near-peer gp taster programme · in 2015 & 2016 53 fy1 doctors undertook the taster opportunity...

Near-peerGPTasterProgrammeforfinalyearGPtraineesandFounda3onYearOne(FY1)doctors

[1] GP Programme Director, Wessex School of General Practice; [2] Head of Foundation School, Health Education England (Wessex); [3] GP Education Research Lead, Wessex School of General Practice; Senior Lecturer, University of Winchester

@NHS_HealthEdEng@GP_educa;on#nothinggeneral#GP#TeamGP@RCGP

BryonySales[1]MikeMasding[2]SamanthaScallan[3]

ContextGeneralPrac/ce(GP)iscurrentlyviewednega/velyasacareerchoicecomparedtootherspecial/esleadingtoGPtrainingprogrammesstrugglingtofillposts.1

Opportuni/estochangethismind-setintheearlyyearsoftrainingarelimited.TraineesmayfindthemselvesapplyingforentryintoGPspecialtytrainingjustthreetofourmonthsaFercomple/ngtheirFounda/onYear1(FY1),yettherearefewGPaJachmentsduringFY1thatcanprovideexperienceofprimarycareandposi/velyinformcareerchoice.TohelpamelioratethecurrentcrisisinGPrecruitmentandreten/onini/a/vesarerequiredtoproviderelevantexperienceofGPearlyinmedicalcareerssomoredoctorscanmakeaninformeddecisiontochooseGPasacareer.2

GPTasterSchemeAllFY1doctorshavebeengiventheopportunitytoshadowGPST3traineesworkinginWessexinclinicalprac/ceforuptofivedayssince2015,followingasuccessfulsmallpilotstudyin2014.3ThevoluntaryschemeshowcaseslifeasaGPfromatraineeperspec/veinaddi/ontogainingcommunityclinicalexposure.

In2015&201653FY1doctorsundertookthetasteropportunityforbetweentwoandthreedays.Variabilityindura/ondependedonFounda/onandGPmentoravailability.For201739FY1doctorshavesigneduptothescheme.

References[1]CentreforWorkforceIntelligence.(2014)In-depthreviewofthegeneralprac33onerworkforce.London:CentreforWorkforceIntelligence.Availablefrom:hJps://www.gov.uk/government/uploads/system/uploads/aJachment_data/file/507493/CfWI_GP_in-depth_review.pdf(accessed6thSeptember2017).[2]WassV,GregorySandPeJy-Saphon,K.(2016)Bychoice—notbychance:suppor3ngmedicalstudentstowardsfuturecareersingeneralprac3ce.London:MedicalSchoolsCouncilandHealthEduca/onEngland.[3]ZolleOandOdbertR(2009)Thefounda/onprogrammeingeneralprac/ce:thevalueaddedoftheaJachment:aWessexexperience.Educa3onforPrimaryCare.20:455-61

Contact:Bryony.Sales@nhs.net

Evalua;onandfindingsAFerthetasterallpar/cipantscompletedanelectronicfeedbacksurvey,whichexploredtheirlearning,feedbackontheschemeandanychangeincareerchoice.

Theschemehasbeenposi/velyreceivedbybothFY1sandGPST3mentors.FY1sreportedithadposi/velychangedtheirviewofprimarycare,thatithadchangedtheirclinicalprac/ce,andthattheyhaddevelopedinotherways.ThemajorityofFY1doctorssaidthattheywouldrecommendthetasterscheme,andreportedthattheywereconsideringGPasacareer,with8sta/ngtheircareerinten/onshadbeenchangedbythetasterexperience.FY1sfoundithelpfultohaveatrainee’sperspec/ve,gainanoverviewofwhattoexpect,includingwideropportuni/esavailabletothem.

TheGPST3swereenthusias/caboutGP,whichappearedto‘ruboff’onFY1s.ThemajorityofGPST3respondentsfeltthetasterhelpedthemtodeveloptheireduca/onalskillsandwouldrecommendbeinganear-peermentor.Themajorityalsoexpressedaninterestindevelopinganeduca/onalroleinGPinthefuture.

FY1par/cipantsfrom2015werere-contactedin2016toestablishanylas/ngimpact.Fiverespondents(33%)gaveaddi/onalthoughts,whichpresentedthetasterexperienceasusefulandvaluableinreaffirmingacareerchoiceofGP.

ConclusionsUsingGPST3traineesasnear-peermentorsforFY1doctorsiseduca/onalforbothgroupsandcanhaveaposi/veimpactonGPrecruitment.

ThetasterdemonstratedhowvariedGPis,andchallengedsomenega/vepercep/onsofprimarycare.GPST3sgainedconfidenceintheirknowledgeaboutGPandgreaterinsightintoeduca/onalroles.

AJachmentsatdifferentstagesoftrainingappeartoprovidecontras/nglearningandexposuretothenuancesofGP.Wewillcon/nuetosupporttheGPtasterschemeinfutureyearstoimproveGPrecruitmentthroughgivingFY1sexperienceofprimarycare.

“…havinghadmyGPTasterdaysIwillnowbeapplyingforGPtrainingandverymuchlookingforwardtostar/ngmycareerinGP.”[FY1P10,2016]

“IalreadythoughtIwouldapplyforGPbutithelpconsolidatethatconfidenceandgavemeanopportunitytoexperienceitasaFY1doctorratherthan

previouslyasIhadasamedicalstudent….IreallyenjoyedtheenthusiasmoftheGPswhowereallkeenandwillingtoteachanddiscusswithmeopenlythedisadvantagesaswellasadvantages”[FY1P8in2015,re-surveyedin2016]

“Anopportunitytoshowyoungdoctorsthepoten/alforGPasacareer-it'snotalldoomandgloom.”[GPST3P3,2016]

“Itmademeconsiderwaysinwhichtoinvolveatraineewhilsts/llgesngonwith

serviceprovision.”[GPST3P7,2016]

“Igottoseeavarietyofdifferentpresenta/onsand[this]remindedme[of]

management.ItalsogavemetheviewpointfromGPswithhospitalliaising,

andsoIfeelmoreeagertocontactGPs.”[FY1P8,2015]

“ThiswasareallygoodreminderformeaboutwhyIchoseGP.Goodteachingexperienceandreallynicetohaveafreshfaceinthe

prac/ceforaweek.”[GPST3P16,2015]

“Imays/lldoCMTpriortoGPbutIamnowmorecertainthatthisiswheremycareerwillheadul/mately.GPtasterpromptedthisandgaveme/metothink.”[FY1P9,2016]

Illustrative quotes from FY1 trainees and GPST3 near-peer mentors about the taster scheme (P = participant number)