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Training Update | Registrar Issue 6 | August 2016 | 1
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Registrar Issue 6 | August 2016
Training UpdateNorth Coast support and medical education teamsThe start of new term is a great time to re-familiarise yourself with key support and medical education staff in your subregion, and introduce new team members who have recently joined the GP Synergy team. There are many other staff that support your subregion. To find out more head to: http://gpsynergy.com.au/about-us/our-staff/
Registrar Liaison Officer (RLO)We are currently recruiting to this role. If you require RLO advocacy or support, please contact an RLO in another subregion:
Dr Sara Chohan [email protected] Hugh Le Lievre [email protected] Sama Balasubramanian [email protected] Bob Vickers [email protected]
Medical education team
Dr Rashmi Sharma | Regional Head of Education - North CoastIn her role as Regional Head of Education, Rashmi leads the North Coast medical education team, and is responsible for overseeing the development of regional education projects and programs.
[email protected] | 1300 477 963
Dr Rob TriggerSenior Medical [email protected]
Dr Linda Burnett Medical [email protected]
Dr Luke HoganMedical [email protected]
Dr Kayte EvansSenior Medical [email protected]
Dr Senthil KrishnamoorthySenior Medical [email protected]
Dr Susan Tyler-FreerRegistrar Medical [email protected]
Dr Kate HawkinsMedical [email protected]
Dr Uma SelvanathanRegistrar Medical [email protected]
Dr Nicola FosterSenior Medical [email protected]
Dr Nispa KrongkaewMedical [email protected]
Dr Robert WalshMedical [email protected]
Key registrar support staff
Jo Sayer | Education CoordinatorJo is the first port of call for any registrar in the North Coast NSW subregion who needs assistance. Jo can help with any query, and follow it through end to [email protected] | 1300 477 963
Kerry RobinsRural Support [email protected]
Gwyn PhilipProgram Support & Events [email protected]
Grahame SkinnerCultural [email protected]
Training Update | Registrar Issue 6 | August 2016 | 2
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Getting started in your new termIf you are entering a GP term in 2016.2, don’t forget there are a number of important activities that need to take place in the first few weeks of the term starting:
Practice orientation
When you start in new practice, it is important you are properly orientated. To help practices orientate registrars to a practice, we have developed some orientation resources which registrars can also access. Head to GPRime and look under ‘Forms, Documents and Links’ – just search ‘orientation’.
Direct observation
To help supervisors assess your competence and level of support required, we strongly recommend supervisors spend some time observing your consultations in the first few weeks of term.
Discuss your learning plan needs and the supervision plan with your supervisor
Within the first three weeks of term your supervisor will spend time reviewing your learning needs to help you build your learning plan.
Supervision plan
As part of this process, your supervisor will complete a supervision plan and consider how to assess your current level of competence, especially with regard to high risk or red flag areas. The aim of the plan is to identify areas requiring closer supervision to optimise training and minimise the risk of adverse outcomes for patients and registrars.
The supervision plan covers a comprehensive range of presentations and procedures that are common to general practice. There are two distinct sections:
1. A section which lists potentially high risk presentations. These require review by a supervisor, initially before the patient leaves the room, and then at the end of the day as the registrars competence and confidence in managing these important presentations increases.
2. A list of presentations and procedures which may be signed off without first being observed, depending on the level of previous experience and confidence of the registrar in dealing with these issues.
Pre-Term Assessment Report (PTAR)
If you have already commenced in a GP term, your supervisor will have reviewed your Pre-Term Assessment Report (PTAR) prior to you starting. The PTAR is a summary of your training. It includes your contact details, a history of your placements, and all the competency assessments completed on you during GP community based terms, such Clinical Teaching Visits (CTVs) and competency assessments completed by your other supervisors. Please note: If you joined GP Synergy from another RTP, information will only appear from 1 January 2016 onwards.
You can access your PTAR at any time in GPRime – go to your ‘Trainee Portfolio’ and click on the ‘Summary tab’.
Ongoing in-practice requirements – at a glanceA summary of all the in-practice training requirements can be found in the ‘In-practice training requirements at a glance’ document available in GPRime (and also attached to the rear of this document). Remember – to access the resource links you will need to be logged into GPRime.
