Transcript Severn Deanery - Bristol GP Training

The School of Primary Care
Bristol Faculty Day
Bill Irish
New Website – Jan 2009
Most information can now be
accessed via the School website:
http://primarycare.severndeanery
.org/
Numbers
• 2500 GP Principals + Significant numbers of
non-principals
• Full-Time GPSTRs:
Year of Entry
Number recruited into ST1
2007
102
2008
126
2009
138
2010
154
• …324 increasing to 500 over next 3 years
Opportunities
• Better rotations:
– Less internal medicine, T&O, etc
– More palliative care, SRH, Paediatric A&E etc using
100% funding from SHA
• More foundation rotations with 4m GP
– Conversion of hospital F2 posts into GPSTR posts
– To 55 or even 60%
• All with 18m GP – mainly in ST2
Threats
• Capacity in General Practice
– Major recruitment drive
• Improvement grants – £0.5 Million
• Local support in WSM and in Bristol for new trainers
– Pressure to pick up surplus medical and surgical
posts in context of EWTD
– GPE and Trainer fatigue
– Recruiting from same pool of applicants –
standards?
Experienced Trainer Courses (ETCs)
• We have listened…
• We have trashed the
old Severn and Wessex
Courses
• Paul Main has led a
major redesign of the 3
yearly ETC
• Thank you for all of your
input
ETCs
• What they wont…
– Be didactic
– Have any hidden agenda
assessments
– Be rigid
– Have any political spin
– Charged for
• What they will …
– Be learner-centred
based on adult
education principles
– Be experiential
– Based on peer learning
& feedback
– Use live bait
– Use local subject experts
for current hot topics
– 3 days every 3 years
– Be developed in
response to feedback
Extended Rotations
Structured Teaching through local programmes
ST1
ST2
ST3
• 3 x 4 months,
Hospital Based
• 1 x 6 months,
Hospital Based
• 1 x 6 months, GP
• 12 months GP
Single GP
Educational
Supervisor
Primary Care School Scholarship
Programme
ST3 Scholars
(5)
ST1
ST2
• 3 x 4 months,
Hospital Based
• 1 x 6 months,
Hospital Based
• 1 x 6 months, GP
• 12 months GP
• 1 month training
in education
ST3 Scholars (6)
11 “High Flying” GPSTRs
selected competitively at ST2
for additional training in ST3
• 12 months GP
• 1 month
training in
medical
Leadership
New 4-year Programmes
ST1
ST2
ST3
ST4
• 3 x 4m
hospital
posts
• 1 x 6m
hospital post
• 1 x 6m GP
• 50%
academic
• 50% GP
• 50%
academic
• 50% GP
2 Clinical Research (Nationally funded ACFs) - UoB
1 Education – UoB
2 Public Health/Leadership – Bristol and Somerset PCTs
Collaboration With Universities
• Bath
• UWE
• Masters programme in Primary Health Care
• Taken over 4 years
Existing Links
• Research Projects
– UWE
• ACFs and Undergraduate
Teaching
– UoB
• Advanced Practice Nurse Project
– UWE/Derek Sprague
– City
• KTP on QA of hospital training
posts
– UWE
• Language Skills Assessment in
Doctors in Training
– Bath
• Novel selection methodologies
for GPST
– City
• Advanced Educator Development
– UoB
– Dundee
• MRCGP exam teaching and NQGP
mentoring
– Severn Faculty, RCGP
How might it work?
• Self funded by trainees
– 77% current ST1s interested in a self funded MSc
• Some limited development costs co-funded by deanery and university
• Credit accumulation – possibly allowing some import from other national
universities
• Needs to be seen as high return
– Additional Skills
– High Value Qualification
– High chance of completion
• Accessibility by established local GPs for CPD
Mapping an MSc on to GPST & Beyond
ST1
ST2
ST3
Taught
Masters
Modules
Clinical • Accreditation
Learning • Licensure
Certificate
Post CCT
Research
Skills
• Clinical
• Generic
Diploma
Mulitple Exit (and re-entry) Points
• Project
• Dissertation
Masters
Accreditation
• Joint exercise between HEI and Deanery
• Minimal cost to trainees
• Oxford Brooke’s model
– Assessed Portfolio
– Passing 3 components of MRCGP
• Assessed by current faculty, after training by
HEI
• Visiting university appointments
Taught Masters
• Adapted from existing taught Master’s level
programmes.
• Opportunity to provide access to local GPs, and the
NHS.
• Distance vs. face-to-face education
Clinical Modules
Generic Modules
Eg: Sports Medicine
Palliative Care
Public Health
Therapeutics
Eg: Business & Finance Skills
Law & Ethics
Leadership
Education
Project and Dissertation
• Taught basic clinical and/or educational
research skills
• Opportunity to evolve into a research-based
degree
• Distance learning
• Supervision from subject experts
Thank You
• Questions?
• Critiques?
• Suggestions?