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  • 1. Sharing the Load – building career support expertise for doctors in Wales
  • 2. Our Start-up Challenges
    • Demand for career support
    • Capacity of careers team (1.5)
    • Geography of Wales
    • Balancing service delivery with service development
  • 3. The helpers we have engaged
    • Career Leads in Specialty Schools: development event in March 2009
    • Foundation Programme Directors
    • Postgraduate Centre Managers
    • Career network contacts
    • Mentoring Group
  • 4. Strategy Group
    • 2 University Careers Services
    • Deanery Careers
    • Undergraduate Curriculum Leads
    • Associate Deans
    • Foundation and Specialty Programmes
    • Workforce planning
    • BMA reps (students, Foundation, Specialty)
  • 5. Foundation Workshops
    • 3 generic curriculum-based career sessions
    • Contain key, up-to date information
    • Blended e-resources in development to complement F2F sessions
    • Gets us in front of Foundation
    • Doctors
    • 242 F1 and 179 F2 to date
    • “ Excellent, very useful”
    • “ Brill, more stuff like this”
  • 6. Educational Supervisors
    • 2 hour workshop, 2 CPD points, 71 to date
    • Talks and Grand Rounds
    • New E – Learning module
    • “How to”…
    • Downloadable information resources and handouts on Deanery website
  • 7.  
  • 8. Unanswered questions…
    • Is all this communication one or two-way?
    • Are we reaching everybody?
    • Are we “spraying and praying”?
    • Are we making any difference?
    • How can we evaluate the decentralised career help others are giving and receiving?
  • 9. Incorporating tasters in Foundation Year 1 with a redesign of the rota 1 st July , 2009
  • 10. Background
    • Tasters envisaged as an important part of FP
    • Tasters traditionally taken in FY2
    • Recently suggested that there may be greater benefits in tasters being taken in FY1
  • 11. Difficulties at Trust-level
    • Service delivery
    • Co-ordination (trainee, Clinical Supervisor, Taster Supervisor, Medical Education Team)
    • Responsibility
    • Timing (FY2, pre-ST1 interview)
  • 12. Homerton approach
    • Changes to GMC requirements for the content of pre-registration programmes allowed opportunity to restructure
    • Restructuring gave the opportunity to incorporate tasters in FY1
  • 13. The Posts
    • All Homerton FY1 posts were restructured as follows:
    • Acute Care (3 months)
    • General Medicine (3 months)
    • General Surgery (3 months)
    • General Medicine (3 months)
  • 14. General Medicine General Surgery General Medicine Acute Care Acute Care General Medicine (Elderly/Rehabilitation) General Surgery (Urology/Breast) General Medicine (Rheumatology) Acute Care General Medicine (Care of the Elderly) General Surgery (T&O) General Medicine (Gastroenterology) Acute Care General Medicine (Care of the Elderly) General Surgery (T&O) General Medicine (Gastroenterology) Acute Care General Medicine (Care of the Elderly) General Surgery (Upper GI) General Medicine (Rheumatology) Acute Care General Medicine (Respiratory) General Surgery (Upper GI) General Medicine (Endocrinology/Diabetes) Acute Care General Medicine (Respiratory) General Surgery (Upper GI) General Medicine (Endocrinology/Diabetes) Acute Care General Medicine (Cardiology) General Surgery (Lower GI) General Medicine (Endocrinology/Diabetes) Acute Care General Medicine (Cardiology) General Surgery (Lower GI) General Medicine (Pharmacology) General Medicine (Rheumatology) Acute Care General Medicine (Elderly/Rehabilitation) General Surgery (Urology/Breast) General Medicine (Gastroenterology) Acute Care General Medicine (Care of the Elderly) General Surgery (T&O) General Medicine (Gastroenterology) Acute Care General Medicine (Care of the Elderly) General Surgery (T&O) General Medicine (Rheumatology) Acute Care General Medicine (Care of the Elderly) General Surgery (Upper GI) General Medicine (Endocrinology/Diabetes) Acute Care General Medicine (Respiratory) General Surgery (Upper GI) General Medicine (Endocrinology/Diabetes) Acute Care General Medicine (Respiratory) General Surgery (Upper GI) General Medicine (Endocrinology/Diabetes) Acute Care General Medicine (Cardiology) General Surgery (Lower GI) General Medicine (Pharmacology) Acute Care General Medicine (Cardiology) General Surgery (Lower GI) General Surgery (Urology/Breast) General Medicine (Rheumatology) Acute Care General Medicine (Elderly/Rehabilitation) General Surgery (T&O) General Medicine (Gastroenterology) Acute Care (with Surgical Specialty Taster) General Medicine (Care of the Elderly) General Surgery (T&O) General Medicine (Gastroenterology) Acute Care (with Surgical Specialty Taster) General Medicine (Care of the Elderly) General Surgery (Upper GI) General Medicine (Rheumatology) Acute Care (with Surgical Specialty Taster) General Medicine (Care of the Elderly) General Surgery (Upper GI) General Medicine (Endocrinology/Diabetes) Acute Care General Medicine (Respiratory) General Surgery (Upper GI) General Medicine (Endocrinology/Diabetes) Acute Care General Medicine (Respiratory) General Surgery (Lower GI) General Medicine (Endocrinology/Diabetes) Acute Care General Medicine (Cardiology) General Surgery (Lower GI) General Medicine (Pharmacology) Acute Care General Medicine (Cardiology) General Medicine (Elderly/Rehabilitation) General Surgery (Urology/Breast) General Medicine (Rheumatology) Acute Care General Medicine (Care of the Elderly) General Surgery (T&O) General Medicine (Gastroenterology) Acute Care General Medicine (Care of the Elderly) General Surgery (T&O) General Medicine (Gastroenterology) Acute Care General Medicine (Care of the Elderly) General Surgery (Upper GI) General Medicine (Rheumatology) Acute Care General Medicine (Respiratory) General Surgery (Upper GI) General Medicine (Endocrinology/Diabetes) Acute Care General Medicine (Respiratory) General Surgery (Upper GI) General Medicine (Endocrinology/Diabetes) Acute Care General Medicine (Cardiology) General Surgery (Lower GI) General Medicine (Endocrinology/Diabetes) Acute Care General Medicine (Cardiology) General Surgery (Lower GI) General Medicine (Pharmacology) Acute Care Block 4 Block 3 Block 2 Block 1
  • 15. Acute Care posts
    • Two posts not required for service delivery (Psychiatry and O&G) were reallocated to Acute Care
    • Eight trainees allocated to a six-trainee rota
    • Fixed-leave rota designed
    • Two trainees off in three week blocks
    • Blocks labelled as ‘tasters’
    • Fifteen working days to be allocated as six (or seven) days leave and nine (or eight) days taster(s)
  • 16. Co-ordination
    • Trainees requested to submit a taster co-ordination form
    • Trainees supported in organising placements
    • Trainees asked to complete a taster evaluation form
  • 17.  
  • 18.  
  • 19.  
  • 20. How useful was the opportunity to undertake a taster in your F1 year?
  • 21.  
  • 22. Career Innovations UK Foundation Programme London 1 July 2009
        • Dr Anil Garg
        • FY2 Programme Director
        • Worthing Hospital
        • Dr Karen Clarke
        • GP Tutor
        • Claire Krost
        • Foundation Manager
  • 23. Career Innovations Career Advice Session for Foundation Year 2
        • Dr Anil Garg
        • FY2 Programme Director
        • Worthing Hospital
        • Dr Karen Clarke
        • GP Tutor
        • Claire Krost
        • Foundation Manager
  • 24. Foundation Year 2 25 trainees Hospital career choice:10 Primary Care Career choice:8 Undecided:2 Travelling:2 Half day session 9:15 – 12:30
  • 25. Objectives
    • Better understanding of what to expect in 4 weeks
    • Process of application
    • How to approach interviews
    • Practical understanding of interviews
    • Learn the basics of interview scenarios
    • More confidence with interviews
    • How to approach answering ST mock interview questions
    “ What do you expect to gain from the session?”
  • 26. Objectives
    • “ Interview training as paramount”
    • 2008 Survey of Careers Support in the STFS. 5.5
  • 27.  
  • 28. Fun & Games
    • All the group to gather
      • What Quality they would like in their colleague – 1 each.
      • Work in pairs : chosen speciality and why?
  • 29. Interview Process
    • General Practice & Hospital Specialities
    • is
    • Different
  • 30. Fish Bowl Fish Bowl Exercise Observer Observer Observer Observer F2 colleague has received a complaint from a patient. You know he drinks too much and have witnessed him make a mistake. The nurses do not bother to ask him to do things. Discuss with your F2 colleagues how you are going to approach this problem.
  • 31. ‘ Speciality’ Duel
  • 32. ‘ Speciality’ Duel How did you manage your last crisis? What do you think of EWTD? 2 Interviewers I interviewee Rest Observers Feed back real time After each trainee 10 min each
  • 33. ‘ Speciality’ Duel How did you manage your last crisis? What do you think of EWTD? Swapped Interviewee & Interviewer
  • 34.  
  • 35. What did you learn from the session
    • Putting myself in the hot seat
    • Various ways of approaching a question
    • What interviewers are looking for
    • Techniques and strategies for GP selection
    • It was excellent to practice group discussion as that’s hard to practice
  • 36. Few weeks after the ‘Interviews’
  • 37. Few weeks after the ‘Interviews’
  • 38. Finally
    • Do we tell them about what they want to know rather what they need to know.
    • ????
    • Thank you

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