Welcome to the School of Generalism!
The School of Generalism is a professional development programme for foundation doctors in the East of England. It is also part of a much bigger project to reshape postgraduate medical training in the UK.
It is early days: we have an ambitious vision for where Generalism is heading but everyone has to start somewhere. The EoE School of Generalism is the first pilot in the UK to embed a generalist development programme within foundation training. HEE’s future doctor report in 2020 set out a number of important priorities for the medical workforce in coming years. The theme of tomorrow’s doctors as generalists was woven through this work. The School of Generalism development programme is only the beginning of this work – some of our plans are still in their early stages but we thought it was important to share some of them with our community of educators and trainees (and future trainees!).
Generalism Foundation Programme - Applications have now closed
These programmes are part of the national trailblazer offer of Generalism to support the development of the future doctor.
These posts include additional educational programme elements and a longitudinal integrated clerkship in F2 between primary and secondary care, with additional opportunities aligned with the future doctor strategy.
Postholders will have two 6-month placements in F2 and will spend approximately 2/3 of time in the acute care element and 1/3 in the Generalism element.
We have generalism posts available for August 2022 start (August 2023 F2 with GLIC) at the following trusts:
- Colchester Hospital: x8 posts available
- East and North Hertfordshire NHS Trust (Lister Hospital): x4 posts available
- James Paget University Hospitals NHS Foundation Trust (Great Yarmouth): x2 posts available
- Luton and Dunstable University Hospital: x4 posts available
- The Princess Alexandra Hospital NHS Trust (Harlow): x4 posts available
- West Hertfordshire Hospitals NHS Trust (Watford): x4 posts available
- West Suffolk NHS Foundation Trust: x4 posts available
Generalism is about equipping doctors to work across traditional disciplinary and speciality boundaries. It isn’t the same as general practice. It isn’t the same as general internal medicine (though doctors in these and many other fields can still be generalists). Generalism is not about being an expert at everything. It is about a mindset that allows you to extend your skill set to suit tasks that you come across in your career. It is about a flexibility and adaptability of approach rather than a rigid commitment to a single narrow area of specialist knowledge. A generalist is a valuable team member, a natural leader and is resilient when the world changes around them.
The orthopedic registrar who has a conversation with a sad patient and can tell the difference between depression and stress is a generalist.
The consultant geriatrician who sets up a holistic falls service in response to caring for patients with broken hips is a generalist.
The GP who keeps abreast of the whole breadth of clinical medicine and provides 80% of the NHS care but, crucially, knows who to refer or admit for specialist care is a generalist.
The Cardiothoracic registrar who remembers the Dermoscopy training they had during their FY2 GP job and knows when a clinic patient needs a two-week-wait referral to a dermatologist is a generalist.
The medical student is a generalist – the foundation doctor is a generalist.
Generalism in postgraduate medical education is about embracing broad knowledge as well as deep expertise.
The School of Generalism is a development programme that sits under the umbrella of our foundation schools to offer an accreditation in Generalism for foundation doctors. Our development programme is themed around six modules which work within the foundation curriculum and sit alongside the GMC generic professional competencies. Core units allow the doctor in training, on completion, to develop as a skilled practitioner with knowledge and expertise in a a broad range of disciplines that will stand them in good stead to work within the 21st century NHS. Each module offers triggers for deeper learning, for reflective practice and for the opportunity for activism and for quality improvement experience.
Opportunities to sign up for the School of Generalism will be sent to our foundation doctors directly in the coming weeks and months. For some trainees there will be the opportunity to join pilot schemes with specially designed generalist rotations. Please check back here for more information or contact the School of Generalism team for more information below.