actual job they will start first Full handover prior to actual start date In Wales this period is paid and accommodation is free

12. Final Year Aims to make them more competent and more confident Better team players August safe for patients!

13. F1 Educational contract to reflect their greater preparedness Focus on the gaps in the portfolio early Look to competencies required by end of F2 Consolidate skills and competences

14. F1 Additions to curriculum Leadership in the clinical setting Teaching and mentoring skills More time for audits Input into aspects of the running of the hospital/department that they work Spend time looking at career options

15. F1 TASTERS!

16. Wales C21 curriculum Involves altering year 4 and 5 We have a steering group! Time line to be live in 2013 We are ahead of the rest of the UK

17. Wales Learning outcomes married to f1 Year 5 at M level Staggered electives, senior projects, assistantships and simulation Research on best practice to inform project Map entry and exit points for year 5 Place and content of finals

18. Wales Indemnity for assistantships Impact on resources Standardisation of clinical educator skills QA across both years Prepare for GMC visit Publish framework as we go along Disseminate a best practice Evaluate the outcomes

19. Harmonisation Positive step forward for preparing students and junior doctors for the job they trained for Safer for patients More competent and confident doctors