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Related Concept Videos

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Cardiopulmonary Resuscitation I: Adult

Cardiopulmonary resuscitation, or CPR, is a life-saving emergency procedure performed when a person's heart has stopped beating or they are no longer breathing. The foundation of CPR is Basic Life Support (BLS), which focuses on the early recognition of cardiac arrest, the immediate start of high-quality chest compressions, and the timely use of an automated external defibrillator (AED).Assessing Responsiveness and Checking the Carotid PulseWhen approaching an unresponsive person, first ensure...
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Standardized Model of Ventricular Fibrillation and Advanced Cardiac Life Support in Swine
05:36

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Published on: January 30, 2020

UK Foundation Programme training needs a national minimum standard for advanced life support.

Adam Baker1, Michael Okorie2

  • 1Royal Sussex County Hospital, University Hospitals Sussex NHS Foundation Trust, Brighton, United Kingdom; Brighton and Sussex Medical School (BSMS), Brighton, United Kingdom.

Clinical Medicine (London, England)
|June 9, 2026
PubMed
Summary

The UK Foundation Programme removed mandatory Advanced Life Support (ALS) training, causing inconsistent resuscitation preparedness among doctors. Restoring a national ALS standard is crucial for equitable emergency care capabilities.

Keywords:
Advanced life supportFoundation trainingMedical educationPatient safetyPrescribing safety assessmentResuscitation

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Area of Science:

  • Medical Education
  • Emergency Medicine
  • Healthcare Policy

Background:

  • The UK Foundation Programme removed mandatory Advanced Life Support (ALS) certification in 2021.
  • This shift to a capability-based approach has led to significant national variation in resuscitation preparedness for foundation doctors.

Purpose of the Study:

  • To evaluate the impact of removing mandatory ALS training on foundation doctors' resuscitation preparedness.
  • To advocate for the restoration of a national ALS standard within the UK Foundation Programme.

Main Methods:

  • Analysis of the practical implications of the UK Foundation Programme's shift away from mandatory ALS certification.
  • Review of the current landscape of resuscitation preparedness development, evidence, and sign-off processes.

Main Results:

  • Unequal access to funded ALS training, simulation, and supervised assessment for foundation doctors.
  • Supervisors face challenges in judging equivalence of resuscitation skills without a consistent national threshold.
  • High-stakes clinical capability is now dependent on local opportunities and variable interpretations.

Conclusions:

  • A capability-based curriculum and a national minimum standard for ALS are not mutually exclusive.
  • The Foundation Programme should reinstate a national ALS requirement or a recognized equivalent.
  • This should be accompanied by funded access, blended delivery, and transparent national evaluation.