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DR RICHARD HALL. HARROGATE STS INTRODUCTION DAY. 11.8.11. PROGRAMME. 1215-1300 Lunch 1300-1400 Introduction to Harrogate STS (Richard Hall) 1400-1500 Work Place Based Assessments (Chris Walsh) 1500-1515 Coffee/tea break 1515-1545 Vital facts for ST1s- Dr M Locke

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Harrogate sts introduction day

DR RICHARD HALL

HARROGATE STS INTRODUCTION DAY

11.8.11


Programme
PROGRAMME

  • 1215-1300 Lunch

  • 1300-1400 Introduction to Harrogate STS (Richard Hall)

  • 1400-1500 Work Place Based Assessments (Chris Walsh)

  • 1500-1515 Coffee/tea break

  • 1515-1545 Vital facts for ST1s- Dr M Locke

  • 1545-1630 Small group work

  • 1630-1700 Looking at portfolios- introduction


Content

Our educational philosophy.

How to work together and group rules

Planning your learning

Assessments

Communication skills

E-portfolio

Some housekeeping matters

CONTENT


Introductions
INTRODUCTIONS

  • Facilitators Richard Hall and Chris Walsh-Harrogate STS

  • APD John Hain

  • Introductions -all new Harrogate STS trainees

  • STS Administrator. Mrs Lisa Adams. Strayside Education Centre, Harrogate Hospital. Telephone 01423 553094. [email protected]

  • WEBSITE http://www.harrogategpsts.co.uk/


To consider the statutory educational requirements.

To look at the (hopefully not new to you) concept of adult learning.

Plan your learning-study leave budgets!

How to engage with the e-portfolio

AIMS


Aims getting you to

Start to think about looking after yourself.

Start to think about the consultation process.

Consider the organisation of primary care.

Accelerate learning

Dealing with uncertainty

To consider comparisons between primary and secondary care.

Aims - Getting YOU To:-


Philosophy
PHILOSOPHY

  • 3 years isn’t long enough to learn all the skills and knowledge for a lifetime in practice.

  • Some of the stuff you learnt in medical school is out of date (most of what I learnt)

  • General practice is a lot about rather soft knowledge, not so much the hard facts of textbooks.


Philosophy cont
PHILOSOPHY CONT

  • These skills remain constant despite changing knowledge and the changes of deckchairs in health delivery structures

  • A good GP is particularly skilled in higher order social skills that revolve around consultation and interpersonal skills


Adult learning

“The purpose of adult education is to help them to learn, not to teach them all they know and thus stop them from carrying on learning”

Rogers 1988

ADULT LEARNING


Ice breaker
ICE BREAKER not to teach them all they know and thus stop them from carrying on learning”

  • GETTING TO KNOW YOUR GROUP

  • HOPES AND FEARS


Group learning
GROUP LEARNING not to teach them all they know and thus stop them from carrying on learning”

  • Most of the work you will be doing is in small groups.

  • What skills does this develop?


Group rules
Group Rules not to teach them all they know and thus stop them from carrying on learning”

Confidentiality –

Respect

Listening

Contributing in a dominant way

Contributing in a passive way


Acronym quiz

AIT not to teach them all they know and thus stop them from carrying on learning”

AKT

ARCP

CSA

WPBA

DOPS

COT

CBD

NOE

Acronym quiz


What is involved with sts
WHAT IS INVOLVED WITH STS not to teach them all they know and thus stop them from carrying on learning”

  • REGISTER AIT @ RCGP

  • GET LOST IN SEA OF ACRONYMS

  • ATTEND HDR-80%

  • KEEP ePORTFOLIO UP TO DATE

  • EDUCATIONAL SUPERVISION

  • ARCP PANELS

  • CONTRACTS

  • OOH

  • HAVE FUN


HDR not to teach them all they know and thus stop them from carrying on learning”

  • Thursday afternoons 2-5pm

  • Attendance “Mandatory” –80% attendance – either HDH or equivalent approved education.

  • If there is no HDR session then you should be in practice/ hospital post.

  • If you are unable to attend please inform Lisa well in advance (as it counts towards your study leave)

  • Timekeeping/Respect

  • Mobile phones Off –unless on call.

  • Parking


Study leave

15 days every 6 months, including HDR. not to teach them all they know and thus stop them from carrying on learning”

Plan ahead and discuss with your trainer / clinical supervisor/educational supervisor

Must be in PDP.

Must be relevant and local.

Apply well in advance – 4 weeks notice - using the forms available from Lisa Adams.

Remember budget is limited to £400pa-approval TPD discretion.

STUDY LEAVE


Educational supervision
EDUCATIONAL SUPERVISION not to teach them all they know and thus stop them from carrying on learning”

  • 1 ES allocated for whole scheme

  • Meetings 1 in first 2m

  • Then 6 monthly-

  • Role of ES

  • Guide through WPBA

  • Facilitate PDP

  • Assess progress to competences

  • Report pre ARCP

  • Pastoral


OOH not to teach them all they know and thus stop them from carrying on learning”

  • 36 hours in 6m

  • Book via website-Linda parkinson [email protected]

    Or Jude [email protected]

  • Telephone triage/pcc consults/home visits

  • Book sessions early –difficult just pre ARCP

  • With trainer or approved supervisor or partner of practice where work.


