Transcript Presentation - Frimley VTS

ST1 Induction
Dr Richard de Ferrars
Programme Director
August 2014
ST1 Induction
• General Information
• RCGP Examination
- Exam overview
- Assessments
• Education
- Learning Objectives for posts
- E-portfolio
- Study Leave
• “To-do list”.
Communication
Email is the principal means
of communication
VTS website:
www.frimleyvts.org
Capital Offences:
Failing to check your emails
weekly / daily / hourly
Not notifying me/ Tracey/ KSS
of a change in email address
(doctors.org or nhs.net please).
Communication
Why is there always one?
We always have at least one
trainee who thinks this does
not apply to them
IT DOES!
Contacting Us
Allocated PD:
Richard de Ferrars
Christine Marshall
Andrew Cochrane
Military - Various
Kathleen
Oliver
Richard
de Ferrars
Rosie
Johnson
Richard
de Ferrars
Emma
Smith
Richard
de Ferrars
Flora
Richardson
Richard
de Ferrars
Ekanjali
Dhillon
Christine
Marshall
Catherine
Almond
Christine
Marshall
Rahim
Vellani
Christine
Marshall
Cassandra
Snadden
Christine
Marshall
Camellia
Wong
Andrew
Cochrane
Sinthu
Vivekananthan
Andrew
Cochrane
Sarah
Clements
Andrew
Cochrane
Jacqueline
Ashworth
Andrew
Cochrane
Peter
Finney
Richard
de Ferrars
Mareen
Wickramasingham Christine
Marshall
KSS Trainees – PDs will arrange a meeting Aug/ Sept
Email - anytime
VTS Term - drop-in Thursday 12:45 – 13:30
discuss problems/ concerns
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
The GP Faculty
The GP Faculty
Committee that delivers GP Training here (for KSS)
ST Representatives
Military
ST1
ST2
ST3
- Dr Sarah Bremner
- TBC
- Dr Tori Kynaston
- Dr Bindu Babu
KSS rep
- TBC
GP Faculty Group
Programme Directors
Dr Bob Ward (KSS)
DME (Ms Menon)
Couple of Trainers
Lynn Moran
Consultants
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
ST1 Induction
• General Information
• RCGP Examination
- Exam overview
- Assessments
• Education
- Learning Objectives for posts
- E-portfolio
- Study Leave
• “To-do list”.
MRCGP Overview
You MUST register with RCGP to access the e-portfolio
Delay = delay in using the e-portfolio
= falling behind required pace
= playing catch-up already
Kathleen
Oliver
Yes
Rosie
Johnson
Yes
Emma
Smith
Yes
Flora
Richardson
Yes
Ekanjali
Dhillon
Catherine
Almond
Yes
Rahim
Vellani
Yes
Cassandra
Snadden
Camellia
Wong
Sinthu
Vivekananthan
Sarah
Clements
Jacqueline
Ashworth
Peter
Finney
Mareen
Wickramasingham
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
Yes
Yes
Cost over 3 years is about £4,000 (Registration & Exams).
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.
Assessments - Complicated Planning
The tube map - looks complex at first glance but is very useful…..
Assessments & Review Cycle
Post 1
CbD
Post 2
CbD
Mini-CEX
Post 3
CbD
CbD
Mini-CEX
Mini-CEX
Mini-CEX
CSR
Contact ES
Oct
Mini-CEX Mini-CEX
Nov
Dec
Jan
Feb
Contact ES
1-2d Study Leave
DOPS
MSF
(PSQ)
CSR
MSF
Sep
CbD
DOPS
DOPS
Aug
CbD
Mar
CSR
Apr
May
Jun
Jul
Contact ES
1-2d Study Leave
1-2d Study Leave
Month 6 ES
Review
Month 11
ES Review
(ARCP report)
Complicated Planning
Clinical Supervisor
Nominated Consultant for that 4 month post
Meet start of post - PDP & Learning Opportunity Planning (LOG ENTRY)
Responsible for WPBA assessments (problems = ask them)
Meet end of post - CSR (end of placement report)
Educational Supervisor
GP Trainer/ Educator
Continually monitors e-portfolio
Completes ES review every 6 months (January & June)
Submits recommendations to KSS (ARCP)
Military
Several RAMC trainers
Will contact you directly
KSS
Trainer usually from ST3 practice
1-2 day attachment each 4m post
Assessments & Review Cycle
Similar to Foundation Assessments:
1.
