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Yes, hello, my name is Claire. I'm one of the GP trainees working in Bath and I'm also working as the Southwest Regional um foundation program support fellow. And along with my colleague, Joe, we're here to talk to you today about the enhanced program over to you, Joe. Thanks Claire. Um Yeah, so I'm Joe um and also one of the foundation fellows um currently living in Truro in Cornwall and working DD. Um So we'll may be attending to those guys in the peninsula, but hopefully, we'll have good spread throughout the whole of the Southwest. Um So I'm here to talk to you about a learning opportunity for doctors in training that should hopefully feel like an exciting chance to think with a public health gaze during your clinical training um to consider wider determinants of health and the relevant care needs of your community. Um It's called the Enhanced Generalist Program and it's aiming to bridge gaps between primary and secondary care and the local care network. So, what is it? Um It is a educational program which er is aligning with the foundation curriculum as well and it's a series of modules with particular themes that prompt thought away from board work and hospitals. Um It's got a general feel of public health and asks us doctors to consider the locality that we're working in. Um consider the specific vulnerable population groups in your region. Um And in addition to this, it's asking us to consider the health network structure, how resources are allocated, how decisions about policy are made and how we deliver care services to our area. Finally, it's improving our understanding of the care network in our region, encouraging us to work more tightly and fluidly with the MDT. Um be that in hospital or outside of hospitals alongside health promotion groups or the voluntary sector. There's then an additional module running through all of it, which is asking us to consider sustainability both in terms of health care's impact on the environment, but also our own wellbeing by working through the various modules, you can see we'll gain a broad range of knowledge and skills to support our development as a doctor and one that hopefully has a better grasp of the community we're working in and the care networks available and these skills are gonna be transferrable throughout specialties. Um And really help us um throughout our career on completion of each module. Um A certificate is awarded and then after all of it, a contextual leadership certificate is given at the end and will award prizes um for best engagement, best Q I et cetera. Um The program incorporates online learning, interactive learning and shadowing placements. And there's huge flexibility in how we choose to evidence and fulfill the learning points for each module. Um So our aim is to make the program as interactive and as exposure based as possible. Um So over the last month, I've made some great friends and contacts relevant to specific inclusion, health groups within the area. And we'll continue to do this more and more over the next two years. Um Me and Claire just need other F one and F twos to do it with. So I've been lucky enough to meet and visit groups such as those working with fishermen on ports in newly and new clinics with seasonal farm workers on farms near Penzance down in Cornwall um which er attend to mainly kind of the Kazakh um Kazakh and Romanian community. Um but that will of course vary throughout the Southwest. Um refugee and migrant clinics run by Devon and Cornwall refugee support. Um That's based in Plymouth, er, clinics run by health for homeless. Er And next week, we're making a podcast discussing care needs of the trans and gender diverse community in the Southwest. In addition, we've got opportunities to visit our local counselors and integrated care board team to understand how resources are allocated and how the system structures itself to actually deliver quality care to an entire region. So our reason for being excited about the program is that we're aware junior doctors can at times feel disheartened with the notion of being service provision alongside this, with frequent rotations every four months, we can become a bit disconnected from the hospital and its workings and and the kind of uh wider wider view that we're actually trying to attend and help the community around us. So this program hopes to connect us with the care network that we're working within. Um both with the MDT and with those in positions of system and resource decision making, it will hopefully give our day to day work a bit more context and uh allow us to feel more informed when dealing with complex patients or um those times where we're feeling a bit isolated on a ward. So if we move on to why now, um the program has come from the future workforce plan and the future doctor report um which has highlighted that our patients are changing and living longer with greater multimorbidity. There's increased societal complexity. Um er all with differential access and barriers to health care, the primary and secondary care boundary is becoming more blurred and healthcare systems have become more complex um with more kind of managerial levels. So, whilst we can continue to strive to be a specialist in our field, we're also going to need to adapt to this um to work effectively in healthcare um today and to the future um to give optimal care to our patients, but also job satisfaction. If you look at um this next slide which uh shows the core 20 plus five an initiative created um uh by kind of NHS England um and is being rolled out at the moment. Um It, it, it, it aligns quite nicely with, with what we want to teach. Um So it's worth just taking a look at it, but it's, it's