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GP Training in Swindon and Bath

GP Training in Swindon and Bath. high quality innovative effective. 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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GP Training in Swindon and Bath

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  1. GP Training in Swindon and Bath high quality innovative effective

  2. 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

  3. Promoting General Practice as a career Jane Savage

  4. Promotion by… • Our website • PRHO talks • Career advice • Pre-interview open morning

  5. Our website - good response • http://www.mharris.eurobell.co.uk/index.htm

  6. from GCSE students… • http://www.mharris.eurobell.co.uk/gptrain/welcome.htm

  7. … to SpRs • http://www.mharris.eurobell.co.uk/vts/index.htm

  8. PRHO talks • Six-monthly talks to PRHOs • General Practice as a career

  9. Career advice • 2 or 3 enquiries a week • face-to-face • phone • e-mail

  10. Open morning for VTS & GPR applicants • http://www.mharris.eurobell.co.uk/gptrain/openday.htm

  11. Swindon & Bath - innovative Vocational Training Schemes Jon Elliman

  12. Swindon & Bath - innovative Vocational Training Schemes • Structure • Teaching • Trainer Involvement • Pastoral Care • Quality Assurance • Integration With The Day Release Course • Some Challenges

  13. 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

  14. 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

  15. Structure of the Swindon VTS

  16. Teaching/Integration • Traditionally • half day per month for VTS SHOs/TAGs • over their 2 hospital years

  17. 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

  18. 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

  19. Pastoral Care • Hospital Consultants • Trainers • Programme Organisers • AD • Mentor

  20. Quality Assurance • Structured Exit Interviews • SEAP (SHO Educational Audit Project) • Annual SWACPO Report • HRC/Deanery Visiting Structure

  21. 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

  22. 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

  23. 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

  24. The Bath and Swindon Day Release Course Steve Pigott

  25. The Bath and Swindon Day Release Course • A typical day • Planning the course • On-line support • Quality Assurance.

  26. A Typical Day • Hot topics • Critical appraisal • Politics • Soapbox • Workshops • Group work

  27. Special Days • Residential modules • Away days • Trainers’ days • Patch days

  28. 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

  29. 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

  30. Quality Assurance • Weekly feedback • GPR representatives • Appraisals • DREEMS • http://www.mharris.eurobell.co.uk/newgpr/dreem.htm

  31. Other issues Martyn Hewett • Features of the team • Falling numbers of GPRs attending DRC • Supplementing Deanery funding with contributions from pharmaceutical companies

  32. Features of the team • Postgraduate teaching qualifications • Michael Harris – MMEd • Jon Elliman - ) both completing • Martyn Hewett - ) TLHP Cert Med Ed

  33. Publications • Numerous papers published in green journal • Books

  34. 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)

  35. Teambuilding day • November 2004

  36. Falling numbers of GPRs attending DRC

  37. 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

  38. 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

  39. 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

  40. 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

  41. And finally … • Presentation available at www.mharris.eurobell.co.uk/resource/gpec/gpecpres.htm • Any questions?

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