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ST1 Induction. Dr Richard de Ferrars Programme Director August 2013. ST1 Induction. General Information RCGP Examination - Exam overview - Assessments Education - Learning Objectives for posts - E-portfolio - Study Leave “To-do list”. Communication.

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ST1 Induction

Dr Richard de Ferrars

Programme Director

August 2013


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ST1 Induction

  • General Information

  • RCGP Examination

    - Exam overview

    - Assessments

  • Education

    - Learning Objectives for posts

    - E-portfolio

    - Study Leave

  • “To-do list”.


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Communication

Email is the principal means of communication

VTS website:

www.frimleyvts.org

Capital Offences:

Failing to check emails weekly / daily / hourly

Failing to notify me/ Tracey/ KSS of a change in email address


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Communication

Why is there always one?

We always have at least one trainee who thinks this does not apply to them

IT DOES!


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Contacting Us

Allocated Programme Director:

Richard de Ferrars

Christine Marshall

Andrew Cochrane

Military - Various

Email - anytime

VTS Term - drop-in Thursday 12:45 – 13:30

discuss problems/ concerns


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Maternity Leave

Should be nothing to do with me but….

ST1/2 - very complex

ST3 - simple

Return to a “re-built” rotation

- depends on what posts unfilled

- remember Aug/ Dec/ Apr start dates

- cannot guarantee Frimley (usually do)

- cannot hold places in practices (rarely do)

LTFT

Must now be post-share

May mean waiting for a suitable sharer or moving hospital



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The GP Faculty

Committee that delivers GP Training here (for KSS)

ST Representatives

Military - TBC

ST1 - Dr James Thambyrajah

ST2 - Dr Bindu Babu

ST3 - Dr Ellie Flatman

- Dr John Smales

KSS rep - Dr Flatman & Smales

GP Faculty Group

Programme Directors Couple of Trainers

Dr Bob Ward (KSS) Lynn Moran

DME (Ms Menon) Consultants


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The GP Faculty

LFG meets Nov/ March/ June

Part 1: Issues relating to training programme (rep feedback)

Part 2: Closed - Discussion of each ST1, ST2, ST3 (no reps)

Trainee in difficulty? Traffic light & meeting with PD

Reports to…..

FPH Local Academic Board meets 3x per year

Reports to…..

HEE KSS (KSS Deanery)

Deanery Inspection (on behalf of GMC) every 2-3yrs

- last one March 2013


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ST1 Induction

  • General Information

  • RCGP Examination

    - Exam overview

    - Assessments

  • Education

    - Learning Objectives for posts

    - E-portfolio

    - Study Leave

  • “To-do list”.


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MRCGP Overview

You MUST register with RCGP to access the e-portfolio

Delay registering = delay in using the e-portfolio

= falling behind required pace

= playing catch-up already

Associate in Training

Overall is ‘close to cost-neutral’

Can pay for exams in instalments (CSA is £1700)

Tax advantages [if you do a tax return]

Excellent journal (InnovAIT) plus online archive access

Cost over 3 years is about £3,500 (Registration & Exams)


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MRCGP Overview

  • Applied Knowledge Test

    • 200 question MCQ, Pearson VUE centres

    • Often taken at the end of ST2, but limited to 4 attempts

    • Discuss again at the start of ST2 year

  • Clinical Skills Assessment

    • 13 station simulated surgery at RCGP exam centre

    • Always taken in ST3 (cost about £1700)

  • Workplace-Based Assessment

    • Continuous over the three years

    • Steps up several gears in ST3

    • Recorded in your e-portfolio

      E-portfolio = WPBA.


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Assessments - Complicated Planning

The tube map - looks complex at first glance but is very useful…..


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Assessments & Review Cycle

Contact ES

Contact ES

Contact ES

1-2d Study Leave

1-2d Study Leave

1-2d Study Leave

Month 6 ES Review

Month 11 ES Review (ARCP report)


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Complicated Planning

Clinical Supervisor

Nominated Consultant for that 4 month post

Meet start & end of post - PDP & Learning Opportunity Planning

Responsibility for WPBA assessments (problems = ask them)

CSR - must complete the end of placement report (CSR)

Educational Supervisor

GP Trainer/ Educator

Continually monitors e-portfolio

Completes ES review every 6 month (January & June)

Submits recommendations to KSS (ARCP)

Military KSS

Several RAMC trainers Trainer usually from ST3 practice

Will contact you directly 1-2 day attachment each 4m post


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Assessments & Review Cycle

Similar to Foundation Assessments:

  • Case based Discussion (CbD)

    Two per 4-month post (three per 6-months)

  • Observed patient encounter (Mini-CEX)

    Two per 4-month post (three per 6-months)

  • Direct Observation Procedural Skills (DOPS)

    When appropriate – not very many

  • Multi-source feedback (MSF)

    Twice ST1, none ST2, twice ST3

  • Patient satisfaction Questionnaire (PSQ)

    Only when in a GP post (including ITP).


