Niall Dickson has written in the BMJ and here is my response:
"The two year foundation programme was introduced in
2005 (as part of the Modernising Medical Careers programme) and has had broad
support, reflected in Aspiring to Excellence (the report of John Tooke’s
independent inquiry into Modernising Medical Careers) in 2008..."
I read this particular
part of Niall Dickson's piece with great interest and am far from convinced
that the Foundation programme has had broad support. The Tooke review found many problems within
Foundation training including the fact that a “sub analysis of the e-consultation response from 398
FY2 doctors revealed that 60% did not feel that the year had added value over
and above further patient exposure”(1) and consequently recommended that “Foundation
Year 2 should be abolished as it stands but incorporated as the first year of
Core Specialty Training”. Professor John
Collins’ subsequent review of Foundation training in 2010 detailed numerous
significant concerns including the “assessment of Foundation doctors is
considered to be excessive, onerous and not valued’, and concluded that “the lack of an agreed purpose and of
prospectively collected evaluative data made it difficult to accurately
quantify how successfully the Foundation Programme is delivering against these
objectives” (2). A survey that I
organised also demonstrated clear failings in the Foundation Programme including
a lack of acute emergency exposure for FY1 trainees. It appears strange that Niall Dickson equates
the above with ‘broad support’.
I have requested documentation
from the GMC relating to the motives behind Professor Greenaway’s review under
the Freedom of Information Act:
“Has the Chair of the review
(Prof Greenaway) discussed the review with any ministers/civil servants? If so
may I see the documentation of these meetings and who was involved?”
Strangely the GMC are blocking
this request, using a public interest argument for withholding this vital
information. This is particularly strange
for an organisation that claims as one of its five core organisational values “We are honest and strive to be open and transparent”. The emerging consensus opinion of the medical
profession appears to be that the Shape of Training Review is highly flawed and
the public deserves to see all the information that may shed light on the true
motivations behind such a review.
1.
Tooke J. Aspiring to excellence: findings and final recommendations of
the independent inquiry into Modernising Medical Careers. Jan 2008. www.medschools.ac.uk/AboutUs/Projects/Documents/Final%20MMC%20Inquiry%20Jan2008.pdf
2.
Collins J. Foundation for Excellence. October 2010.http://www.mee.nhs.uk/pdf/401339_MEE_FoundationExcellence_acc.pdf
3. Dean BJ,
Duggleby PM. Foundation doctors'
experience of their training: a questionnaire study. JRSM Short Rep. 2013 Jan;4(1):5. doi:
10.1258/shorts.2012.012095. Epub 2013 Jan 14.
