GP Training in Swindon and Bath

high quality innovative effective

A team approach

Promoting GP as a career Jane Savage, CO

The VTS Jon Elliman, PO

The DRC Steve Pigott, CO

Other issues Martyn Hewett, CO

Resources Michael Harris, PO & CO

Promoting General Practice as a career Jane Savage

Promotion by…

Our website PRHO talks Career advice Pre-interview open morning

Our website - good response

http://www.mharris.eurobell.co.uk/index.htm

from GCSE students…

http://www.mharris.eurobell.co.uk/gptrain/welcome.htm

… to SpRs

http://www.mharris.eurobell.co.uk/vts/index.htm

PRHO talks

Six-monthly talks to PRHOs General Practice as a career

Career advice

2 or 3 enquiries a week face-to-face phone e-mail

Open morning for VTS & GPR applicants

http://www.mharris.eurobell.co.uk/gptrain/openday.htm

Swindon & Bath - innovative Vocational Training Schemes Jon Elliman

Swindon & Bath - innovative Vocational Training Schemes

Structure Teaching Trainer Involvement Pastoral Care

Quality Assurance Integration With The Day Release Course Some Challenges

Structure

8 three-year rotations starting every 6 months

Swindon 2 have a middle year as a TAGPR and 2 have 6 months as a TAGPR

Structure

TAGPRs (Trust attached GP Registrar) 3 days in hospital speciality 2 days attached to their training practice

Bath 2 successful TAGPR schemes cancelled because of lack of GPR funding

Trust Attached PostGP Registrar Post

Other Colours Standard SHO Posts

Structure of the Swindon VTS

Rotation 1 PaedsRotation 2 CoERotation 3 PaedsRotation 4 Psych

A&EA&E

O&G Ophth Pall Care

Psychiatry O&G

Derm/GUMedO&G

GPR YEAR

ENTA&EPaedsPsychCoE

Teaching/Integration

Traditionally half day per month for VTS SHOs/TAGs over their 2 hospital years

Teaching/Integration Now:

2 inductions/year for new VTS SHOs

2 days/year SHOs/TAGs jointly with DRC 2 days per year Swindon/Bath SHOs/TAGs

2 trainers days/year (GPRs/SHOs/TAGs) 2 joint communication days/year TAGs/GPRs

1 or 2 Swindon/Bath TAG days/year 2 half or whole days for Swindon TAGs/SHOs

http://www.mharris.eurobell.co.uk/newgpr/spring05/timetabl.htm

Trainer Involvement Enthusiastic Trainers’ Groups TAGPRs Contact During SHO year Trainers’ Days in Bath and Swindon Use Of GPs/GP Trainers in teaching

MRCGP exam Ophthalmology Dermatology Headache Risk Management etc

Pastoral Care

Hospital Consultants Trainers Programme Organisers AD Mentor

Quality Assurance

Structured Exit Interviews SEAP (SHO Educational Audit Project) Annual SWACPO Report HRC/Deanery Visiting Structure

Challenges/The Future Increase the number of training practices

in Swindon Maintain Trainer Morale TAGPRs

New scheme, consultants/trainers often unsure of their role

Ability to integrate when only part time in dept. Isolation from GPRs/SHOs

Challenges/The Future TAGPR rotations cancelled in Bath Demographic changes (part time working,

career breaks often taken during VTS) Modernising Medical Careers

Increased pressure on training practices Increased pressure on consultants

Challenges/The Future Academy status

Increased pressure on practices Increased pressure on consultants

Time pressure on Programme Organisers expectation to be involved in F2 scheme (no time allowed

for this) Department Of General Practice In Swindon

The Bath and Swindon Day Release Course Steve Pigott

The Bath and Swindon Day Release Course

A typical day Planning the course On-line support Quality Assurance.

A Typical Day

Hot topics Critical appraisal Politics

Soapbox Workshops Group work

Special Days

Residential modules Away days Trainers’ days Patch days

Curriculum Planning

Outcome-based educational framework Swindon and Bath Trainers Groups. Sept 2002 MRCGP Exam blueprint

The planning process

http://www.mharris.eurobell.co.uk/resource/aims/intro.htm http://www.mharris.eurobell.co.uk/resource/aims/praccont.htm

Web-based support

http://www.mharris.eurobell.co.uk/index.htm

Timetable and plan for the term Hot topics: critical appraisal Preparation guides for group work topic 40+ on-line study guides http://www.mharris.eurobell.co.uk/resource/resource.htm

Quality Assurance

Weekly feedback GPR representatives Appraisals DREEMS http://www.mharris.eurobell.co.uk/newgpr/dreem.htm

Other issues Martyn Hewett

Features of the team Falling numbers of GPRs attending DRC Supplementing Deanery funding with

contributions from pharmaceutical companies

Features of the team

Postgraduate teaching qualifications Michael Harris – MMEd Jon Elliman - ) both completing Martyn Hewett - ) TLHP Cert Med Ed

Publications

Numerous papers published in green journal

Books

Ongoing educational research programme

Currently palliative care evaluation of course in terms of outcomes

(progress of GPRs through MRCGP and Summative Assessment modules, career choices)

Teambuilding day

November 2004

Falling numbers of GPRs attending DRC

0

5

10

15

20

25

30

35

40

Sep-01 Sep-02 Sep-03 Sep-04 Sep-05

Swindon

Bath

Reasons for falling numbers

TAGPR posts do not routinely attend DRC during TAGPR

attachment Budget for GPRs in Bath/Swindon not

increased when Bath TAGPR posts were created, and Swindon TAGPR posts were included in 3 year

rotations No funding for standalone GPR posts

Supplementing Deanery Funding with contributions from pharma

Core costs of running DRC (speakers fees only):£12,605

Amount received from Deanery: £6,000 this has not changed for over 10 years amounts to £8 per GPR per day

Remainder from pharmaceutical sponsorship This requires 3 representatives each DRC

day

Disadvantages of encouraging exposure of GPRs to pharma reps

Unpopular with GPRs Adversely affects peer support Affects the prescribing habits of GPRs (and

therefore new GPs) thereby increasing prescribing costs

Disadvantages of encouraging exposure of GPRs to pharma reps

Sabotages attempts of Course Organisers and Trainers to encourage critical appraisal and ethical approach to professionalism

Produces a whole generation of GPs who believe that they are dependent upon the pharmaceutical industry for their education information about new developments

And finally …

Presentation available at www.mharris.eurobell.co.uk/resource/gpec/gpecpres.htm

Any questions?