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Posts on Bradford VTS

Posts on Bradford VTS. - how to make the most of them. Hospital posts. Hospital posts. You will gain useful clinical knowledge But how else can you make your experience useful for your future in GP? What could you reflect on and put in your e portfolio?.

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Posts on Bradford VTS

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  1. Posts on Bradford VTS - how to make the most of them

  2. Hospital posts

  3. Hospital posts • You will gain useful clinical knowledge • But how else can you make your experience useful for your future in GP? • What could you reflect on and put in your e portfolio?

  4. Generic aspects of hospital practice useful for your future as a GP • Medical teamwork • Safe prescribing • Multidisciplinary teamwork • Communication skills • How families behave • Significant event analysis • Ethical issues • The hospital-GP interface

  5. Medical teamwork • Support for colleagues • Allocation of work • Effective handover of important information – essential in hospital shift system, especially useful in GP if you work LTFT

  6. Safe prescribing • Hospital ‘zero tolerance’ policy for prescribing in allergic patients • Easier in GP when prescribing on computer

  7. Multidisciplinary teamworking • Understanding the roles of team members • Especially other health professionals • Respect for their skills and contribution to patient care • Effective communication with other team members

  8. Communication skills • With patients • With relatives • With colleagues • With other team members

  9. How families behave • Many family interactions in A/E, Paeds and Medicine for the Elderly • In GP they’re in the background but in hospital they’re often there for you to observe

  10. Significant Event Analysis • Looking at what’s happened when something went wrong or nearly did so • Looking at the feelings of everyone involved • Reviewing the organisational systems involved • Working out how to prevent a recurrence

  11. Ethical issues • Capacity to consent • Informed consent • Confidentiality • End of life issues • Reproductive health issues (in O&G)

  12. The GP-secondary care interface • Understanding what secondary care has to offer • Communication between GPs and hospital doctors • Understanding referral pathways, and what you’ll be referring patients for, when you’re a GP

  13. GP posts

  14. GP posts • Rotations all have 18m of GP • GP posts are 12m in ST3; remaining 6m may be in ST1 or 2, usually in a different practice

  15. What’s different in GP? • Practice is a business contracted to provide primary medical care for the NHS - you are a practice employee • Your trainer • More personal relationship than with consultants • Many roles – teacher, employer, mentor, assessor, possibly friend • Practice staff – be relaxed but respectful • Practice manager – a key person to get to know • Give-and-take - practices may be more flexible employers than hospital, if you are seen as helpful and conscientious and flexible

  16. Work in GP posts • You won’t be thrown in at the deep end – will have an induction period • Appt interval long at start, aim to reduce to 10 mins • Timetable - 7 surgeries/wk, educational time with trainer, HDR, study ½-day • Friendly environment but actual work may feel quite isolated • Good personal organisation needed – follow through, not handover • Long days, possibly 8.30 – 6.30 ish • Visits by agreement, not to scary places • Out of hours – see next slide

  17. Out of Hours work • You are required (ideally) to do 6 hours per month in GP posts • Rota organised by our administrator • Most sessions with Local Care Direct (LCD) seeing patients at OOH centre or visiting them, with a trainer or other experienced GP supervising you • Also triage session with NHS Direct who handle the phone calls. Induction session with them first • Other kinds of OOH experience may count • Record on form from Y&H website, upload to EP

  18. Education in GP posts • Support during surgeries and OOH sessions, and debriefing afterwards • Teaching with trainer according to your educational needs • Assessments by trainer • Possibly teaching and/or assessments by other practice members • Wednesday group tutorials at Ashcroft Surgery, 1 – 2.30 pm

  19. A few expectations of you • Transport to get yourself to visits and educational sessions • Reliable attendance at OOH sessions • No ‘moonlighting’without discussion with your trainer (preferably none at all)

  20. Variation between practices • Geographical position • Inner city/urban/semirural • Size • Demography of patients • Building • Number of sites • Doctors’ interests – clinical, medicopolitical, other teaching, non-NHS work • Demography of team • Systems, IT • Management style • Ethos/values/priorities Later today you’ll be asked to give your preferences for GP posts in relation to these variables

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