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.
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GP Training in Swindon and Bath
high quality innovative effective
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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
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Promoting General Practice as a career Jane Savage
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Promotion by…
Our website PRHO talks Career advice Pre-interview open morning
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Our website - good response
http://www.mharris.eurobell.co.uk/index.htm
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from GCSE students…
http://www.mharris.eurobell.co.uk/gptrain/welcome.htm
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… to SpRs
http://www.mharris.eurobell.co.uk/vts/index.htm
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PRHO talks
Six-monthly talks to PRHOs General Practice as a career
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Career advice
2 or 3 enquiries a week face-to-face phone e-mail
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Open morning for VTS & GPR applicants
http://www.mharris.eurobell.co.uk/gptrain/openday.htm
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Swindon & Bath - innovative Vocational Training Schemes Jon Elliman
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Swindon & Bath - innovative Vocational Training Schemes
Structure Teaching Trainer Involvement Pastoral Care
Quality Assurance Integration With The Day Release Course Some Challenges
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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
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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
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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
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Teaching/Integration
Traditionally half day per month for VTS SHOs/TAGs over their 2 hospital years
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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
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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
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Pastoral Care
Hospital Consultants Trainers Programme Organisers AD Mentor
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Quality Assurance
Structured Exit Interviews SEAP (SHO Educational Audit Project) Annual SWACPO Report HRC/Deanery Visiting Structure
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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
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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
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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
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The Bath and Swindon Day Release Course Steve Pigott
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The Bath and Swindon Day Release Course
A typical day Planning the course On-line support Quality Assurance.
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A Typical Day
Hot topics Critical appraisal Politics
Soapbox Workshops Group work
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Special Days
Residential modules Away days Trainers’ days Patch days
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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
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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
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Quality Assurance
Weekly feedback GPR representatives Appraisals DREEMS http://www.mharris.eurobell.co.uk/newgpr/dreem.htm
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Other issues Martyn Hewett
Features of the team Falling numbers of GPRs attending DRC Supplementing Deanery funding with
contributions from pharmaceutical companies
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Features of the team
Postgraduate teaching qualifications Michael Harris – MMEd Jon Elliman - ) both completing Martyn Hewett - ) TLHP Cert Med Ed
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Publications
Numerous papers published in green journal
Books
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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)
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Teambuilding day
November 2004
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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
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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
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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
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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
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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
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And finally …
Presentation available at www.mharris.eurobell.co.uk/resource/gpec/gpecpres.htm
Any questions?