Transcript St2 Induction - Pennine GP Training

GP bit
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Part of ST 2 may have 1 or 2 stints in general
practice of 4 months each.
If only one 4 month gp placement there is a
lot to get done!
You should know where you are going already
Practices vary but conditions are on average
better than in the big bad world
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Need to meet the practice manager and
trainer before hand
Bring a number of documents GMC MDU
Passport CRB check P45 bank details payslip
CV
Sign contract.
You should have an induction into general
practice .
REGISTRAR TIMETABLE
Monday am.
Surgery
Late visits
09.00am – 11.30am
Monday pm.
Surgery
15.00am – 17.30pm
Tuesday am.
Surgery
08.30am – 11.00am
Tuesday pm.
Training/PGE
14.00pm – 17.00pm
Wednesday am.
Tutorial
Surgery
Practice meeting
09.40am – 10.40am
variable
08.30am - 09.30am
Wednesday pm.
Vid/normal surgery
15.00pm – 17.30pm
Thursday am.
Joint surgery
tutorial
prescriptions
09.00am – 10.00am
10.00am – 12.00pm
Thursday pm.
Thursday pm.
Diabetic Clinic
Surgery
14.00pm – 16.00pm
16.00pm – 17.30pm
Friday am.
Friday am.
Surgery
Child Health Clinic
Or visits
09.00am – 10.45am
11.00am – 13.00pm
Friday pm
personal study/professional development/APE post etc
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You should enjoy the experience and the
close educational relationship with the trainer
It should be good fun and you are part of the
team. However you might find it isolating and
lonely to consult on your own to begin with.
Make sure you have your trainers mobile
phone number.
Sort out any potential timetable/placement
issues right at the beginning of your
placement
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The trainer should allow you to grow in
confidence and independence in the time you
are there so naturally you are protected to
begin with.
If things not going well talk to someone.
You are supernumerary and so its expected
that the practice should not depend on you
being there ,so holidays should not be as
much of a headache.
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You are entitled to study leave. This includes
VTS half days but also a week per 6 months.
With the trainers agreement you could take
more but that is not an entitlement.
Days off for personal study will not be
approved but of course attendances at
relevant exams will be allowed.
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Equipment you are provided with include the
black bag but I would expect people to have own
stethoscopes and buy own opthalmoscopes and
otoscopes.
Otherwise the practice should provide you with
them.
Contents of doctors bag should be one of the
first things you sort in induction period.
If things get busy from time to time that is not
necessarily a problem but you should not be left
without a practitioner in the building.
Practice meetings are important to understand
general practice and its vital to attend these
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You must regularly look at the News section
of the Pennine website.
You must join and use the Pennine Yahoo
Group
Review the Deanery website to become
familiar with their expectations for successful
ARCP progression
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Home visits up to 3 a day often less
Be safe, be prepared know where you are
going and whom you are meeting.
Often reason for visit will lend itself to a pre
tailored action plan.
AK story
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To further broaden your experience in different specialties we
have Additional Postgraduate Experience attachments to ST2 GP
posts:
Dermatology
Pall Med – Kirkwood 4 sessions
Pall Med - Overgate
Ophthalmology
Paediatrics
Pain Management
Rheumatology
ENT
Diabetic Clinic
GUM Clinic
O&G
Family Planning
Most are 2 sessions but the hospice at Huddersfield comprises 4
sessions plus night on call of course!
Arrange via Elaine
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PDP looked at last time
3 quality entries per week at least
Need entries in all domains and all bits of the
portfolio
SEA, Projects, Audit and e-learning domains
need entries in every post!
Some areas of curriculum poorly covered e.g.
LD, ophthalmology, Practice management
Patient safety
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You need to have minimum numbers of
assessments done before the summative reviews
by the ES (May & Nov).
Get your trainer to look at your portfolio,
regularly checking your entries and validating
them against the competencies
When you were in hospital practice consultants
were rating you as competent but in general
practice you will usually be in the needs further
development category and don’t be upset by this!
DOPS need to be done on real patients and
observed by an appropriate health professional
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Need to do one in ST2 start early!!
Consecutive handed out by the receptionist
until 40 received.
Put on e-portfolio by practice administrator
Trainer does a declaration
Need to be done before ESR in ST2 and ST3
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Need one at least one 4 hour session per
month in general practice pro rata
Need your supervisor to rate you with Dr
Hasanie`s form on the website
Book early otherwise face delays in your CCT
Need a mix, telephone triage (training counts
as a session) visits & PCC
System 1 training needed
Book via Moira
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Various models which we will cover in HDR
It will get take some getting used to and
expect you will consult at 20 min intervals to
begin with
Eventually towards may be middle of ST3 year
you will get down to 10 min intervals
Don’t worry if you are unsure of what to do
with simple things it will not reflect badly
ASK!!!!
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Get started early
Learn how to use the video camera early
Have a surgery every week where you are
videoing
Lets do an exercise sign posting with various
models
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Don’t forget the minimum number have to be
completed prior to your summative
educational supervision (May & Nov)
PSQs can take a surprising length of time to
complete