Planning the yearPlanning the year

Peter ChurnPeter Churn

Unemployed locumUnemployed locum

MRCGPMRCGP

OverviewOverview

• What you need to do

• Month by month guide

• Deadlines

• Tips as I go along

• Contacts

• Mark schemes etc

The Barrymore approachThe Barrymore approach

• MRCGP written• MRCGP MCQ• MRCGP oral• MRCGP videos• Audit• Summative assessment MCQ• Trainer’s report• Certification• Pulse, GP, Doctor• BMJ, BJGP• DRC• Finish on time….• Visits….• Out-of-hours…

Live the dream…..Live the dream…..

• Work 3 ½ days a week• All weekends off• Every Wednesday off• 70 hours on-call…..over

the entire year!! (“….when I was a house officer…”)

• As long appt’s as you want

• MRCGP pass rate >80%• “Oh my God….”

The hoopsThe hoops

• 1.Certification– VTR1/2’s

• 2.Summative

assessment– Audit– MCQ– Videos– Trainer’s report

• 3.MRCGP– Written– MCQ– Videos– Oral

The hoopsThe hoops

• 1.Certification– VTR1/2’sVTR1/2’s

• 2.Summative

assessment– Audit– MCQMCQ– VideosVideos– Trainer’s reportTrainer’s report

• 3.MRCGP– Written– MCQ– Videos– Oral

FebruaryFebruary

• Skiing

MarchMarch

• Lundy Island• Cancel comic

subscriptions…• Hot Topics course

– 26/3/6– www.nbmedical.co.uk

• Write down what you’re already doing!!– Tutorials– DRC feedback– PUNs/DENs– GPnotebook/mentor

AprilApril• Audit

– Start to think about audit topic• Embarrassingly simple• Avoid anything you are interested in• Relevant - ?QOF criterion

– Evidence (QOF, NICE, etc)– COGPED 8 Criteria Marking Schedule– http://www.nosa.org.uk/information/audit/cogped/guidelines.htm – 10hrs, 3000 words– http://www.gppro.co.uk/resource/audit/marking.htm– http://www.gppro.co.uk/resource/audit/auditool.pdf

• Certification 1– Join RCGP as associate, send in VTR2’s– Article 10 – RCGP certification unit– Article 11 – PMETB certification unit– Stamps, dates don’t overlap

• Apply summative assessment MCQ– Moira Linden; 01962 893 813– moira.lindenl@sevwesdeanery.nhs.uk

• Apply Portsmouth MRCGP revision course– Carol White; 01264 355 005– cwhite@rcgp.org.uk

MayMay

• Summative assessment MCQ– 3/5/6, 6/9/6, 6/12/6– Apply 1/12 before– DO NOT REVISE FOR!!!!.....(the 1st time)

• FREE• As many goes as you like

– PEP CD’s– Minimum standard – passmark May 2005; 69%– School quiz – NO TALKING!!!

• Audit– 1st data collection

JuneJune

• Audit

– 2nd data collection

– Start writing-up

• Practice videoing and erase all evidence

• Study group????!!!!!!

– Drink wine for best results (evidence-based)

JulyJuly

• Audit– 2nd data collection– Write-up & send-in..– http://www.nosa.org.uk– Declaration– 3000 words & where to staple!

• Practice videoing and still erase all evidence

• Study group– Do not forget wine…

• MRCGP course (17-21st/7/6)

• Apply MRCGP (deadline 29/8/6)

AugustAugust

• Remember to apply MRCGP!!! (deadline still 29/8/6)• Video, video, video…..(deadline 20/20/6)

– Everyone - desensitisation– Not everyone is suitable – not your fault– First attendance– If you know it’s crap, don’t torture yourself by watching it again– 15 min appts– Receptionists on side– Consent beforehand– Technical stuff

• Date/time• Sound• Examine off camera/lens cap• No computer editing – you are not PIXAR

– CHEAT WHENEVER POSSIBLE!!!!!• Criterion on wall

SeptemberSeptember

• I will never video again….have started giving wife options

• MRCGP revision..

• There is more to life than the MRCGP…

SeptemberSeptember

• MRCGP Written (24/10/6)• 39% passmark (76.6%)• Format

– Constructs– Study group– Hot topics– NICE– BMJ– BJGP– How to read a paper

• Trisha Greenhalgh– http://www.rcgp.org.uk

• Past papers with examiners comments!!!

