harrogate sts introduction day
Download
Skip this Video
Download Presentation
HARROGATE STS INTRODUCTION DAY

Loading in 2 Seconds...

play fullscreen
1 / 37

HARROGATE STS INTRODUCTION DAY - PowerPoint PPT Presentation


  • 115 Views
  • Uploaded on

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

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'HARROGATE STS INTRODUCTION DAY' - bob


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
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/
slide5
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
  • GETTING TO KNOW YOUR GROUP
  • HOPES AND FEARS
group learning
GROUP LEARNING
  • Most of the work you will be doing is in small groups.
  • What skills does this develop?
group rules
Group Rules

Confidentiality –

Respect

Listening

Contributing in a dominant way

Contributing in a passive way

acronym quiz
AIT

AKT

ARCP

CSA

WPBA

DOPS

COT

CBD

NOE

Acronym quiz
what is involved with sts
WHAT IS INVOLVED WITH STS
  • 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
slide15
HDR
  • 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.

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
  • 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
slide18
OOH

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:-

1 AKT – applied knowledge test

2 CSA – clinical skills assessment

3 WPBA – workplace based assessment.

nMRCGP
slide20
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

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
  • 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 subjectcontent
  • 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
  • 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
slide25
CSA
  • 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:-
  • 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
  • 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
  • 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
  • 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

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

Learning Should be fun

ideas to cover in small groups
You will decide !

“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

Consultation process

Difficult consultations

Role of video

Adult learning/ Styles

Hospital jobs

Half/Day release

TOPICS
team building activity
Team building activity
  • 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.
ad