To access:
1. Login to GPRime2
2. Go to ‘Forms, Documents and Links’ in the top toolbar
3. Search ‘requirements’
*Competency assessments for part-time registrars should be staggered across a 12 month period i.e. GPT1/PRRT1 & GPT2/PRRT2 - competency assessments to take place at 4mths, 8mths and 12mths.**Optional activities may be available in other terms***This requirement may be met in either GPT1/PRRT1 or GPT2/PRRT2
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Timelineper 26 wk term
Requirement Hospital*/ ES-Hospital
GPT1/PRRT1 first GP term
GPT2/PRRT2 second GP term
GPT3/PRRT3 third GP term
ES-GP/PRRT4 fourth GP term
Before term startsBecome a member of your fellowship college by the start of training (or your training time will not count).
RACGP: Complete CPR course within 12 mths of GP term starting (or training time will not count)
Re-enrol Participate in term placement if entering your first GP term Supervisor reviews your Pre-Term Assessment Report (PTAR) Pre-GP Term Assessment (prior to entering your first GP term)
First day in practiceOrientation to practice
Week 1-3Discuss your learning needs and learning plan with your supervisor. Your supervisor will also complete a supervision plan for you for the term.
Your supervisor should directly observe you seeing patients.
During the termReceive on-site supervision 80% onsite
20% phone50% onsite50% phone
25% onsite75% phone
25% onsite75% phone
Receive weekly in-practice teaching 1hr formal2hr informal
1hr formal0.5hr informal
No formalrequirement
No formalrequirement
Complete weekly practice logs Participate in Training Advisory (TA) contact with GP Synergy ME 1 per term 1 per term 1 per term 1 per term 1 per termParticipate in Clinical Teaching Visits (CTVs) 2 per term 2 per term 1 per term Supervisor formative assessment of your consultation skills using the Competency Assessment.*
3 per term: Wk 8, 16, 24 3 per term: Wk 8, 16, 24 2 per term: Wk 8, 24 2 per term: Wk 8, 24
Complete a formative assessment of your supervisor Term Assessment 2 per term: Week 16, 26 2 per term: Week 16, 26 1 per term 1 per termParticipate in mandatory GP Synergy workshops** Complete online research module (available in late 2016.1) Complete Aboriginal health requirements*** Satisfactory completion of Extended Skills (ES) learning plan criteria if ES hospital RACGP: Complete ALS within four years of applying for fellowship ACRRM: Complete Rural Emergency Skills Training (REST) by the end of first PRRT year
ACRRM: Complete one further ACRRM accredited Tier 1 course or two accredited Tier 2 courses.
In-practice training requirements at a glance
Training Update | Registrar Issue 6 | August 2016 | 3
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Don’t forgetGP Synergy provides up to $2,500 for rural registrars to complete ALS/EMST courses. See the Registrar Support Guidelines for more information and eligibility criteria.
REMINDER: Mandatory ALS / CPR / Emergency skills course requirements
RACGP
CPR
• It is mandatory that registrars complete a CPR course within 12 months of the start of their first GP term.
ALS
• The RACGP requires registrars complete an approved ALS course within 4 years of applying for fellowship.
For further information see:
• RACGP Vocational Training Pathway – Requirements for Fellowship Policy
• GP Synergy Advanced Life Support (ALS) requirements for GP registrars
ACRRM
Registrars enrolling in ACRRM vocational training from 2016 onwards must successfully complete:
• Rural Emergency Skills Training (REST) by the end of first year Primary Rural and Remote Training and
• One further ACRRM accredited Tier 1 course or two accredited Tier 2 courses.
Those with limited or no intrapartum care experience must successfully complete a REOT, ALSO or CRANA course. REOT, ALSO courses would count towards EM course requirements described in 3.4. Fellowship Handbook.
Registrars enrolling in ACRRM vocational training prior to 2016 must successfully complete either:
• Two ACRRM accredited Tier 1 courses; or
• One ACRRM accredited Tier 1 course and two accredited Tier 2 courses.
The emergency medicine courses referred above must have been undertaken within 10 years of Fellowship (maximum training time allowed as defined in Training Time Policy). These courses must be accredited by ACRRM for vocational training.
The registrar is required to ensure that at least one course covering the Advanced Life Support (ALS) skills and knowledge has been completed within three years of Fellowship.