• http://www.rcgp.org.uk/default.aspx?page=3589

• MRCGP MCQ (24/10/6)• 66% passmark (80.8%)

– PEP CD’s– Una Coles book– DVLA, warfarin, fitness to fly,

etc

Black OctoberBlack October

• Asking wife ‘what she think might be going on….’

• MRCGP revision..

• The MRCGP is my life– 20/10/6 (video deadline)– 24/10/6 (written, MCQ)

NovemberNovember

• “They think it’s all over....”• MRCGP oral• 76.4% passed• Study group

– 27/11/06-3/12/06– Concepts and Answers for

the MRCGP Oral Exam• Prashini Naidoo

– GMC• Good medical practice• Booklets• http://www.gmc-uk.org/

guidance/library/index.asp

DecemberDecember

• “....it is now”

• Trainer’ report

• Submit together with VTR 1 & application for CCT

• 6/52 before end-date

• Expect delays

• …then wait an extra week…

JanuaryJanuary

SummarySummary

• February• March• April AuditAudit• May Audit MCQ• June Audit VideoVideo• July VideoVideo StudyStudy• August Video StudyStudy• September MCQ Video Study• October Video Study MRCGP• November Study• December MCQ MRCGP• January

ContactsContacts

• Summative assessment– http://www.nosa.org.uk– Moira Linden; 01962 893 813– moira.lindenl@sevwesdeanery.nhs.uk

• RCGP certification– 020 7930 7228– certification@rcgp.org.uk

• PMETB– 0871 220 3070 – info@pmetb.org.uk– article11@pmetb.org.uk

• HOT Topics course– 0191 489 0555 – www.nbmedical.co.uk

• MRCGP course– Carol White; 01264 355 005– cwhite@rcgp.org.uk

Audit criteriaAudit criteria1.Reason for choice of audit

Potential for changeRelevant to the practice

2.Criterion/Criteria ChosenRelevant to audit subject and justifiable, eg. Current literature

3.Standards setTargets towards a standard with a suitable timescale

4.Preparation and PlanningEvidence of teamwork and adequate discussion where appropriate

5.Data Collection (1)Results compared against standard

6.Change(s) to be evaluatedActual example described

7.Data Collection (2)Comparison with Data collection (1) and standard

8.ConclusionsSummary of main issues learned

Video criteriaVideo criteriaPC1 the doctor is seen to encourage the patient's contribution at appropriate points in the

consultationPC2 (M) the doctor is seen to respond to signals (cues) that lead to a deeper

understanding of the problemPC3 the doctor uses appropriate psychological and social information to place the

complaint(s) in contextPC4 the doctor explores the patient's health understanding PC5 the doctor obtains sufficient information to include or exclude likely relevant significant

conditionsPC6 the physical/mental examination chosen is likely to confirm or disprove hypotheses

that could reasonably have been formed OR is designed to address a patient's concernPC7 the doctor appears to make a clinically appropriate working diagnosisPC8 the doctor explains the problem or diagnosis in appropriate languagePC9 (M) the doctor's explanation incorporates some or all of the patient's health beliefsPC10 (M) the doctor specifically seeks to confirm the patient's understanding of the

diagnosisPC11 the management plan (including any prescription) is appropriate for the working

diagnosis, reflecting a good understanding of modern accepted medical practicePC12 the patient is given the opportunity to be involved in significant management

decisionsPC13 (M) the doctor takes steps to enhance concordance, by exploring and responding

to the patient’s understanding of the treatmentPC14 the doctor specifies the appropriate conditions and interval for follow-up or review

ConstructsConstructs

Clinical

PatientSelf-managementAgendaDecision Aids

BenefitsEducationDeath & DrivingSupport GroupsIdeas, concerns & expectationTranscultural

DoctorRisk managementUp to dateDEN’sEvidence-based

Confidentiality/ConsentHealth promotionOpen questionsPrejudicePrescribingEmpathyRecord-keeping/Referrals

PracticeProtocolRegisterAuditChange managementTrainingITContract/clinicsEase

WiderGoldberg & Huxley’s filters to careRationingInverse care lawMedicilisation

ScreeningHealthInequalitiesTeamwork

Ethical

Consultation

Prescribing