Concordo in pieno che si tratta di mera burocrazia. A volte mi domando se il tutto ha veramente lo scopo di voler migliorare il sistema sanitario nazionale inglese o e\' solo uno stratagemma pensato da pochi potenti per scoraggiare il sempre pi? massivo interesse del personale medico straniero che spinge alle porte degli ospedali e delle citt? per entrare in UK.E\' chiaro che mi sarebbe stato molto difficile scrivere tutto di tutto: avrei finito per completare un trattato, ecco perch? ho linkato i diversi siti da consultare. Essendo partito da poco l?ammodernamento del sistema, loro stessi non sanno bene cosi si far? (certo facile scriverlo sulla carta, ma in pratica?) e quali migliorie andranno fatte durante tutto l\'iter formativo. Fatto sta che alla tua domanda ti rispondo:La
prima: devi consultare i diversi deaneries e verificare quali posti di lavoro sono liberi per i quali concorri. Se tra essi non figura un? ipotetica gastroenterologia non vuol dire necessariamente che essa non c\'e\', ma che al momento non c\'e\' bisogno di ulteriori medici per quel settore. Il chiedere se si pu? farla quando e\' tutto pieno e non ne hanno bisogno (non a caso in quell\'ospedale per quella specialit? figurerebbe tutto pieno, anzi non verrebbe neppure segnato sul sito come: ?tutto esaurito?-ovvio!!!), credo sia lecito, ma non se se ha molto senso. Li\' dove c\'e\' posto, li\' fai domanda per concorrere, punto.La
seconda: e\' una competizione aperta, l\'entrarci o meno e\' influenzato dalla forte richiesta che c\'e\' per quella specialit? in quell\'ospedale. Di solito c\'e\' sempre una persona di riferimento menzionata sul sito. Come per tutti posti i candidati vengono scelti in base alle:clinical experience, research, publications, conference presentations, knowledge of the NHS, etc. That will be expected of you!!!
Ecco alcuni chiarimenti sui deaneries: What are Postgraduate deaneries?There are 15 postgraduate deaneries in England, each headed by a postgraduate dean. They have operational responsibility for ensuring that the Foundation Programme is delivered to national standards set by the GMC and the PMETB. They are responsible for ensuring there is an effective educational infrastructure for foundation training through the foundation schools. In particular, they are responsible for: ? information about and recruitment to the Foundation Programme ? shadowing arrangements in some parts of the country and induction (together with the NHS trust) ? ensuring that local assessment procedures are in accordance with wider national procedures ? ensuring that appraisal is undertaken regularly and appropriately ? training individuals that undertake assessments ? through the foundation training programme director, identifying an educational supervisor for each trainee within a Foundation Programme ? Through the foundation training programme director, ensuring that trainees\' regular appraisals take place and that Learning and Development Portfolios are supported within the process ? Ensuring smooth progression of trainees from year one to year two, offering appropriate career management and development opportunities ? Ensuring that individual trainees receive the training necessary to meet the competences required ? Providing career advice (along with the NHS and medical schools/university).
What are Foundation schools?Foundation schools bring together medical schools, the local deanery, trusts (acute, mental health and PCTs) and other organisations (e.g. hospices) to offer foundation doctors training in a range of different settings and clinical environments. The schools are administered by a central local staff which is supported by the deanery.
Qui invece chiarimenti in merito alle F2 (che sono di nostro interesse):Foundation Year 2 (F2)Q. Can I apply for an F2 post if I have not done Foundation Year 1?A. Yes - you do not have to do an F1 post to be eligible to apply for an F2 programme as long as you are eligible for limited or full registration with the GMC. Any available F2 posts that are not filled by current doctors who have been accepted into 2 year foundation programmes will be advertised either in the national medical press, such as BMJ Careers, or locally by deaneries or trusts, in Spring 2006 .
Q. What happens in Foundation Year 2 (F2)?A. Placements in F2 will typically consist of three 4-month placements. Doctors may also have the opportunity to have embedded \'tasters\' (e.g. working for a week in another specialty). Methods for allocating placements in F2 will vary from deanery to deanery but trainees will be able to express preferences.
Q. Will I have the opportunity to spend time in primary care?A. One of the goals of the Foundation Programme training is to foster a better understanding of the broad practice of medical care and, in particular, to provide doctors with a better insight into the relationship between primary and secondary care. From August 2006, 55% of the first cohort of F2 doctors will have the opportunity for a placement in general practice.
Q. What F2 placements will be available?A. The availability and type of placement will vary depending on the foundation school. All foundation schools will have placements available in acute trusts, mental health trusts, and in general practices. Additional funding has been made available for placements in specialties that are actively recruiting (such as psychiatry, radiology and chemical pathology) and also academic medicine.
Q. How much choice will I have to decide the content of F2 placements?A. There are two ways in which your placements can be allocated. Either you will be selected into a two year programme with the content and location of both years known at the outset, or else you go into a programme where you only know the content and location of the first year. If that is the case, you will apply for an F2 rotation 6-8 months into your F1 year, following discussions with your educational supervisor. The choice of placements is not unlimited, so you may not get your first choice.
Q. What if I satisfy the foundation competences before the end of the two years?A. If you satisfy the clinical competences prior to completion of the F2 year, you should speak with your educational supervisor to determine what additional projects you might take on - such as a clinical audit or research project. You will have to complete the placements in both F1 and F2 years before acquiring the Foundation Achievement of Competence Document at the end of the second year.
Q. What if I do not satisfy the foundation competences by the end of my F2 year? A. The vast majority of doctors will complete the Foundation Programme successfully within two years. If you are struggling, speak to your educational supervisor who should be able to advise you and give you the extra support you need.
Q. Will the assessment tools be used to rank me as part of the selection process for specialty training?A. Not at present. Further research and evaluation is needed to see if the assessments can be used for ranking foundation doctors in the future - this will most likely not happen for at least a few years. However, trainees will be informed at the beginning of their Foundation Programme if workplace-based assessment tools are to be used for ranking. Tutto chiaro? Invito comunque gli/le interessati/e a leggere accuratamente tutte le pagine proposte nel primo post. bye