Post on 13-Jan-2016
description
Developing Learning EnvironmentsDr Barry LewisDirector GP Education
Defining the Learning Environment
LEARNING ENVIROMENT
Workplace Experience
Educational programme
Clinical Supervision
The ‘fabric’ – rooms, equipment and people
The ‘Fabric’
• Standards for Better Health• Consulting rooms
– Size– Suitability
• Resources– ‘library’/study area– Records and IT
• Practice based team
Workplace experience
• Patients– List size– Morbidity– Access
• Services– Chronic disease management– Additional services
• Multidisciplinary team
Educational programme
• In practice educational processes– PHCT meetings– Case based discussion meetings– Clinical education
• Tutorial arrangements– Protected– ?shared
• Relevant to stage of training
Clinical supervision
• Organisation of supervision– Availability and access– Training as supervisor– Appropriate to stage of training
• Non medical supervisors – Training– Time in usual role– Support for role as supervisor
• Sessional vs overview processes defined
Expanding and extending GP training
• Numbers in NW– ST1 recruitment 240 in 2009– ST1 recruitment ~300 in 2011– All to do minimum 18 months GP
• Extending to 5 years– Pilot in NW for ST4 and 5– ST4-5 in GP
• More placements needed– New practices– New slots in existing practices– Hub and spoke arrangements – BUT environment conditions
still apply
Funding
• Existing Learning Environment Grant– Established process– Support needed from PCT– Points for undergrads, AHPs, FY2s as well as GPST
slots
• New LEG– Additional money 09-10 only– Same parameters but – removal of matched funding
etc
Funding (2)
• Developing remuneration for training– Trainers grant
• Graded based on supervision required• Acknowledges service delivery by trainees
– Environment payment• Fee/slot• Slot may be used by any of the range of
learners