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Planning the year. Peter Churn Unemployed locum MRCGP. Overview. What you need to do Month by month guide Deadlines Tips as I go along Contacts Mark schemes etc. The Barrymore approach. MRCGP written MRCGP MCQ MRCGP oral MRCGP videos Audit Summative assessment MCQ

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Planning the year

Planning the year

Peter Churn

Unemployed locum

MRCGP


Overview
Overview

  • What you need to do

  • Month by month guide

  • Deadlines

  • Tips as I go along

  • Contacts

  • Mark schemes etc


The barrymore approach
The 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 hoops

1.Certification

VTR1/2’s

2.Summative assessment

Audit

MCQ

Videos

Trainer’s report

3.MRCGP

Written

MCQ

Videos

Oral

The hoops


The hoops1

1.Certification

VTR1/2’s

2.Summative assessment

Audit

MCQ

Videos

Trainer’s report

3.MRCGP

Written

MCQ

Videos

Oral

The hoops


February
February

  • Skiing


March
March

  • 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


April
April

  • 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


Planning the year
May

  • 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


Planning the year
June

  • Audit

    • 2nd data collection

    • Start writing-up

  • Practice videoing and erase all evidence

  • Study group????!!!!!!

    • Drink wine for best results (evidence-based)


Planning the year
July

  • 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)


August
August

  • 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


September
September

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

  • MRCGP revision..

  • There is more to life than the MRCGP…


September1

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

September


Black october
Black 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)


November
November

  • “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


December
December

  • “....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…



Summary
Summary

  • February

  • March

  • April Audit

  • May Audit MCQ

  • June Audit Video

  • July VideoStudy

  • August Video Study

  • September MCQ Video Study

  • October Video Study MRCGP

  • November Study

  • December MCQ MRCGP

  • January


Contacts
Contacts

  • 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 criteria
Audit criteria

1.Reason for choice of audit

Potential for change

Relevant to the practice

2.Criterion/Criteria Chosen

Relevant to audit subject and justifiable, eg. Current literature

3.Standards set

Targets towards a standard with a suitable timescale

4.Preparation and Planning

Evidence of teamwork and adequate discussion where appropriate

5.Data Collection (1)

Results compared against standard

6.Change(s) to be evaluated

Actual example described

7.Data Collection (2)

Comparison with Data collection (1) and standard

8.Conclusions

Summary of main issues learned


Video criteria
Video criteria

PC1 the doctor is seen to encourage the patient's contribution at appropriate points in the consultation

PC2 (M) the doctor is seen to respond to signals (cues) that lead to a deeper understanding of the problem

PC3 the doctor uses appropriate psychological and social information to place the complaint(s) in context

PC4 the doctor explores the patient's health understanding

PC5 the doctor obtains sufficient information to include or exclude likely relevant significant conditions

PC6 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 concern

PC7 the doctor appears to make a clinically appropriate working diagnosis

PC8 the doctor explains the problem or diagnosis in appropriate language

PC9 (M) the doctor's explanation incorporates some or all of the patient's health beliefs

PC10 (M) thedoctor specifically seeks to confirm the patient's understanding of the diagnosis

PC11 the management plan (including any prescription) is appropriate for the working diagnosis, reflecting a good understanding of modern accepted medical practice

PC12 the patient is given the opportunity to be involved in significant management decisions

PC13 (M) the doctor takes steps to enhance concordance, by exploring and responding to the patient’s understanding of the treatment

PC14 the doctor specifies the appropriate conditions and interval for follow-up or review


Constructs

Clinical

Patient

Self-management

Agenda

Decision Aids

Benefits

Education

Death & Driving

Support Groups

Ideas, concerns & expectation

Transcultural

Doctor

Risk management

Up to date

DEN’s

Evidence-based

Confidentiality/Consent

Health promotion

Open questions

Prejudice

Prescribing

Empathy

Record-keeping/Referrals

Practice

Protocol

Register

Audit

Change management

Training

IT

Contract/clinics

Ease

Wider

Goldberg & Huxley’s filters to care

Rationing

Inverse care law

Medicilisation

Screening

Health

Inequalities

Teamwork

Ethical

Consultation

Prescribing

Constructs