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Contact ES

Contact ES

Contact ES

Assessments & Review Cycle

1-2d Study Leave

1-2d Study Leave

1-2d Study Leave

Month 6 ES Review

Month 11 ES Review (ARCP report)


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Assessments & Review Cycle

It’s simple - how can things possibly go wrong?

The formal RCGP sign-off is done by your ES

No contact with them, no GP study days?

This just will not happen

Missing assessments & log entries = No review

Incomplete reviews at year-end = ARCP

ARCP can:

  • Forgive

  • Make you repeat a training year

  • Remove you from the programme.


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ST1 Induction

  • General Information

  • RCGP Examination

    - Exam overview

    - Assessments

  • Education

    - Learning Objectives for posts

    - E-portfolio

    - Study Leave

  • “To-do list”.



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Knowing What to Know?

GP Curriculum

  • Available on RCGP website

  • 26 Chapters (21 Clinical)

  • Thousands of pages long

  • Written by committees (and it shows)

    What do you really need?

    Simple idea of what to aim to cover in each post

    Use this at “start of post” meetings with CS.


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The Condensed

Curriculum Guide

Useful Guide

RCGP Website/ bookshop (£16 for AiTs)

GP Curriculum Map (Handbook)

Summary of each Curriculum chapter

- where could it be covered?

- mapped to InnovAIT [and e-modules]

Knowing What to Know?

The Curriculum in Hospital & General Practice (handbook)

Simple suggestions of what to aim to cover in

each hospital post

GP Specialty TrainingHandbook for Hospital Specialties

KSS GP website, trainee’s section

Post-specific, more detailed


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Knowing What to Know?

Simple steps for each new post:

  • Try and come up with 3-4-5 simple ideas

    - Look at the two guides in the handbook

    - Discuss with GP Trainer (ES) if appropriate

  • Bring these ideas to your planning meeting with your hospital consultant (CS)

  • Put these in your e-portfolio PDP.

    Ask your GP Trainer (ES) if they havea copy of the “Condensed CurriculumGuide” that you can have a look at



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E-Portfolio

E-Portfolio = Workplace-based assessment

Record of required assessments

  • CbD, COT, DOPS, MSF, PSQ, CSR….

    Record of your educational activities (learning log & PDP)

    Record of 6-monthly reviews by ES

    Ultimately used by Deanery to sign-off WPBA

    (Other uses – messaging, exam entry).


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E-portfolio – First Stages

  • Assessments

    • Once registered, access forms from log-in page

  • Personal Development Plan

    • 4-5 SIMPLE entries from meetings with ES & CS

  • Learning Log

    • ST Teaching Friday September 27th

    • Minimum requirement is 2 entries per week

    • Make a start with simple entries

      based on the curriculum map and hospital post guide

      “I saw a patient with...”


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Teaching Opportunities

Informal Teaching – learn by seeing patients & discussing cases

Formal Teaching Sessions

Open door policy for ‘juniors’ teaching at Frimley

Minimum requirement is 70% attendance

Departmental Teaching

1-2 lunchtimes & formal sessions per week

Audit half-days

GP ST1/2 Post

Wednesday 14:00 with GP Trainer (closed door)

GPST1/2 Teaching (Hospital and GP)

Last Friday of the month (12:45)


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Study Leave

Six weeks notice & must complete the form

Deaneries funded:

  • They are allowed to say how their money is spent

  • They are all facing massive budget cuts

  • Each has their own policies

    KSS Policy & Guidance :

  • Study leave is an allowance and not an entitlement

  • Full guidance on KSS website

  • Focus of must be to help you achieve your GP CCT

    Is what you are considering needed for GP CCT?


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KSS Study Leave

GP Practice Placements

Minimum of 1 day, preferably 2 days, per post

Key role in achieving goals with ES

Discretionary Training linked to a PDP

No GP placements? Answer will be “NO”

Must be for skills that are required for GP CCT

Must be in PDP & agreed with ES & agreed by PD

Collecting multiple diplomas is discouraged

AKT – 3/ 4 /5 days


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ST1 Induction

  • General Information

  • RCGP Examination

    - Exam overview

    - Assessments

  • Education

    - Learning Objectives for posts

    - E-portfolio

    - Study Leave

  • “To-do list”.


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To-do List - August

  • Find the RCGP website, register, look at AIT option

    • Activate your e-portfolio

  • CS (each post) and ES (whole programme) – GOT IT?

  • Start of post 1 meeting with your CS

    • Learning objectives in your first post

  • Start of year meeting with your ES

    • Study leave with your ES (September or October)

  • Look at the websites

    • Especially www.frimleyvts.org


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To-do List - September

  • Last Friday of month lunchtime meetings at FPH

  • Thursday lunchtime VTS (from Sept 19th)

    • Drop by and say hello

    • Get to know us

  • Start using your e-portfolio learning log

    • More about this September 27th meeting

  • Start getting assessments recorded



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