Nmrcgp

Components:- not to teach them all they know and thus stop them from carrying on learning”

1 AKT – applied knowledge test

2 CSA – clinical skills assessment

3 WPBA – workplace based assessment.

nMRCGP


The AKT is designed to test the application of knowledge and interpretation of information

Each question is intended to explore a topic of which an ordinary GP could be expected to have a working knowledge

AKT


Akt format

An “evolution” from the previous MCQ interpretation of information

A three hour, 200 item multiple-choice

Delivered on a computer terminal at an invigilated test centre

Offered initially three times a year Oct/Nov, Jan/Feb, April/May

No limit to the number of attempts

A pass will be valid for three years only

Can be attempted at any time during GP specialist training (GPST), but most appropriately at end ST2-beginning ST3

AKT Format:


Question writing
Question writing interpretation of information

  • Scenarios derived from clinical work

  • Practice issues

  • Topical

  • All questions are referenced and the draft questions are then carefully scrutinised by a panel of other question writers.

  • Remember that all question writers are working GPs


Akt subject content
AKT subject interpretation of informationcontent

  • Core clinical medicine and its application to problem solving in a general practice context

    • 80% of items

  • Critical appraisal and evidence based clinical practice

    • 10% of items

  • Ethical and legal issues as well as the organisational structures that support UK general practice

    • 10% of items


Akt stats may 2011
AKT Stats –May 2011 interpretation of information

  • Pass mark 69%

  • Overall pass rate 72.6%

  • ST2 75% /ST3 81.9% 1st time takers

  • The mean scores by subject area were:

  • 'Clinical medicine' 74 %

  • ‘Evidence interpretation’ 74 %

  • ‘Administration questions’ 73 %

  • See regular feedback RCGP


CSA interpretation of information

  • Takes place in the ‘NLA Tower’ in Croydon

  • 13 patients – all trained simulators of which 12 scenarios are assessed.

  • 10 minute consultations at the end of which buzzer will sound – 2 minutes then next buzzer and new consultation begins

  • Patients and assessors come to you

  • OK to examine (not intimate examinations!) if appropriate. You may be given a card of relevant findings


Csa continued
CSA Continued:- interpretation of information

  • Bring your own equipment – stethoscope, sphyg., patella hammer, auri/ophthalmoscope, PEFR meter/ mouthpieces etc (typical Drs. Bag and it’s all on the website www.rcgp.org.uk)

  • domains assessed – data gathering, technical and assessments skills, clinical management skills and interpersonal skills.

  • 4 Grades – CP, MP, MF, CF


Csa continued1

Results given via ePortfolios after approximately 3 weeks as grades of the 12 assessed cases and an overall pass or fail.

4 sittings per year – Feb/May/September and November – dates on website

There are periodic “Mock CSA’s” run locally either at scheme level or Deanery – get your name down and have a go!

CSA Continued:-


Data on csa may 2011
Data On CSA-May 2011 grades of the 12 assessed cases and an overall pass or fail.

  • Overall Pass rate 64%

  • The mean score for the entire cohort was 77.2 out of 117

  • The pass rate for first time applicants was 77.9%

  • Pass rate 4th time applicants 30%

    Pass Rates by Country of Qualification

  • UK Graduates 91.6% (AKT-90%)

  • EEA Graduates 72.0%(AKT-65%)

  • Non EEA Graduates 54.0%(AKT-70%)


Csa marking
CSA -marking grades of the 12 assessed cases and an overall pass or fail.

  • 13 cases

  • Each case is marked by a different examiner

  • 3 domains-carry equal weight -3 per case

  • Data Gathering

  • Clinical Management

  • Interpersonal Skills

  • Total –from all 13 cases-no standard-total 117


Csa tests the following areas
CSA-tests the following areas grades of the 12 assessed cases and an overall pass or fail.

  • Primary Care Management - recognition /management of common medical conditions  

  • Problem Solving Skills - gathering / using data for clinical judgment, choice of examination, investigations and their interpretation. Demonstration of a structured and flexible approach to decision making.

  • Comprehensive Approach - proficiency in the management of co-morbidity and risk.

  • Person-centred Care - communication with patient and the use of recognised consultation techniques to promote a shared approach to managing problems.

  • Attitudinal Aspects - practising ethically with respect for equality and diversity, with accepted professional codes of conduct.

  • Clinical Practical Skills - proficiency physical examinations and using diagnostic/therapeutic instruments


Topics

ePortfolio grades of the 12 assessed cases and an overall pass or fail.

nMRCGP components

–WPBA/AKT/CSA

“The Curriculum”

HDR

CONTRACTS

Educational Supervison

CSR reports

ARCP panels-how to prepare

What is a good log entry

Consultation skills

TOPICS


Links

HARROGATE STS WEBSITE-http://www.harrogategpsts.co.uk/updates/index.html

YORKSHIRE AND HUMBER SCHOOL OF PRIMARY CARE-http://www.yorksandhumberdeanery.nhs.uk/general_practice/

BRADFORD STS-www.bradfordvts.co.uk

PENNINE STS-www.pennine-gp-training.co.uk

LINKS


Finally
Finally WEBSITE-http://www.harrogategpsts.co.uk/updates/index.html

Learning Should be fun


Ideas to cover in small groups

You will decide ! WEBSITE-http://www.harrogategpsts.co.uk/updates/index.html

“Leaders” have two roles

“Facilitator” Encourage active participation and identification of learning needs.

“Expert” Experienced GP

Ideas to cover in small groups


Topics1

GP culture v secondary care WEBSITE-http://www.harrogategpsts.co.uk/updates/index.html

Consultation process

Difficult consultations

Role of video

Adult learning/ Styles

Hospital jobs

Half/Day release

TOPICS


Team building activity
Team building activity WEBSITE-http://www.harrogategpsts.co.uk/updates/index.html

  • 40 mins /4 groups

  • Design a marketing plan for marketing the Harrogate Vocational training scheme.

  • Appoint a team leader

  • Give a presentation for about 5 mins at end (use as many of team as possible-and ensure mix all ST groups).

  • Target audience FY2s applying for GP Training

  • You can use any resources visual aids,leaflets , even song ,dance and humour

  • Max points for variety of resources used and interest.


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