Case based Discussion (CbD)
Two per 4-month post
2.
Observed patient encounter (Mini-CEX)
Two per 4-month post
3.
Three per 6-month review
Three per 6-months review
Direct Observation Procedural Skills (DOPS)
When appropriate – not very many!
4.
Multi-source feedback (MSF)
Twice ST1 (once each 6m review cycle), none ST2, twice ST3
5.
Patient satisfaction Questionnaire (PSQ)
Only when in a GP post (including ITP).
Assessments & Review Cycle
Post 1
CbD
Post 2
CbD
Mini-CEX
Post 3
CbD
CbD
Mini-CEX
Mini-CEX
Mini-CEX
CSR
Contact ES
Oct
Mini-CEX Mini-CEX
Nov
Dec
Jan
Feb
Contact ES
1-2d Study Leave
DOPS
MSF
(PSQ)
CSR
MSF
Sep
CbD
DOPS
DOPS
Aug
CbD
Mar
CSR
Apr
May
Jun
Jul
Contact ES
1-2d Study Leave
1-2d Study Leave
Month 6 ES
Review
Month 11
ES Review
(ARCP report)
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.
ST1 Induction
• General Information
• RCGP Examination
- Exam overview
- Assessments
• Education
- Learning Objectives for posts
- E-portfolio
- Study Leave
• “To-do list”.
Knowing What to Know?
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.
Knowing What to Know?
GP Curriculum Map (Handbook)
Summary of each Curriculum chapter
- where could it be covered?
- mapped to InnovAIT
The Condensed
Curriculum Guide
The Curriculum in Hospital
& General Practice (handbook)
Simple suggestions of what to aim to cover in
each hospital post
GP Specialty Training
Handbook for Hospital Specialties
Useful Guide
KSS GP website, trainee’s section
RCGP Website/ bookshop
(£16 for AiTs)
Post-specific, more detailed
Knowing What to Know?
Simple steps for each new post:
1.
Try and come up with 2-3 simple ideas
- Look at the two guides in the handbook
- Discuss with GP Trainer (ES) if appropriate
2.
3.
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 have
a copy of the “Condensed Curriculum
Guide” that you can have a look at.
E-Portfolio
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).
E-portfolio – First Stages
• Assessments
– Once registered, can access forms from log-in page
– Can send ticket codes to assessors
• Personal Development Plan
– 1 or 2 SMART entries from meetings with ES & CS
• Learning Log
– ST Teaching Friday September 26th
– Minimum requirement is 2 entries per week
– Make a start with simple entries
• Teaching sessions (this one), CS meeting
• “I saw an interesting patient with...”
Teaching Opportunities
Informal Teaching – learn by seeing patients & discussing cases
Formal Teaching Sessions
Minimum requirement is 70% attendance. Open door policy
Departmental Teaching
1-2 lunchtimes & formal sessions per week. Audit half-days
Medicine “Top 20” teaching (Thursday) strongly recommended
Weekly ST1/2 GP Teaching - at local GP Practice
Wednesday 14:00 with GP Trainer (open door)
Monthly ST1/2 Teaching - at PGEC (Dr de Ferrars & Cochrane)
Last Friday of the month (12:45)
Annual ST1/2 Communication Skills Workshop – at FGMC
Whole day, February & June, using study leave.
Study Leave
Six weeks notice & must complete the form
Funded by HEE KSS (public money):
– 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?
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
Not arranged 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.
ST1 Induction
• General Information
• RCGP Examination
- Exam overview
- Assessments
• Education
- Learning Objectives for posts
- E-portfolio
- Study Leave
• “To-do list”.
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
To-do List - September
• Last Friday of month lunchtime meetings at FPH
• Should have met up with PD
• Thursday lunchtime VTS (from Sept 18th)
– Drop by and say hello
– Chat about issues & problems
• Start using your e-portfolio learning log
– More about this September 26th meeting
• Start getting assessments recorded.
The End