st1 induction dr richard de ferrars programme director august 2015
TRANSCRIPT
ST1 Induction
Dr Richard de Ferrars
Programme Director
August 2015
ST1 Induction• General Information
• RCGP Examination- Exam overview
- Assessments
• Education- Learning Objectives for posts
- E-portfolio
- Study Leave
• “To-do list”.
CommunicationEmail is the principal means
of communication
VTS website:
www.frimleyvts.org
Capital Offences:
Failing to check your emails weekly / daily / hourly
Not notifying me/ Jayne/ 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
KSS Trainees – PDs will arrange a meeting Aug/ Sept
Email - anytime
VTS Term - drop-in Thursday 12:45 – 13:30
discuss problems/ concerns
Trainee Trainer/ ES Programme Director
Sarah Cunningham Dheshni Moodley Richard de Ferrars
Victor David-West Varsha Joglekar Christine Marshall
Reshmee Doolub Kate Russell Andrew Cochrane
Charlene Faure David Brown Richard de Ferrars
Rebecca I'Anson Claire Lindfield Christine Marshall
Colbin Jose Cliff Kimber Andrew Cochrane
Sumeet Khosla Maj Saeed Richard de Ferrars
Anjum Mahmood Ian Stuart Christine Marshall
Shams Shamoon Gareth Robinson Andrew Cochrane
Tina Sirichantaropass Gail Milligan Richard de Ferrars
Gomathi Sivathasan Arfan Ahmed Christine Marshall
Azad Kisha Louise Payne Andrew Cochrane
Polly Bennion Richard de Ferrars Christine Marshall
Should be nothing to do with me but….ST1/2 - very complexST3 - 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)
LTFTMust now be post-shareMay mean waiting for a suitable sharer or moving hospital
Maternity Leave
The GP Faculty
The GP Faculty
Committee that delivers GP Training here (for KSS)
ST RepresentativesMilitary - TBCST1 - TBCST2 - Dr Camelia WongST3 - Dr Hannah Pedley
KSS rep - Dr Vicky Goodall
GP Faculty GroupProgramme Directors Couple of TrainersDr Bob Ward (KSS) Tracey Franklin, Lyn MoranDME (Ms Menon) 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 3-4yrs
- 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 OverviewYou MUST register with RCGP to access the e-portfolio
Delay = delay in using the e-portfolio
= falling behind required pace
= playing catch-up already
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
Cost over 3 years is about £4,000 (Registration & Exams).
Trainee
Sarah Cunningham Yes
Victor David-West
Reshmee Doolub Yes
Charlene Faure Yes
Rebecca I'Anson
Colbin Jose
Sumeet Khosla Yes
Anjum Mahmood Yes
Shams Shamoon
Tina Sirichantaropass Yes
Gomathi Sivathasan
Azad Kisha
Polly Bennion Yes
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
Month 6 ES Review
Month 11 ES Review
(ARCP report)
1-2d Study Leave 1-2d Study Leave1-2d Study Leave
Contact ESContact ES Contact ES
Post 1 Post 2 Post 3
CbD CbD
Mini-CEX Mini-CEX
CEPS
MSF
CSR
CbD
Mini-CEX
CEPS
CbD
Mini-CEX
CEPS
MSF (PSQ) CSR
CbD CbD
Mini-CEX Mini-CEX
CSR
CEPS
Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul
Complicated PlanningClinical Supervisor
Nominated Consultant for that 4 month postMeet 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 SupervisorGP Trainer/ EducatorContinually monitors e-portfolioCompletes ES review every 6 months (January & June)Submits recommendations to KSS (ARCP)
Military KSSSeveral RAMC trainers Trainer usually from ST3 practiceWill contact you directly 1-2 day attachment each 4m post
Similar to Foundation Assessments:1. Case based Discussion (CbD)
Two per 4-month post Three per 6-month review
2. Observed patient encounter (Mini-CEX)
Two per 4-month post Three per 6-months review
3. Clinical Examination & Procedural Skills (CEPS replace 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
Assessments & Review Cycle
Month 6 ES Review
Month 11 ES Review
(ARCP report)
1-2d Study Leave 1-2d Study Leave1-2d Study Leave
Contact ESContact ES Contact ES
Post 1 Post 2 Post 3
CbD CbD
Mini-CEX Mini-CEX
CEPS
MSF
CSR
CbD
Mini-CEX
CEPS
CbD
Mini-CEX
CEPS
MSF (PSQ) CSR
CbD CbD
Mini-CEX Mini-CEX
CSR
CEPS
Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul
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.
Assessments & Review Cycle
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?The Condensed Curriculum Guide
Useful Guide
RCGP Website/ bookshop (£16 for AiTs)
GP Curriculum Map (Handbook)
Summary of each Curriculum chapter
- where could it be covered?
- mapped to InnovAIT
GP Specialty TrainingHandbook for Hospital Specialties
KSS GP website, trainee’s section
Post-specific, more detailed
The Curriculum in Hospital & General Practice (handbook)
Simple suggestions of what to aim to cover in
each hospital post
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. Bring these ideas to your planning meeting with your hospital consultant (CS)
3. 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-PortfolioE-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 OpportunitiesInformal Teaching – learn by seeing patients & discussing cases
Formal Teaching SessionsMinimum 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 FGMCWhole day, February & June, using study leave.
Study LeaveSix 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 (log entry)
• Start of year meeting with your ES– Study leave with your ES (September or October)
• Start of programme meeting with your PD
• 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 25th meeting
• Start getting assessments recorded.
The End