encouraging that population based health mindset. So just recognizing that um each community and region is very different and, and to deliver optimal care, we need to kind of understand it. Um So, by understanding the areas of your region, um and what additional vulnerable populations are living within that area, um how we can attend to those needs and who is attending to those needs. We can hopefully go about our day to day duties from a more fulfilled and informed position. Um If you move on to looking at the modules, um I've, I've touched on population health um will look at system working. So, so that's kind of looking at more of the, the structure of healthcare and how that's delivered um and environmental sustainability and, and Claire and I definitely envisage that a lot of that will be covered with, with hopefully a qi project, a little audit about how we can make our trusts a bit greener. Um And additionally, we'll review complex multimorbidity. Um So, hoping to better ourselves at dealing with, with the type of patients that can make us feel a bit frazzled at the end of the day on AU or in primary care. Um So those are the core domains and then running through it. You've got wellbeing, leadership and reflection. Um And wellbeing is, is very much an important one. and barns who is a trust that has been, is a trust that have been rolling out, enhance over the last year. Um, last week they did a, they did a workshop um on the beach with a couple of hours surfing, er, and we'll certainly aim to replicate that. Um, there's loads of overlap with your foundation curriculum. Um So, so doing this program will also kind of make sure um that you've ticked off lots of boxes on the foundation curriculum as well. Um Some of those bits which are usually, which can be a bit harder to um to meet when you're, when you're just on, on the wards. Um So, yeah, no matter what sort of doctor we'll become, um these facets will be important and a further understanding aims not only to support our provision of excellent care, but also to give an understanding of systems and skills, helpful to be a leader in health care and just make us a better doctor and be an advocate for patients. Um So if we look at um I've kind of touched on which modules, I mean, there's, there's lots of flexibility in terms of whether you do a certain one in f one or a certain. Um one in FF two, I think we're gonna aim to mix it up a bit. Um Keep it flexible. Um You can do more than 11 module at a time. You don't need to complete all of them and, and you can take whichever module modules interest you at different times throughout F one and F two. We just want people to be involved and, and sort of feel that it's supporting them in, in generally just being a better clinician. Um And as I said, those interested in participating would have options to join the community based projects that we, that we've organized. Um And, and then we'll, we'll also support you just to think of your own opportunities and, and think of which other kind of groups of or populations you want to go out and meet and understand their, their care needs. Um So, in terms of how, how you're gonna do it, what, what this entails, I'm gonna just hand you over to Claire so that um she can just touch on a few other things. Thanks for listening. Great. Thank you. Um So, yeah, I think a lot of this has already been covered, but what does this entail um is self directed learning opportunity. And I think we've covered that it aligns with the foundation curriculum. Some of what you're learning in um your mandatory teaching, both core and non core, mandatory teaching will cover parts of the leadership program So we will also be working to support you how to fill, fulfill the evidence requirements. We will also be trying to initiate some small group workshops working around your rotors as well as um potentially a larger study day um during the year. And we're hoping to make more interactive resources including podcasts to support your learning that you can engage with as and when you can and then just cover on the paperwork part, there is fairly simple um way of in your learning. So there's a, a thing called a real form, which is essentially a reflective form um and covers some of additional achievements. Um This one doesn't require educational supervisors to sign it off. You can upload and link it to your foundation curriculum. So getting some of those ticked off as you go, um it's a reflective exercise and it's designed to help you um reflect on what you've learned and what you, how you will change your practice as a result. And then for certification, um you will sign it off yourself and then after discussion with your educational supervisor, they will countersign this and then that can be um ratified by the foundation school and you'll end up with a certificate for each module you're complete and then an overarching certificate at the end of the program. So where to go from here. So we are also trained doctors in training resident doctors. Um And we're happy to contact, you know, be contacted. Um We will try and fit um these kind of study times around our own timetables as well as yours. Um But we're really happy to be contacted and quite excited to see where this program goes. There's a really um great website from another deanery. Um Kent Surry in Sussex who've done quite a lot of work in this space. Um And there's some really like great videos that they've got. So we'd really encourage you to look at other, other deanery resources as well as our own whilst we um develop our own unique set of resources for our region. And yes, really looking forward to hearing from you and hopefully we'll get lots of you completing the program. Thanks very much. Thank you. Bye.