The F2 year of the Foundation Programme is also time and competency-based. Foundation doctors must complete one year (full-time equivalent) in an approved foundation programme and meet the requirement for satisfactory completion of F2 to be eligible for the award of the foundation achievement of competence document (FACD).
Doctors finishing Foundation training (F2) will require a Foundation Achievement of Competency Document (FACD) before they commence Specialty Training.
There is significant overlap between the process for sign-off in F1 (Section 10) and F2 (Section 11) but there are also important differences. Therefore the entire process for progression and sign-off in F2 is set out below.
|Completion of 12 months F2 training (taking account of allowable absence)||The maximum permitted absence from training (other than annual leave) during F2 is four weeks/20 working days (ie the same as F1).|
|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 F2 placement; the educational supervisor’s end of year report replaces this.|
|Satisfactory clinical supervisor’s end of placement reports||If the F2 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. The minimum requirements are set out in the Curriculum.||Team assessment of behavior (TAB) (Minimum of one per year)|
|A valid Advanced Life Support 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||The Curriculum requires that F2 doctors manage, analyse and present at least one quality improvement project and use the results to improve patient care. F2 doctors are also required to complete the following:
|Completion of the required number of Supervised Learning Events. The minimum requirements are set out in the Curriculum.||Direct observation of doctor/patient interaction:
(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)|
|Attendance at all Generic Skills sessions||If a foundation doctor has not attended all mandatory Generic Skills modules they will receive the 5.2 FACD but a Transfer of Information Form will be forwarded to the relevant Head of Specialty School advising of non-attendance at mandatory training. The NIFS ‘Completion of Foundation Training Certificate’ will be delayed until the doctor has attended the module in the following year.|
|Signed probity and health declarations||A separate form should be signed for 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, F2 doctors must also complete a Personal Development Plan and an updated shared log.|
F2 Annual Review of Competence Progression (F2 ARCP)
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 F2, 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 F2;
- 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.
- To provide a framework for review of the supporting information required for revalidation (F2 being the first year of the five year cycle).
Further information on the ARCP process is available in the Foundation Programme Reference Guide 2012 (section 10).