Completion of F1

The Foundation Programme is both time and competency-based.  Provisionally registered doctors with a licence to practise must complete one year (full-time equivalent) in an approved foundation programme to be eligible to apply for full registration with the GMC.

The GMC has approved the Curriculum published by the Academy of Medical Royal Colleges Foundation Committee and the four UK health departments. The outcomes set out in The Trainee Doctor have been mapped to the Foundation Programme Curriculum (the Curriculum). F1 doctors must demonstrate the outcomes set out in the Curriculum on different occasions and in different clinical settings as a professional in the workplace, demonstrating a progression from the level of competence required of a medical student. F1 doctors are also encouraged to gain additional appropriate experience.

Requirements for satisfactory completion of F1
Completion of Attainment of F1 Competency form (F1CC) is required for all graduates to enable completion of a ‘Certificate of Experience’ form to obtain GMC full registration.  In order to assess suitability for full registration, F1 doctors must have satisfactorily completed the following:

Completion of 12 months F1 training (taking account of allowable absence) The maximum permitted absence from training, other than annual leave, during the F1 year is four weeks/20 working days (see GMC guidance on sick leave for provisionally registered doctors).
A satisfactory educational supervisor’s end of year report The report should draw upon all required evidence listed below.
Satisfactory educational supervisor’s end of placement reports An educational supervisor’s end of placement report is not required for the last F1 placement as the educational supervisor’s end of year report replaces this.
Satisfactory clinical supervisor’s end of placement reports If the F1 doctor has not satisfactorily completed one placement the clinical supervisor and F1 doctor must bring this to the attention of the Educational Supervisor and Foundation Programme Director.  The FPD must advise the Foundation School at NIMDTA.
Satisfactory completion of the required number of assessments, as set out in the Curriculum. Team assessment of behavior (TAB) (minimum of one per year)
Core procedures (all 15 GMC mandated procedures)
Completion of the minimum required number of Supervised Learning Events, as set out in the Curriculum. Direct observation of doctor/patient interaction:

  • Mini CEX
  • DOPS

(minimum of nine observations per year; at least six must be mini-CEX)


Case-based discussion (CBD)(minimum of six per year / two per placement)
Developing the clinical teacher(minimum of one per year)
A valid Immediate Life Support (or equivalent) certificate If the certificate has expired, it may be appropriate to accept evidence that the doctor has booked to attend a refresher course.
Evidence of participation in systems of quality assurance and quality improvement projects Foundation doctors should take part in systems of quality assurance and quality improvement in their clinical work and training. This includes completion of the GMC National Trainee Survey, Incoming F1 Trainee Survey and other Deanery surveys.
An acceptable attendance record at generic/clinical F1 teaching sessions F1 doctors should attend a minimum of 70% of Trust generic teaching sessions.
Signed probity and health declarations Separate forms must be signed for each year of foundation training (F1 and F2). This is in addition to the Declaration of Fitness to Practise required by the GMC when applying for full registration.
Ongoing satisfactory e-portfolio activity and engagement In addition to the assessments and SLEs detailed, F1 doctors must also complete a Personal Development Plan and an updated shared log.
Other NIFS and Trust Requirements Hyponatraemia Certificate Improving Medicines Safety Right Patient Right Blood OSCE

This documentation should be completed throughout the F1 year.

The Northern Ireland Foundation School acts on behalf of Queen’s University School of Medicine to process GMC registrations.   Applications are processed only for QUB graduates and non-UK graduates within the Northern Ireland Foundation School.  Those who graduate from other UK medical schools require completion of documentation by their University’s GMC designee.  This will require counter-signature of the F1CC form by Ms Carragher, Associate Dean for Foundation / Foundation School Director on behalf of the NIFS.

Applicants for full registration need to make their application via the online facility on the GMC website.  Delay in providing documentation may result in failure to obtain full GMC registration by the F2 August start date.  Your original F1CC form will be kept on file within the Northern Ireland Foundation School.  If you would like a copy of this at a later date, please submit a request in writing to the Foundation Programme Manager.

F1 Annual Review of Competence Progression (F1 ARCP)
Towards the end of F1, the Northern Ireland Foundation School will convene an Annual Review of Competence Progression (ARCP) panel to review the progress of all foundation doctors.

The ARCP provides a formal process for reviewing foundation doctors’ progress which uses the evidence gathered by them and supplied by their supervisors. The ARCP is not an additional method of assessment.

While all foundation doctors should present evidence for review towards the end of F1, it may be necessary to convene a panel earlier if there are significant concerns about the foundation doctor’s progress. Therefore, the review may be conducted more frequently if there is a need to deal with progression issues outside the annual review.

The ARCP fulfils the following functions:

  • To document the judgement about whether a foundation doctor has met the requirements and has provided documentary support for the satisfactory completion of F1;
  • To document recommendations about further training and support where the requirements have not been met; and
  • To document the judgement about the outcomes demonstrated by a foundation doctor in a locum appointment for training post or rotation and to document these accordingly.

Further information on the ARCP process is available in the Foundation Programme Reference Guide (section 10).

There is a nationally agreed time element for Foundation training in addition to the competency basis which must be demonstrated.  Any doctor who is absent for a period in excess of one month (four weeks/28 days) on an aggregated basis will be required to complete a further four month placement before Foundation training is deemed to have been satisfactorily completed.  Full details are described in the Foundation Reference Guide document.  This important document published June 2012 is available on the UKFPO website for download.

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