Educational Solutions for Workforce Development East Deanery General Practice Specialty Training....

Educational Solutions for Workforce Development

East Deanery

General Practice Specialty Training.

Block Release Teaching

Dave Shackles


East DeaneryA Compulsory Element of GP Specialty Training

• Takes 10 days from 30 day study leave entitlement in ST1

• Takes 4 days from 30 days in ST2

• Takes 16 days from 30 days in ST3

• Builds on workplace based training

– Time to share experiences and reflect.


East Deanery

Constructed around the RCGPCurriculum

• Six Domains of Core competence

1. Primary care management

2. Person centred care

3. Specific problem solving skills

4. Comprehensive approach

5. Community orientation

6. Holistic approach• Three Essential Application Features

1. Contextual

2. Attitudinal

3. Scientific


East Deanery


East Deanery

The Curriculum Statements.(The areas of medicine to be covered in Specialty Training

1 Being a General Practitioner2 The GP Consultation3.1 Clinical Governance3.2 Patient Safety3.3 Clinical Ethics3.4 Equality and Diversity3.5 EBP3.6 Research and Academia3.7 Teaching and Supervision4.1 Management in GP4.2 IMT5 Healthy People6 Genetics in Primary Care7 Care of Acutely Ill8 Care of Children9 Care of Older Adults

10.1 Womens Health10.2 Mens health11 Sexual health12 Cancer and Palliative care13 Mental Health Problems14 Learning disabilities15.1 Cardiovascular Problems15.2 Digestive Problems15.3 Drug and Alcohol Problems15.4 ENT15.5 Eyes15.6 Metabolic Problems15.7 Neurological Problems15.8 Respiratory Problems15.9 Rheumatology / Musculoskeletal15.10 Skin Problems


East Deanery

Competence Areas(For Assessment)

1. Clinical management

2. Working with Colleages and in Teams

3. Primary Care IM and T

4. Communication and consultation Skills

5. Data gathering and interpretation

6. Making a diagnosis and decisions

7. Managing Medical Complexity and Promoting health

8. Management of health and social care of the practice population and local community

9. Ability to work in physical, psychological socioecanomic and cultural dimensions

10.Ethical approach

11.Awareness of your own performance and health and how it affects others

12.Maintaining performance and CPD


East DeaneryResidential Introductory Course


East Deanery


East Deanery

Variety of Teaching and Learning MethodsThroughout your Training Programme

• 1:1 Tutorials with your Trainer• Small Group Tutorials• Problem Based Small Group Learning• Expert Lectures• On Line Learning Modules• Interactive workshops• Role play• Video analysis• Bedside teaching• Experiential Practice Based learning• Case Analysis

» Developing Self Direction


East Deanery

ST1 Practice attachment

Being a GP,The GP Consultation,IMT,Care of children and young people,Care of people with mental health problems,EBP,Ethics and value based practice,Care of acutely ill people


East DeaneryGPST1 During 6 months GP Placement

• 6 additional full days of teaching

• Consultation models

• Video analysis

• Problem Cases

• Clinical cases

• Difficult consultations


East Deanery

ST1 Day Release

GI,Cardiology,Dermatology,Respiratory,OpthalmologyOrthopaedics,Neurology,ENT,EndocrinologyBeing a General Practitioner,Care of Children and young people , The GP

consultation


East Deanery

ST1/ ST2 Hospital Posts

Care of acutely ill people

Contextualisation of cases seen


East DeaneryST2 Day Release

Being a GP,Palliative care,Sexual health,Equality and diversity

Genetics ,Patient safety,Ageing and Health,Mens Health,Rheumatology

Womens Health,IMT,Research and Academic activity


East Deanery

ST3 Practice Attatchment

Being a GP,Management,Teaching and mentoring

Care of people with learning disabilities

Personal and professional responsibilities,Clinical governance

Care of acutely ill patients,Healthy people: promoting health

Care of people with mental health problems

Care of people with cancer & pallitive care


East DeaneryST3 Day Release

Skin Problems,ENT,Opthalmology,Clinical ethics

Care of children and young people,Evidence based practice

Womens Health,Palliative care...

...and whatever topics you want to cover in small groups or in the whole year group


East Deanery

One/two Day ModulesWithin Day Release

• Women's Health course

• Minor surgery course

• Emergencies in General Practice (including CPR and AED)

• Hot topics

• Practice Management

• Child health and Child Protection

• Dermatology

• Palliative care


East DeaneryST3 Locality Based Study Groups

• Facilitated by GP Educational Supervisors

• Run by the groups for the needs of the group.

– Exam preparation

• E.g. role play with simulated patients

– Hot Topic Presentations

– Time to chat and share experiences

– Mutual support

– Review video consultations


East Deanery

RCGP Examination PreparationEmbedded in Teaching over the 3 years

1. Applied Knowledge Test (AKT) Preparation

2. Clinical Skills Assessment (CSA) Preparation

3. Workplace Based Assessment (WBPA)


East Deanery


East DeaneryEvaluation

• Each session is evaluated by participants

• Feedback provided to presenters and course organiser

– Session modified as required

• Positive Responses

• Enjoyable

• Informative

• Useful

• Good to meet up with collegues


East DeaneryPreparation for Independent Practice.

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Educational Solutions for Workforce Development East Deanery General Practice Specialty Training....

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