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  • Near-peer GP Taster Programme · In 2015 & 2016 53 FY1 doctors undertook the taster opportunity for between two and three days. Variability in duraon depended on Foundaon and GP mentor
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Near-peer GP Taster Programme for final year GP trainees and Founda3on Year One (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 Bryony Sales [1] Mike Masding [2] Samantha Scallan [3] Context General Prac/ce (GP) is currently viewed nega/vely as a career choice compared to other special/es leading to GP training programmes struggling to fill posts. 1 Opportuni/es to change this mind-set in the early years of training are limited. Trainees may find themselves applying for entry into GP specialty training just three to four months aFer comple/ng their Founda/on Year 1 (FY1), yet there are few GP aJachments during FY1 that can provide experience of primary care and posi/vely inform career choice. To help ameliorate the current crisis in GP recruitment and reten/on ini/a/ves are required to provide relevant experience of GP early in medical careers so more doctors can make an informed decision to choose GP as a career. 2 GP Taster Scheme All FY1 doctors have been given the opportunity to shadow GPST3 trainees working in Wessex in clinical prac/ce for up to five days since 2015, following a successful small pilot study in 2014. 3 The voluntary scheme showcases life as a GP from a trainee perspec/ve in addi/on to gaining community clinical exposure. In 2015 & 2016 53 FY1 doctors undertook the taster opportunity for between two and three days. Variability in dura/on depended on Founda/on and GP mentor availability. For 2017 39 FY1 doctors have signed up to the scheme. References [1] Centre for Workforce Intelligence. (2014) In-depth review of the general prac33oner workforce. London: Centre for Workforce Intelligence. Available from: hJps://www.gov.uk/government/uploads/system/uploads/aJachment_data/file/507493/CfWI_GP_in-depth_review.pdf (accessed 6th September 2017). [2] Wass V, Gregory S and PeJy-Saphon, K. (2016) By choice — not by chance: suppor3ng medical students towards future careers in general prac3ce. London: Medical Schools Council and Health Educa/on England. [3] Zolle O and Odbert R (2009) The founda/on programme in general prac/ce: the value added of the aJachment: a Wessex experience. Educa3on for Primary Care. 20: 455-61 Contact: [email protected] Evalua;on and findings AFer the taster all par/cipants completed an electronic feedback survey, which explored their learning, feedback on the scheme and any change in career choice. The scheme has been posi/vely received by both FY1s and GPST3 mentors. FY1s reported it had posi/vely changed their view of primary care, that it had changed their clinical prac/ce, and that they had developed in other ways. The majority of FY1 doctors said that they would recommend the taster scheme, and reported that they were considering GP as a career, with 8 sta/ng their career inten/ons had been changed by the taster experience. FY1s found it helpful to have a trainee’s perspec/ve, gain an overview of what to expect, including wider opportuni/es available to them. The GPST3s were enthusias/c about GP, which appeared to ‘rub off’ on FY1s. The majority of GPST3 respondents felt the taster helped them to develop their educa/onal skills and would recommend being a near-peer mentor. The majority also expressed an interest in developing an educa/onal role in GP in the future. FY1 par/cipants from 2015 were re-contacted in 2016 to establish any las/ng impact. Five respondents (33%) gave addi/onal thoughts, which presented the taster experience as useful and valuable in reaffirming a career choice of GP. Conclusions Using GPST3 trainees as near-peer mentors for FY1 doctors is educa/onal for both groups and can have a posi/ve impact on GP recruitment. The taster demonstrated how varied GP is, and challenged some nega/ve percep/ons of primary care. GPST3s gained confidence in their knowledge about GP and greater insight into educa/onal roles. AJachments at different stages of training appear to provide contras/ng learning and exposure to the nuances of GP. We will con/nue to support the GP taster scheme in future years to improve GP recruitment through giving FY1s experience of primary care. “… having had my GP Taster days I will now be applying for GP training and very much looking forward to star/ng my career in GP.” [FY1 P10, 2016] “I already thought I would apply for GP but it help consolidate that confidence and gave me an opportunity to experience it as a FY1 doctor rather than previously as I had as a medical student….I really enjoyed the enthusiasm of the GPs who were all keen and willing to teach and discuss with me openly the disadvantages as well as advantages” [FY1 P8 in 2015, re-surveyed in 2016] “An opportunity to show young doctors the poten/al for GP as a career - it's not all doom and gloom.” [GPST3 P3, 2016] “It made me consider ways in which to involve a trainee whilst s/ll gesng on with service provision.” [GPST3 P7, 2016] “I got to see a variety of different presenta/ons and [this] reminded me [of] management. It also gave me the viewpoint from GPs with hospital liaising, and so I feel more eager to contact GPs.” [FY1 P8, 2015] “This was a really good reminder for me about why I chose GP. Good teaching experience and really nice to have a fresh face in the prac/ce for a week.” [GPST3 P16, 2015] “I may s/ll do CMT prior to GP but I am now more certain that this is where my career will head ul/mately. GP taster prompted this and gave me /me to think.” [FY1 P9, 2016] Illustrative quotes from FY1 trainees and GPST3 near-peer mentors about the taster scheme (P = participant number)

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Page 1: Near-peer GP Taster Programme · In 2015 & 2016 53 FY1 doctors undertook the taster opportunity for between two and three days. Variability in duraon depended on Foundaon and GP mentor

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:[email protected]

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)

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