Developing Learning EnvironmentsDr Barry LewisDirector GP Education

Defining the Learning Environment

LEARNING ENVIROMENT

Workplace Experience

Educational programme

Clinical Supervision

The ‘fabric’ – rooms, equipment and people

The ‘Fabric’

• Standards for Better Health• Consulting rooms

– Size– Suitability

• Resources– ‘library’/study area– Records and IT

• Practice based team

Workplace experience

• Patients– List size– Morbidity– Access

• Services– Chronic disease management– Additional services

• Multidisciplinary team

Educational programme

• In practice educational processes– PHCT meetings– Case based discussion meetings– Clinical education

• Tutorial arrangements– Protected– ?shared

• Relevant to stage of training

Clinical supervision

• Organisation of supervision– Availability and access– Training as supervisor– Appropriate to stage of training

• Non medical supervisors – Training– Time in usual role– Support for role as supervisor

• Sessional vs overview processes defined

Expanding and extending GP training

• Numbers in NW– ST1 recruitment 240 in 2009– ST1 recruitment ~300 in 2011– All to do minimum 18 months GP

• Extending to 5 years– Pilot in NW for ST4 and 5– ST4-5 in GP

• More placements needed– New practices– New slots in existing practices– Hub and spoke arrangements – BUT environment conditions

still apply

Funding

• Existing Learning Environment Grant– Established process– Support needed from PCT– Points for undergrads, AHPs, FY2s as well as GPST

slots

• New LEG– Additional money 09-10 only– Same parameters but – removal of matched funding

etc

Funding (2)

• Developing remuneration for training– Trainers grant

• Graded based on supervision required• Acknowledges service delivery by trainees

– Environment payment• Fee/slot• Slot may be used by any of the range of

learners