Longitudinal Integrated Foundation Training (LIFT) FAQs

These are the most frequently asked questions about the LIFT programme. These questions have been collated from questions asked at committee meetings, away day and via email. 


What is LIFT?

The Longitudinal Integrated Foundation Training (LIFT) model aims to improve clinical progress and patient-centred practice, as well as the quality of the educational experience. As opposed to receiving one 4-month block of general practice training as Foundation Year 2 trainees, LIFT trainees experience two sessions per week (1 day) in general practice throughout their two years of Foundation training. This runs alongside 4 days each week in the traditional 4-month hospital block placements, experiencing 6 other placements across the 2 year training programme. The general practitioner supervising the trainee will be the Educational Supervisor for the whole two years of training.

This model was based on the work of Professor David Hirsh (Harvard Medical School) which showed the value of longitudinal integrated clerkships. For a greater understanding of the theoretical background, please view this short youtube video

How is a FY1 trainee different from a GP specialist trainee?

The FY1 doctors participating in the LIFT programme are not learning to be a GP so have a different curriculum and competencies. They are not independent practitioners so need a higher level of supervision. The FY1 trainee will be present in the community setting for 2 sessions per week. 

Can FY1 LIFT trainees carry out home visits?

FY1 trainees should not be doing acute home visits at the request of the patient as these are felt to be too high risk for a doctor in the early stages of their training. 

What about travel expenses for foundation trainees travelling to the GP practice?

Foundation trainees are employees of the acute trust. They are entilted to claim for travel from their base hospital to their GP practice. Claims for travel can be made via the local arrangements of the employing acute trust. 

Who will be the foundation trainees educational supervisor?

The GP practices involved in the LIFT scheme have agreed to undertake the education supervision instead of the employing acute trust. You will have clinical supervisors in your placements in your employing acute trust. 

Can an FY1 trainee carry out acute telephone triage?

Acute telephone triage is believed to be too high risk for doctors at this stage of their training in the primary care setting. They can undertake phone calls to patients that they are involved with on a more chronic basis if the trainee and supervisor believe this is appropriate.