For further information see:
• ACRRM Fellowship Training Handbook
• GP Synergy Advanced Life Support (ALS) requirements for GP registrars
ALS/Emergency skills courses
STEMI ACLS Course
One day ACLS program - accredited by three colleges (ACEM, ACRRM, and RACGP) and specifically designed for medical professionals:
• 13 August, Sydney
• 14 August, Sydney
Details: Information flyer | Registration form
ACRRM REST Courses
Two-day Rural Emergency Skills Training (REST) course:
• 13-14 August, Crown Plaza, Newcastle
• 3-4 September, Sydney
• 17-18 October, Novotel Canberra, Canberra
• 5-6 November, University of Sydney, Rural Clinical School, Dubbo
• 19-20 November, Venue to be advised, Sydney
Details: http://www.acrrm.org.au/continuing-development/face-to-face-learning/courses/rural-emergency-skills-training-rest
Training Update | Registrar Issue 6 | August 2016 | 4
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ReCEnT is an educational and research program in GP vocational training, centered on an ongoing cohort project of registrars’ in-practice clinical and educational experience. Registrars complete encounter forms, recording details of 60 consultations, in each of their GP training terms. These take around 1-2 minutes to complete per form (i.e. up to 2 hours in total each term).
What happens to the data collected?
After completion of the forms, the data is collated and registrars receive a feedback report that should be used as a tool to aid reflection on practice. Reflection can be facilitated by comparing the registrars’ data with other registrars, with established GPs, as well as with the registrar’s results in previous terms. Critical evaluation is encouraged when reading through the report – was this a typical week? Are the results unexpected? Am I different from other registrars? If so, why might that be? Am I getting an adequate range of clinical presentations for optimal learning (and exam preparation)?
Additional Uses of the ReCEnT data
ReCEnT data is also used to provide Regional Training Organisations (RTOs) and medical educators with information on registrars’ learning needs, to evaluate the effectiveness of teaching/education sessions, to provide ‘contextual’ data to illustrate individual teaching sessions (e.g. in a session on acne, how often will you see acne as a registrar?), and as a basis for registrar and supervisor research projects.
It is also being used to ‘map’ the content of GP registrars’ in-practice clinical and educational experiences in much the same way as BEACH mapped the content of Australian general practice in the past decade and a half. This provides rich information on which to base education and training approaches.
Key dates for distribution and collection of 2016.2 ReCEnT packs
Note: At present, two GP Synergy training regions are taking part in ReCEnT: Hunter, Manning and Central Coast & New England (along with General Practice Training Tasmania and Eastern Victoria General Practice Training). However leading into 2017 we will be including other regions within GP Synergy in the project.
Hunter, Manning and Central Coast
Term 1 ReCEnT Orientation – 26 Aug (workshop)Term 1 & 2 Distribution – 14 Oct (workshop)Term 1 & 2 Due Date/Collection – 10-11 Nov (workshop)
Term 3 Distribution – 29 Aug (post)Term 3 Due Date/Collection – 28 Sep (post)
New England
Term 1 ReCEnT Orientation – 2 Aug (workshop)Term 1 Distribution – 29 Aug (post)Term 1 Due Date/Collection – 28 Sep (post)
Key dates1-5 August: Orientate new registrars into practice
1-19 August:Supervisors with new registrars to:
• Review registrar’s learning needs
• Complete supervision plan
• Undertake direct observation
1August
Reminder: Fellowship assessment enrolmentACRRM fellowship assessments:
• 2016.2 assessment enrolments are now closed.
• For more information visit the ACRRM website.
RACGP fellowship assessments:
• 2016.2 OSCE enrolment: Now open and close 9 September 2016
• 2017 assessment and enrolment dates are now available.
• For further information visit the RACGP website.
Research: Request for your participationTopic:
This research aims to examine the experiences of GP registrars in palliative care training. It also asks GP registrars whether they are interested in providing palliative care as part of their GP work in future.
Further information:
• Participant Information Sheet
Methodology:
• Survey https://www.surveymonkey.com/r/3MTYXB6
Who is undertaking this study?
This project is being conducted by Candice Day, MBBS Candidate, at the School of Medicine, The University of Notre Dame Australia as part of a medical student scholarship provided by GP Synergy.
The project will be supervised by Dr Maria Quartararo, Senior Lecturer, and Dr Charlotte Hespe, Senior Lecturer, Discipline Leader GP, Head of GP, School of Medicine, University of Notre Dame, Sydney.
Training Update | Registrar Issue 6 | August 2016 | 5
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Activities of interest
CareTrackKids
CareTrackKids is an NHMRC Partnership project run by Jeffrey Braithwaite’s’ AIHI group looking at the appropriateness of care delivered to children with 16 common conditions https://www.caretrackaustralia.org.au/.
