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GP SPECIALITY TRAINING

GP SPECIALITY TRAINING . Dr Deepen Patel MBBS BSc – GPST3. August 2014 intake Round 1 - All posts to commence August 2014. Round 2-remaing posts. Stage 2 – Computer test. 2 parts Professional dilemmas 110 mins Clinical problem solving 75mins

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GP SPECIALITY TRAINING

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  1. GP SPECIALITY TRAINING Dr Deepen Patel MBBS BSc – GPST3

  2. August 2014 intake Round 1 - All posts to commence August 2014

  3. Round 2-remaing posts

  4. Stage 2 – Computer test • 2 parts • Professional dilemmas 110 mins • Clinical problem solving 75mins • If you pass this you get invited to stage 3 – selection Centre

  5. Stage 3 – Selection Centre • 3 consultations -10 mins each • Consultation with patient • Consultation with friend/relative • Consultation with non medical colleague • Written exercise - 30mins • Prioritisation of ranking issues and justification

  6. Programme offer and National Clearing

  7. Kings Lynn – GP Training Scheme • Why come to Kings Lynn…. • The King's Lynn Scheme is one of the oldest schemes in the country and has been in existence for over 40 years.  These years of experience; past (and current) dedicated Trainers and Hospital specialists have made it a hugely successful and  popular scheme. • The hospital is a great place to work - a real 'family' atmosphere - a fact commented upon during a recent East of England Deanery visit to assess our training across the hospital.  The training practices and their staff are equally friendly and welcoming and offer a fantastic base from which to start, or continue, your training.

  8. For those of you who trained elsewhere and who are not familiar with us, the hospital or the locale - it really is worth talking to us or visiting the area before you decide where to train.  The majority of the trainees who did not originally train (ie during their foundation posts) at King's Lynn have settled in the area and a significant amount are now involved with training the current trainees. • The area surrounding King's Lynn (itself an historical town with its origins in the 12th century) is fantastically diverse from it's world famous beaches (think of the beach scenes from Shakespeare in Love) to its densely populated woodlands such as Elveden Forest, home to Centre Parks.  For nature lovers, the huge areas of wetlands, homes to thousands of species of birds, together with stunning scenery (and probably the 'biggest sky' in the UK) is a draw, whilst the more active can cycle, wind and kite surf, sail and swim from one of the most stunning coasts in the UK.  • For those of you who occasionally hanker after a more cosmopolitan environment, Norwich is only 45 mins away and there is a great rail link with Cambridge and you can be in London within 2 hours (but you'll be so glad to come back again!).  Throw in numerous gastro pubs and Michelin starred restaurants

  9. Programme Directors & Teaching • The King's Lynn scheme is led by two Programme Directors (PDs) – Dr LeenaDeoland Dr Richard Musson.  • Both are GPs based at local training practices and are enthusiastic, committed and approachable • Education programme: The Scheme's education is delivered via a half-day release course held at the hospital every Wednesday afternoon (2.15-5.00pm). • The topics for the programme are generated, in part, by the trainees themselves.  Each quarter, a 'review/preview' is held where the trainees review the previous programme's teaching (which they evaluated at the time of delivery).  They then choose whether it would be beneficial to repeat any of these sessions in the future.  Discussion and sharing ideas then generate a new list of possible topics for future programmes. • Always on the programme (usually twice per quarter) are sessions on consultation skills.  Trainees are asked to submit their own video consultations which are then discussed within the safe environment of a small group with a trained facilitator.  Programmes would also normally feature a proportion of 'when to refer' sessions led by a hospital specialist (ie ENT or O&G) who discuss common conditions found in general practice and give insight into how and when these should be referred to the hospital.  GP registrar presentations also feature quite often and we try to incorporate at least one or two group visits to a local training practice. • We also try to incorporate a few 'out of school' sessions to allow team-building and learning with the GP Trainer group. • Most afternoons are split into two with the first half dedicated to an invited speaker and the second spent on group work, focusing on general practice issues

  10. Working Week • 10 sessions • 7 clinical sessions • 2 structured educational sessions • 1 self directed learning • Each session approx 4hrs • OOH – 6hrs/months – 18 month GP placement = 108hrs

  11. MRCGP • Compulsory exit exam • AKT – Applied Knowledge Test • Clinical Skills Assessment CSA • WBPA – Workplace Based Assessment • Costs – AIT registration £799 (3 years) • AKT £430 • CSA £1445 • CCT Certification £500 • TOTAL £3174

  12. AKT • 3 hours- 200 questions • 3 sittings - Feb, May, Oct • Max 4 attempts • Computerised Test – Pearson Vue • Cant attempt only ST2 or later • Recommended – min 3 months of GP exposure • EMQ/SBA • 80% -Clinical Medicine (GP) • 10 % - Critical appraisal • 10% - Statistics

  13. CSA • Simulated surgery • 13 cases • Actor and examiner rotate • 10 mins per consultation • Rest 15mins after 7 cases • Domains • Data gathering • Clinical Management • Interpersonal Skills • Each domain is marked out of 3 • Need roughly 75/117 to pass

  14. Work Place Based Assessment • E – Portfolio • Ongoing assessment throughout training • Checkpoints needed to pass via ESR and ARCP to progress • PSQ - Patient satisfaction Questionnaires • Consultation Observation Tools (COT) • Multi-source Feedback – MSF • Case Based Discussion – CBD • Direct Observation of Procedural Skills – DOPS • Mini-Clinical Examination Exercise – Mini CEX • Clinical Supervisors Report - CSR

  15. E Portfolio • Record and manage your learning • Record check points • Results for examination via eportfolio • Reflection on learning

  16. Summary • Choose GP training as a speciality • Good work life balance • Kings Lynn GP Training is a fantastic programme • No more nights and weekends and ward rounds!! • GP is exciting and challenging Thank you for listening!

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