GP Training in Swindon and Bath high quality innovative effective.
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Transcript of GP Training in Swindon and Bath high quality innovative effective.
GP Training in Swindon and Bath
high quality innovative effective
A team approach
Promoting GP as a career Jane Savage, CO
The VTS Jon Elliman, PO
The DRC Steve Pigott, CO
Other issues Martyn Hewett, CO
Resources Michael Harris, PO & CO
Promoting General Practice as a career Jane Savage
Promotion by…
Our website PRHO talks Career advice Pre-interview open morning
Our website - good response
http://www.mharris.eurobell.co.uk/index.htm
from GCSE students…
http://www.mharris.eurobell.co.uk/gptrain/welcome.htm
… to SpRs
http://www.mharris.eurobell.co.uk/vts/index.htm
PRHO talks
Six-monthly talks to PRHOs General Practice as a career
Career advice
2 or 3 enquiries a week face-to-face phone e-mail
Open morning for VTS & GPR applicants
http://www.mharris.eurobell.co.uk/gptrain/openday.htm
Swindon & Bath - innovative Vocational Training Schemes Jon Elliman
Swindon & Bath - innovative Vocational Training Schemes
Structure Teaching Trainer Involvement Pastoral Care
Quality Assurance Integration With The Day Release Course Some Challenges
Structure
8 three-year rotations starting every 6 months
Swindon 2 have a middle year as a TAGPR and 2 have 6 months as a TAGPR
Structure
TAGPRs (Trust attached GP Registrar) 3 days in hospital speciality 2 days attached to their training practice
Bath 2 successful TAGPR schemes cancelled because of lack of GPR funding
Trust Attached PostGP Registrar Post
Other Colours Standard SHO Posts
Structure of the Swindon VTS
Rotation 1 PaedsRotation 2 CoERotation 3 PaedsRotation 4 Psych
A&EA&E
O&G Ophth Pall Care
Psychiatry O&G
Derm/GUMedO&G
GPR YEAR
ENTA&EPaedsPsychCoE
Teaching/Integration
Traditionally half day per month for VTS SHOs/TAGs over their 2 hospital years
Teaching/Integration Now:
2 inductions/year for new VTS SHOs
2 days/year SHOs/TAGs jointly with DRC 2 days per year Swindon/Bath SHOs/TAGs
2 trainers days/year (GPRs/SHOs/TAGs) 2 joint communication days/year TAGs/GPRs
1 or 2 Swindon/Bath TAG days/year 2 half or whole days for Swindon TAGs/SHOs
http://www.mharris.eurobell.co.uk/newgpr/spring05/timetabl.htm
Trainer Involvement Enthusiastic Trainers’ Groups TAGPRs Contact During SHO year Trainers’ Days in Bath and Swindon Use Of GPs/GP Trainers in teaching
MRCGP exam Ophthalmology Dermatology Headache Risk Management etc
Pastoral Care
Hospital Consultants Trainers Programme Organisers AD Mentor
Quality Assurance
Structured Exit Interviews SEAP (SHO Educational Audit Project) Annual SWACPO Report HRC/Deanery Visiting Structure
Challenges/The Future Increase the number of training practices
in Swindon Maintain Trainer Morale TAGPRs
New scheme, consultants/trainers often unsure of their role
Ability to integrate when only part time in dept. Isolation from GPRs/SHOs
Challenges/The Future TAGPR rotations cancelled in Bath Demographic changes (part time working,
career breaks often taken during VTS) Modernising Medical Careers
Increased pressure on training practices Increased pressure on consultants
Challenges/The Future Academy status
Increased pressure on practices Increased pressure on consultants
Time pressure on Programme Organisers expectation to be involved in F2 scheme (no time allowed
for this) Department Of General Practice In Swindon
The Bath and Swindon Day Release Course Steve Pigott
The Bath and Swindon Day Release Course
A typical day Planning the course On-line support Quality Assurance.
A Typical Day
Hot topics Critical appraisal Politics
Soapbox Workshops Group work
Special Days
Residential modules Away days Trainers’ days Patch days
Curriculum Planning
Outcome-based educational framework Swindon and Bath Trainers Groups. Sept 2002 MRCGP Exam blueprint
The planning process
http://www.mharris.eurobell.co.uk/resource/aims/intro.htm http://www.mharris.eurobell.co.uk/resource/aims/praccont.htm
Web-based support
http://www.mharris.eurobell.co.uk/index.htm
Timetable and plan for the term Hot topics: critical appraisal Preparation guides for group work topic 40+ on-line study guides http://www.mharris.eurobell.co.uk/resource/resource.htm
Quality Assurance
Weekly feedback GPR representatives Appraisals DREEMS http://www.mharris.eurobell.co.uk/newgpr/dreem.htm
Other issues Martyn Hewett
Features of the team Falling numbers of GPRs attending DRC Supplementing Deanery funding with
contributions from pharmaceutical companies
Features of the team
Postgraduate teaching qualifications Michael Harris – MMEd Jon Elliman - ) both completing Martyn Hewett - ) TLHP Cert Med Ed
Publications
Numerous papers published in green journal
Books
Ongoing educational research programme
Currently palliative care evaluation of course in terms of outcomes
(progress of GPRs through MRCGP and Summative Assessment modules, career choices)
Teambuilding day
November 2004
Falling numbers of GPRs attending DRC
0
5
10
15
20
25
30
35
40
Sep-01 Sep-02 Sep-03 Sep-04 Sep-05
Swindon
Bath
Reasons for falling numbers
TAGPR posts do not routinely attend DRC during TAGPR
attachment Budget for GPRs in Bath/Swindon not
increased when Bath TAGPR posts were created, and Swindon TAGPR posts were included in 3 year
rotations No funding for standalone GPR posts
Supplementing Deanery Funding with contributions from pharma
Core costs of running DRC (speakers fees only):£12,605
Amount received from Deanery: £6,000 this has not changed for over 10 years amounts to £8 per GPR per day
Remainder from pharmaceutical sponsorship This requires 3 representatives each DRC
day
Disadvantages of encouraging exposure of GPRs to pharma reps
Unpopular with GPRs Adversely affects peer support Affects the prescribing habits of GPRs (and
therefore new GPs) thereby increasing prescribing costs
Disadvantages of encouraging exposure of GPRs to pharma reps
Sabotages attempts of Course Organisers and Trainers to encourage critical appraisal and ethical approach to professionalism
Produces a whole generation of GPs who believe that they are dependent upon the pharmaceutical industry for their education information about new developments
And finally …
Presentation available at www.mharris.eurobell.co.uk/resource/gpec/gpecpres.htm
Any questions?