posts on bradford vts
Post on 17-Jan-2016
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You will gain useful clinical knowledge But how else can you make your
experience useful for your future in GP? What could you reflect on and put in
your e portfolio?
Medical teamwork Safe prescribing Multidisciplinary teamwork Communication skills How families behave Significant event analysis Ethical issues The hospital-GP interface
Support for colleagues Allocation of work Effective handover of important
information – essential in hospital shift system, especially useful in GP if you work LTFT
Hospital ‘zero tolerance’ policy for prescribing in allergic patients
Easier in GP when prescribing on computer
Understanding the roles of team members
Especially other health professionals Respect for their skills and contribution
to patient care Effective communication with other
team members
With patients With relatives With colleagues With other team members
Many family interactions in A/E, Paeds and Medicine for the Elderly
In GP they’re in the background but in hospital they’re often there for you to observe
Looking at what’s happened when something went wrong or nearly did so
Looking at the feelings of everyone involved
Reviewing the organisational systems involved
Working out how to prevent a recurrence
Capacity to consent Informed consent Confidentiality End of life issues Reproductive health issues (in O&G)
Understanding what secondary care has to offer
Communication between GPs and hospital doctors
Understanding referral pathways, and what you’ll be referring patients for, when you’re a GP
Rotations all have 18m of GP GP posts are 12m in ST3; remaining 6m
may be in ST1 or 2, usually in a different practice
Practice is a business contracted to provide primary medical care for the NHS - you are a practice employee
Your trainer› More personal relationship than with consultants› Many roles – teacher, employer, mentor,
assessor, possibly friend Practice staff – be relaxed but respectful Practice manager – a key person to get to know Give-and-take - practices may be more flexible
employers than hospital, if you are seen as helpful and conscientious and flexible
You won’t be thrown in at the deep end – will have an induction period
Appt interval long at start, aim to reduce to 10 mins Timetable - 7 surgeries/wk, educational time with trainer,
HDR, study ½-day Friendly environment but actual work may feel quite
isolated Good personal organisation needed – follow through, not
handover Long days, possibly 8.30 – 6.30 ish Visits by agreement, not to scary places Out of hours – see next slide
You are required (ideally) to do 6 hours per month in GP posts
Rota organised by our administrator Most sessions with Local Care Direct (LCD) seeing
patients at OOH centre or visiting them, with a trainer or other experienced GP supervising you
Also triage session with NHS Direct who handle the phone calls. Induction session with them first
Other kinds of OOH experience may count Record on form from Y&H website, upload to EP
Support during surgeries and OOH sessions, and debriefing afterwards
Teaching with trainer according to your educational needs
Assessments by trainer Possibly teaching and/or assessments by
other practice members Wednesday group tutorials at Ashcroft
Surgery, 1 – 2.30 pm
Transport to get yourself to visits and educational sessions
Reliable attendance at OOH sessions No ‘moonlighting’ without discussion
with your trainer (preferably none at all)
Geographical position Inner
city/urban/semirural Size Demography of
patients Building Number of sites
Doctors’ interests – clinical, medicopolitical, other teaching, non-NHS work
Demography of team Systems, IT Management style Ethos/values/
prioritiesLater today you’ll be asked to give your preferences for GP posts in relation to these variables
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