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Planning the year Peter Churn Unemployed locum MRCGP Overview • • • • • • What you need to do Month by month guide Deadlines Tips as I go along Contacts Mark schemes etc The Barrymore approach • • • • • • • • • • • • • • MRCGP written MRCGP MCQ MRCGP oral MRCGP videos Audit Summative assessment MCQ Trainer’s report Certification Pulse, GP, Doctor BMJ, BJGP DRC Finish on time…. Visits…. Out-of-hours… Live the dream….. • • • • Work 3 ½ days a week All weekends off Every Wednesday off 70 hours on-call…..over the entire year!! (“….when I was a house officer…”) • As long appt’s as you want • MRCGP pass rate >80% • “Oh my God….” The hoops • 1.Certification – VTR1/2’s • 2.Summative assessment – – – – Audit MCQ Videos Trainer’s report • 3.MRCGP – – – – Written MCQ Videos Oral The hoops • 1.Certification – VTR1/2’s • 2.Summative assessment – – – – Audit MCQ Videos Trainer’s report • 3.MRCGP – – – – Written MCQ Videos Oral February • Skiing March • Lundy Island • Cancel comic subscriptions… • Hot Topics course – 26/3/6 – www.nbmedical.co.uk • Write down what you’re already doing!! – – – – Tutorials DRC feedback PUNs/DENs GPnotebook/mentor April • Audit – Start to think about audit topic • • • – – – – – • Join RCGP as associate, send in VTR2’s Article 10 – RCGP certification unit Article 11 – PMETB certification unit Stamps, dates don’t overlap Apply summative assessment MCQ – – • Evidence (QOF, NICE, etc) COGPED 8 Criteria Marking Schedule http://www.nosa.org.uk/information/audit/cogped/guidelines.htm – 10hrs, 3000 words http://www.gppro.co.uk/resource/audit/marking.htm http://www.gppro.co.uk/resource/audit/auditool.pdf Certification 1 – – – – • Embarrassingly simple Avoid anything you are interested in Relevant - ?QOF criterion Moira Linden; 01962 893 813 [email protected] Apply Portsmouth MRCGP revision course – Carol White; 01264 355 005 – [email protected] May • Summative assessment MCQ – 3/5/6, 6/9/6, 6/12/6 – Apply 1/12 before – DO NOT REVISE FOR!!!!.....(the 1st time) • FREE • As many goes as you like – PEP CD’s – Minimum standard – passmark May 2005; 69% – School quiz – NO TALKING!!! • Audit – 1st data collection June • Audit – 2nd data collection – Start writing-up • Practice videoing and erase all evidence • Study group????!!!!!! – Drink wine for best results (evidence-based) July • Audit – 2nd data collection – Write-up & send-in.. – http://www.nosa.org.uk – Declaration – 3000 words & where to staple! • Practice videoing and still erase all evidence • Study group – Do not forget wine… • MRCGP course (17-21st/7/6) • Apply MRCGP (deadline 29/8/6) August • Remember to apply MRCGP!!! (deadline still 29/8/6) • Video, video, video…..(deadline 20/20/6) – – – – – – – – Everyone - desensitisation Not everyone is suitable – not your fault First attendance If you know it’s crap, don’t torture yourself by watching it again 15 min appts Receptionists on side Consent beforehand Technical stuff • • • • Date/time Sound Examine off camera/lens cap No computer editing – you are not PIXAR – CHEAT WHENEVER POSSIBLE!!!!! • Criterion on wall September • I will never video again….have started giving wife options • MRCGP revision.. • There is more to life than the MRCGP… September • MRCGP Written (24/10/6) • 39% passmark (76.6%) • Format – – – – – – – Constructs Study group Hot topics NICE BMJ BJGP How to read a paper • Trisha Greenhalgh – http://www.rcgp.org.uk • Past papers with examiners comments!!! • http://www.rcgp.org.uk/default .aspx?page=3589 • MRCGP MCQ (24/10/6) • 66% passmark (80.8%) – PEP CD’s – Una Coles book – DVLA, warfarin, fitness to fly, etc Black October • Asking wife ‘what she think might be going on….’ • MRCGP revision.. • The MRCGP is my life – 20/10/6 (video deadline) – 24/10/6 (written, MCQ) November • • • • “They think it’s all over....” MRCGP oral 76.4% passed Study group – 27/11/06-3/12/06 – Concepts and Answers for the MRCGP Oral Exam • Prashini Naidoo – GMC • Good medical practice • Booklets • http://www.gmcuk.org/guidance/library/ind ex.asp December • “....it is now” • Trainer’ report • Submit together with VTR 1 & application for CCT • 6/52 before end-date • Expect delays • …then wait an extra week… January Summary • • • • • • • • • • • • February March April May June July August September October November December January Audit Audit MCQ Audit Video Video Video MCQ Video Video MCQ Study Study Study Study MRCGP Study MRCGP Contacts • Summative assessment – http://www.nosa.org.uk – Moira Linden; 01962 893 813 – [email protected] • RCGP certification – 020 7930 7228 – [email protected] • PMETB – 0871 220 3070 – [email protected] – [email protected] • HOT Topics course – 0191 489 0555 – www.nbmedical.co.uk • MRCGP course – Carol White; 01264 355 005 – [email protected] Audit criteria 1.Reason for choice of audit Potential for change Relevant to the practice 2.Criterion/Criteria Chosen Relevant to audit subject and justifiable, eg. Current literature 3.Standards set Targets towards a standard with a suitable timescale 4.Preparation and Planning Evidence of teamwork and adequate discussion where appropriate 5.Data Collection (1) Results compared against standard 6.Change(s) to be evaluated Actual example described 7.Data Collection (2) Comparison with Data collection (1) and standard 8.Conclusions Summary of main issues learned Video criteria PC1 the doctor is seen to encourage the patient's contribution at appropriate points in the consultation PC2 (M) the doctor is seen to respond to signals (cues) that lead to a deeper understanding of the problem PC3 the doctor uses appropriate psychological and social information to place the complaint(s) in context PC4 the doctor explores the patient's health understanding PC5 the doctor obtains sufficient information to include or exclude likely relevant significant conditions PC6 the physical/mental examination chosen is likely to confirm or disprove hypotheses that could reasonably have been formed OR is designed to address a patient's concern PC7 the doctor appears to make a clinically appropriate working diagnosis PC8 the doctor explains the problem or diagnosis in appropriate language PC9 (M) the doctor's explanation incorporates some or all of the patient's health beliefs PC10 (M) the doctor specifically seeks to confirm the patient's understanding of the diagnosis PC11 the management plan (including any prescription) is appropriate for the working diagnosis, reflecting a good understanding of modern accepted medical practice PC12 the patient is given the opportunity to be involved in significant management decisions PC13 (M) the doctor takes steps to enhance concordance, by exploring and responding to the patient’s understanding of the treatment PC14 the doctor specifies the appropriate conditions and interval for follow-up or review Constructs Clinical Patient Self-management Agenda Decision Aids Benefits Education Death & Driving Support Groups Ideas, concerns & expectation Transcultural Doctor Risk management Up to date DEN’s Evidence-based Confidentiality/Consent Health promotion Open questions Prejudice Prescribing Empathy Record-keeping/Referrals Practice Protocol Register Audit Change management Training IT Contract/clinics Ease Wider Goldberg & Huxley’s filters to care Rationing Inverse care law Medicilisation Screening Health Inequalities Teamwork Ethical Consultation Prescribing