St2 InductionGP bit

Part of ST 2 may have 1 or 2 stints in general practice of 4 months each.

If only one 4 month gp placement there is a lot to get done!

You should know where you are going already

Practices vary but conditions are on average better than in the big bad world

What lies ahead

Need to meet the practice manager and trainer before hand

Bring a number of documents GMC MDU Passport CRB check P45 bank details payslip CV

Sign contract. You should have an induction into general

practice .

Pre placement meeting

Induction timetable

REGISTRAR TIMETABLE

Monday am. Surgery 09.00am – 11.30am Late visits Monday pm. Surgery 15.00am – 17.30pm Tuesday am. Surgery 08.30am – 11.00am Tuesday pm. Training/PGE 14.00pm – 17.00pm Wednesday am. Tutorial 09.40am – 10.40am Surgery variable Practice meeting 08.30am - 09.30am Wednesday pm. Vid/normal surgery 15.00pm – 17.30pm Thursday am. Joint surgery 09.00am – 10.00am tutorial 10.00am – 12.00pm prescriptions Thursday pm. Diabetic Clinic 14.00pm – 16.00pm Thursday pm. Surgery 16.00pm – 17.30pm Friday am. Surgery 09.00am – 10.45am Friday am. Child Health Clinic 11.00am – 13.00pm Or visits Friday pm personal study/professional development/APE post etc

You should enjoy the experience and the close educational relationship with the trainer

It should be good fun and you are part of the team. However you might find it isolating and lonely to consult on your own to begin with.

Make sure you have your trainers mobile phone number.

Sort out any potential timetable/placement issues right at the beginning of your placement

Tips

The trainer should allow you to grow in confidence and independence in the time you are there so naturally you are protected to begin with.

If things not going well talk to someone. You are supernumerary and so its expected

that the practice should not depend on you being there ,so holidays should not be as much of a headache.

Progress through the placement

You are entitled to study leave. This includes VTS half days but also a week per 6 months.

With the trainers agreement you could take more but that is not an entitlement.

Days off for personal study will not be approved but of course attendances at relevant exams will be allowed.

Study Leave

Essential equipment

Equipment you are provided with include the black bag but I would expect people to have own stethoscopes and buy own opthalmoscopes and otoscopes.

Otherwise the practice should provide you with them.

Contents of doctors bag should be one of the first things you sort in induction period.

If things get busy from time to time that is not necessarily a problem but you should not be left without a practitioner in the building.

Practice meetings are important to understand general practice and its vital to attend these

Essential Resources You must regularly look at the News section

of the Pennine website. You must join and use the Pennine Yahoo

Group Review the Deanery website to become

familiar with their expectations for successful ARCP progression

Home visits up to 3 a day often less Be safe, be prepared know where you are

going and whom you are meeting. Often reason for visit will lend itself to a pre

tailored action plan.

AK story

Home visits

To further broaden your experience in different specialties we have Additional Postgraduate Experience attachments to ST2 GP posts:

Dermatology Pall Med – Kirkwood 4 sessions Pall Med - Overgate Ophthalmology Paediatrics Pain Management Rheumatology ENT Diabetic Clinic GUM Clinic O & G Family Planning

Most are 2 sessions but the hospice at Huddersfield comprises 4 sessions plus night on call of course!

Arrange via Elaine

Ape Posts

PDP looked at last time 3 quality entries per week at least Need entries in all domains and all bits of

the portfolio SEA, Projects, Audit and e-learning

domains need entries in every post! Some areas of curriculum poorly covered

e.g. LD, ophthalmology, Practice management Patient safety

E-portfolio

You need to have minimum numbers of assessments done before the summative reviews by the ES (May & Nov).

Get your trainer to look at your portfolio, regularly checking your entries and validating them against the competencies

When you were in hospital practice consultants were rating you as competent but in general practice you will usually be in the needs further development category and don’t be upset by this!

DOPS need to be done on real patients and observed by an appropriate health professional

More portfolio

Need to do one in ST2 start early!! Consecutive handed out by the receptionist

until 40 received. Put on e-portfolio by practice administrator Trainer does a declaration Need to be done before ESR in ST2 and ST3

The PSQ

Need one at least one 4 hour session per month in general practice pro rata

Need your supervisor to rate you with Dr Hasanie`s form on the website

Book early otherwise face delays in your CCT

Need a mix, telephone triage (training counts as a session) visits & PCC

System 1 training needed Book via Moira

OOH

Various models which we will cover in HDR It will get take some getting used to and

expect you will consult at 20 min intervals to begin with

Eventually towards may be middle of ST3 year you will get down to 10 min intervals

Don’t worry if you are unsure of what to do with simple things it will not reflect badly

ASK!!!!

The consultation

Get started early Learn how to use the video camera early Have a surgery every week where you are

videoing Lets do an exercise sign posting with

various models

The COT

Don’t forget the minimum number have to be completed prior to your summative educational supervision (May & Nov)

PSQs can take a surprising length of time to complete

CBDs, PSQs, MSFs