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Issue 6 - The UK Foundation Programme, what's new this week, scoring systems & more...

Issue 6 - The UK Foundation Programme, what's new this week, scoring systems & more...
By Pulsenotes • Issue #6 • View online
Hello all!
Welcome to the sixth instalment of our weekly dose. Following on from our recent LIVE Q&A, Ben will be taking you through the UK Foundation Programme, Sam will be covering what’s new this week @pulsenotes and I’ll be discussing scoring systems.
So sit back, relax, and enjoy your morning coffee with the new Sunday release!

Preparing for FPAS - our recent LIVE Q&A
Preparing for FPAS - our recent LIVE Q&A
UK Foundation Programme Application
The UK Foundation Programme (UKFP) is a two-year, work-based training programme. Most medical students within the UK (and those applying abroad), will apply to the UKFP during their final year of medical school. The UKFP has been created to enable newly qualified doctors to gain the necessary skills before application to specialty / general practice training.
The application is a national process, which allocates you to a specific area in the country known as a ‘deanery’. Following allocation, you then rank individual jobs at hospitals - known as ‘local matching’ within your deanery.
Every year, the UKFP will release a national timeline with the key dates related to registration, application submission and the situational judgement test (SJT). It is imperative you follow this closely! The UKFP application is undertaken through the online system ORIEL. In addition to the normal application, students can apply for special programmes including the academic foundation programme (AFP) and the foundation priority programme (FPP).
Application to the UKFP is based around an application score. This is a score out of 100, based on your educational performance measure (EPM) and the SJT.
Educational performance measure
The EPM is based on two elements: medical school performance in deciles (for which 34-43 points are available) and educational achievements, which are worth up to 7 points (maximum 2 for publications and 5 for additional degrees).
Assessments that determine medical school performance are decided by individual medical schools. Students in the top decline receive 43 points and bottom decline 34 points.
Situational judgement test
The SJT is an assessment methodology designed to test aptitude for employment and the professional attributes expected of a foundation doctor. It is not a knowledge-based exam. Instead, students must rank in order, or choose, the most appropriate choices to certain scenarios encountered during clinical practice. The test comprises 70 questions over 2 hours and 20 minutes. We strongly recommend preparing for the SJT well before the exam date!
Applicants scoring high enough to be on the ‘primary list’ will be allocated to a deanery. In rank order, each applicant will be allocated to their highest preference where a training place is available.
Final words
The UKFP can be a daunting and stressful process. Many students will be worried about being allocated a job they want in an area they want. Just remember, all students across the country will be going through the same thing!
Here’s our top tips:
  • Consider LOCATION early - Ideally where would you like to go and why?
  • Get EVIDENCE early - Evidence of additional degrees / papers etc.
  • Read the FPAS HANDBOOK - A rather cumbersome document, but includes all the important information you need to know!
  • EXCEL SPREADSHEETS - Create an excel spreadsheet to help rank your desired deanery and jobs.
  • Set REMINDERS - Deadlines creep up so set reminders!
  • NOT a last minute job - DO NOT leave to the last minute. This determines where you will be for the next 2 years!
For more info download the UKFP handbook online and check out our Q&A on FPAS!
Got a question? Message me on twitter!
Benjamin Smeeton (@plasticsreg)
What's new this week?
LIVE events - what we’ve got coming up…
  1. Sunday 7th June 11:00 - Pulsenotes LIVE: Burns. Plastics Reg Ben tackles this important, but often poorly-covered topic - not one to be missed!
  2. Tuesday 9th June 14:00 - Pulsenotes LIVE: Diverticulitis. Sam will be taking you through this common surgical presentation, from recognition through to treatment.
  3. Thursday 11th June 17:00 - Pulsenotes ROUNDS: Tired all the time. As part of our popular ROUNDS series, join Norton and Ben as they take you through this presentation in a manner expected of an FY1 / newly qualified PA.
  4. Friday 12th June 14:00 - Pulsenotes LIVE: Sickle Cell Anaemia. Our free lecture series (in association with SMILE) continues with Sickle Cell Anaemia. Norton will be there to take you through everything you need to know!
  5. Saturday 13th June 18:00 - Pulsenotes Q&A: Starting a business in medical school. Thinking of starting your own business? Or already have! The team will be here to answer any questions you may have.
  6. Sunday 14th June 11:00 - Pulsenotes LIVE: Ankle fractures. Abhinav is back to continue his orthopaedic trauma series. This time he’ll be tackling ankle fractures!
Remember - recordings of all these LIVE events will be available for members that aren’t able to make it!
JOIN OUR COMMUNITY for details of all our EVENTS!
JOIN OUR COMMUNITY for details of all our EVENTS!
New topics…
We’ve been extra busy this week. We have added a number of beautiful video lectures to our library:
  • Multiple myeloma with Norton
  • Biliary disease with Sam
  • ROUNDS - Abdominal pain with Cat and Sam
  • LIVE Q&A - The clinical transition with the team
Our content library keeps growing and this week we’ve added all these topics:
  • Testicular cancer
  • Multiple myeloma
  • Perianal abscess
  • Acute epiglottitis
  • Neonatal jaundice
  • Biliary atresia
  • Henoch-Schönlein purpura (HSP)
  • Croup
  • Normal labour
Norton's Corner
Scoring systems
Medicine is FULL of scoring systems. From the Wells score in pulmonary embolism to the CHADS-VASc score in atrial fibrillation. It’s difficult to remember them all!
Scoring systems are generally based on a set of clinical symptoms, bedside observations, co-morbidities or laboratory results. Collectively, these can be used to derive a score for a particular medical condition. 
The score itself may tell us different things depending on the one being used. It may provide us with information on patient survival, risk of death, likelihood of a diagnosis or when a patient should be admitted for further treatment. 
Some of these scoring systems are classic exam questions. One such system is the Westley score. This score is used to assess the severity of Croup, otherwise known as laryngotracheitis, in children. The Westley scores divides the severity of croup into mild, moderate, severe and impending respiratory failure. It helps determine need for treatment with dexamethasone, nebulised adrenaline, inpatient care and admission to a paediatric intensive care unit (PICU).
The Westley score: evaluates the severity of croup
The Westley score: evaluates the severity of croup
Love them or hate them, scoring systems are a cornerstone of clinical practice!
Want something covered next week? - send me a tweet @medicalreg
Final words
Remember to get in contact with any questions, suggestions, or topics that you wish to be covered!
Thanks for reading, see you next week!
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