The School of Primary Care
Bristol Faculty DayBill Irish
Most information can now be accessed via the School website:
http://primarycare.severndeanery.org/
New Website – Jan 2009
Numbers
• 2500 GP Principals + Significant numbers of non-principals
• Full-Time GPSTRs:
• …324 increasing to 500 over next 3 years
Year of Entry Number recruited into ST1
2007 102
2008 126
2009 138
2010 154
Opportunities
• Better rotations:– Less internal medicine, T&O, etc– More palliative care, SRH, Paediatric A&E etc
using 100% funding from SHA
• More foundation rotations with 4m GP– Conversion of hospital F2 posts into GPSTR posts– To 55 or even 60%
• All with 18m GP – mainly in ST2
Threats
• Capacity in General Practice– Major recruitment drive
• Improvement grants – £0.5 Million• Local support in WSM and in Bristol for new trainers
– Pressure to pick up surplus medical and surgical posts in context of EWTD
– GPE and Trainer fatigue– Recruiting from same pool of applicants –
standards?
Experienced Trainer Courses (ETCs)
• We have listened…• We have trashed the
old Severn and Wessex Courses
• Paul Main has led a major redesign of the 3 yearly ETC
• Thank you for all of your input
ETCs• What they wont…
– Be didactic– Have any hidden agenda
assessments– Be rigid– Have any political spin– Charged for
• What they will …– Be learner-centred based on
adult education principles– Be experiential– Based on peer learning &
feedback– Use live bait– Use local subject experts for
current hot topics– 3 days every 3 years– Be developed in response to
feedback
Remain
com
pulsory
for r
e-
accr
edita
tion as
a Sev
ern
train
er
Extended Rotations
Structured Teaching through local programmes
Single GP Educational Supervisor
Single GP Educational Supervisor
Primary Care School Scholarship Programme
11 “High Flying” GPSTRs selected competitively at ST2 for additional training in ST3
11 “High Flying” GPSTRs selected competitively at ST2 for additional training in ST3
New 4-year Programmes
2 Clinical Research (Nationally funded ACFs) - UoB1 Education – UoB2 Public Health/Leadership – Bristol and Somerset PCTs
2 Clinical Research (Nationally funded ACFs) - UoB1 Education – UoB2 Public Health/Leadership – Bristol and Somerset PCTs
Collaboration With Universities
• Bath• UWE
• Masters programme in Primary Health Care• Taken over 4 years
Existing Links• Research Projects
– UWE• ACFs and Undergraduate
Teaching– UoB
• Advanced Practice Nurse Project– UWE/Derek Sprague– City
• KTP on QA of hospital training posts– UWE
• Language Skills Assessment in Doctors in Training– Bath
• Novel selection methodologies for GPST– City
• Advanced Educator Development– UoB– Dundee
• MRCGP exam teaching and NQGP mentoring– Severn Faculty, RCGP
How might it work?• Self funded by trainees
– 77% current ST1s interested in a self funded MSc• Some limited development costs co-funded by deanery and university• Credit accumulation – possibly allowing some import from other national
universities• Needs to be seen as high return
– Additional Skills– High Value Qualification– High chance of completion
• Accessibility by established local GPs for CPD
Mapping an MSc on to GPST & Beyond
ST1 ST2 ST3 Post CCT
CertificateCertificate DiplomaDiploma MastersMasters
Mulitple Exit (and re-entry) Points
Accreditation
• Joint exercise between HEI and Deanery• Minimal cost to trainees• Oxford Brooke’s model
– Assessed Portfolio– Passing 3 components of MRCGP
• Assessed by current faculty, after training by HEI
• Visiting university appointments
Taught Masters
• Adapted from existing taught Master’s level programmes.
• Opportunity to provide access to local GPs, and the NHS.
• Distance vs. face-to-face education
Clinical Modules
Eg: Sports MedicinePalliative CarePublic HealthTherapeutics
Clinical Modules
Eg: Sports MedicinePalliative CarePublic HealthTherapeutics
Generic Modules
Eg: Business & Finance SkillsLaw & EthicsLeadershipEducation
Generic Modules
Eg: Business & Finance SkillsLaw & EthicsLeadershipEducation
Project and Dissertation
• Taught basic clinical and/or educational research skills
• Opportunity to evolve into a research-based degree
• Distance learning• Supervision from subject experts
Thank You
• Questions?• Critiques?• Suggestions?
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