Delivering effective medical training under EWTD

The changes needed to achieve EWTD compliance will significantly affect the working patterns of doctors in training and also change the traditional one-to-one relationship between a training grade doctor and their consultant. Proposals contained in the recent consultation document Unfinished Business could also have a significant impact on the training experience of doctors in training (see Annex B for information on where the document can be accessed). Given these changes, maintaining quality of training will require:

A clear identification of what training grade doctors need to do to achieve their training goals.

Greater investment in alternative approaches to training such as web-based materials and the use of simulators etc. NHS Trusts, through their education supervisors, will need to ensure that Individual Learning Plans are developed which can effectively deliver training objectives within the new working patterns and service models.

The Department of Health will be working with Postgraduate Deans and the medical Royal Colleges to ensure that NHS Trusts are supported in this with good advice on training models. As a first step the Conference of Postgraduate Medical Deans (COPMED) has produced a document Liberating Learning (see Section 6 Further guidance).

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Support for the Change Process