FOUNDATION PROGRAMME FOR JUNIOR HOSPITAL DOCTORS

The Foundation Programme is the first step in the reform of postgraduate education and training in England.

The aim of the new programme is to provide continuity from medical school through to specialist training and to ensure that each doctor is equipped with the most important skills and aptitudes they will need as a doctor in the modern National Health Service. To this end, for the first time there will be a structured educational programme underpinned by workplace – based competence assessments, careers advice and a formal curriculum to guide doctors through the early years of training.

This programme has been introduced to address some of the issues which arose from an evaluation of the senior house office grade, including variable training, lack of any clear curricula, poor supervision in some situations and progression linked to time served, not competence.

The Foundation Programme is the culmination of over two years work and collaboration between the professional bodies responsible for their postgraduate training: the Department of Health, the postgraduate deaneries, the British Medical association, the General Medical Council, Postgraduate Medical Education and Training Board and the medical royal colleges. During this time, the programme was extensively and successfully piloted. Our doctors are the first to participate fully in this ground breaking new training programme.

For their first year of postgraduate training, the General Medical Council will continue to have overall responsibility for their education. From then on, the newly formed Postgraduate Medical Education and Training Education Board will be responsible for setting the standards of training through their second foundation year, throughout speciality and GP training and beyond. The GMC and PMETB will be working together to ensure that this is a seamless process.

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