The curriculum for the Foundation Programme is comprised of four sections:
- Professional Behaviour and Trust;
- Communication, Team Working, and Leadership;
- Clinical Care; and
- Safety and Quality.
Foundation doctors must achieve 20 professional outcomes, or foundation professional capabilities – educational outcomes that encompass aspects of both clinical practice, and professional responsibilities. In both foundation years, trainees must achieve the minimum levels of performance expected of a doctor at their level before they can progress to the next stage of training.
Foundation Year One
During the first year, doctors begin to take responsibility for managing patients under supervision, and build on the skills that they have gained during their time at medical school. F1 doctors are provisionally registered with the GMC, and may apply for full registration at the end of a successful first foundation year.
From Foundation Year One to Foundation Year Two
Before they can progress to their second year, F1 doctors must show that they have established themselves effectively in clinical practice by
- being able to take a history from, and perform a clinical examination of, patients who are either acutely unwell or suffering from chronic conditions;
- showing the ability to formulate both a differential diagnosis and a management plan for patients;
- being able to recognise patients that are either acutely unwell or those that have chronic conditions;
- prescribing medicines in a safe manner – requesting relevant investigations for patients, and acting on the results;
- being able to perform cardiopulmonary resuscitation;
- managing patients with palliative care needs, under supervision; and
- showing an understanding of what health promotion and the prevention of illness involves.
F1 trainees must also demonstrate the ability to
- work effectively as either a member or a leader of a multidisciplinary team,
- recall the latest clinical evidence,
- plan their future career,
- adapt their clinical practice to the clinical setting in which they are working,
- perform procedures in a safe manner, and
- apply the professional responsibilities and standards for clinical practice that are set out by the GMC.
If doctors successfully complete F1, they receive the Foundation Year 1 Certificate of Completion (F1CC), necessary for full registration with the GMC.
Foundation Year Two
F2 doctors, although still supervised, take on more responsibility for managing patients, and are expected to make more complex decisions about the clinical management of patients. They work in a greater variety of clinical settings than F1 doctors, such as EM departments and outpatients, and contribute to the teaching and supervision of both junior colleagues, and medical students.
F2 doctors also need to show that they have achieved the minimum expected level of performance in the 20 Foundation Professional Capabilities. F2 doctors must show that they have built on the skills that they have developed during F1, and have
- taken on more responsibility for management decisions by recognising, assessing, and formulating management plans for patients in more complex situations;
- started to develop a leadership role in the team;
- built their leadership skills;
- adapted to practice in new clinical settings;
- taught colleagues;
- built on the knowledge and skills required for GMC professional responsibilities;
- increased their ability to act on those skills in more complex situations; and
- carried out a broader range of procedures in a safe manner.
Once a doctor has successfully completed F2 training they will receive their Foundation Programme Certificate of Completion (FPCC) and they will be eligible to apply for Core, Speciality, or General Practice training.