The project is being done in NSW, SA and QLD and is looking to engage more GPs in NSW. It has been approved by the RACGP for 40 category one CPD points.
ANU - How and Why Seminar
After the very successful event last year, the ANU medical school and ACT Health are co-hosting another seminar on “The How and Why of Clinical Research”. If you’re a clinician interested in research but not sure how you can make it work, come along to hear how senior clinicians have developed their research career.
Date: 25 August
Time: 5.30pm canapes for 6.00pm-7.15pm
Venue: ANU Medical School Auditorium
Further information: ANU Seminar Flyer or contact [email protected]
Shoalhaven Medical Association – October conference & family BBQ
Date: Sat 15 Oct
Time: 9.30am – 5.30pm followed by a Family Barbecue and “Welcome to New Doctors” social event
Venue: Shoalhaven Entertainment Centre
Further information: Shoalhaven Medical Association Flyer or contact [email protected]
Upcoming GP Synergy Workshops
GPT1/PRRT1 and GPT2/ PRRT2 registrar workshops
Regional workshops:
• Western NSW Node 1: 14-16 Sept, Dubbo
• Western NSW Node 2: 19 Aug, Wagga Wagga
• Western NSW Node 3: 8-9 Sept, Canberra
• Lower Eastern NSW Node 1 & 2: Black Dog – one of various dates: 15, 16, 22, 23, 24, 26 August
• Lower Eastern NSW Node 3: 8-9 Sept, Canberra
• Lower Eastern NSW Node 4: 14-16 Sept, Wollongong
• North Eastern NSW Node 1: 10-12 Oct, Coffs Harbour
• North Eastern NSW Node 2: 10-12 Oct, Armidale
• North Eastern NSW Node 3: 26 Aug, Newcastle
• North Eastern NSW Node 4 & 5: Black Dog – one of various dates: 15, 16, 22, 23, 24, 26 August
Exam preparation activities
• GP Synergy preparation for RACGP exam workshops has now commenced for registrars sitting the exam in 2016.2 only. Please email Shirleen Chand for further information: [email protected]
• GP Synergy provides financial assistance for ACRRM registrars to participate in ACRRM fellowship assessment preparation. Please contact your medical educator for further information.
Are you an ADF registrar?GP Synergy provides individualised support for ADF registrars. If you are an ADF registrar, please contact one of the following staff member with any training related queries:
• Felicity Gemmell-Smith | Special Education Programs Manager [email protected]
• Dr Anne Eastwood | Deputy Director Education and Training | [email protected]
• Dr Nicole Leotta | Senior Medical Educator [email protected]
*Competency assessments for part-time registrars should be staggered across a 12 month period i.e. GPT1/PRRT1 & GPT2/PRRT2 - competency assessments to take place at 4mths, 8mths and 12mths.**Optional activities may be available in other terms***This requirement may be met in either GPT1/PRRT1 or GPT2/PRRT2
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0International License.
Timelineper 26 wk term
Requirement Hospital*/ ES-Hospital
GPT1/PRRT1 first GP term
GPT2/PRRT2 second GP term
GPT3/PRRT3 third GP term
ES-GP/PRRT4 fourth GP term
Before term startsBecome a member of your fellowship college by the start of training (or your training time will not count).
RACGP: Complete CPR course within 12 mths of GP term starting (or training time will not count)
Re-enrol Participate in term placement if entering your first GP term Supervisor reviews your Pre-Term Assessment Report (PTAR) Pre-GP Term Assessment (prior to entering your first GP term)
First day in practiceOrientation to practice
Week 1-3Discuss your learning needs and learning plan with your supervisor. Your supervisor will also complete a supervision plan for you for the term.
Your supervisor should directly observe you seeing patients.
During the termReceive on-site supervision 80% onsite
20% phone50% onsite50% phone
25% onsite75% phone
25% onsite75% phone
Receive weekly in-practice teaching 1hr formal2hr informal
1hr formal0.5hr informal
No formalrequirement
No formalrequirement
Complete weekly practice logs Participate in Training Advisory (TA) contact with GP Synergy ME 1 per term 1 per term 1 per term 1 per term 1 per termParticipate in Clinical Teaching Visits (CTVs) 2 per term 2 per term 1 per term Supervisor formative assessment of your consultation skills using the Competency Assessment.*
3 per term: Wk 8, 16, 24 3 per term: Wk 8, 16, 24 2 per term: Wk 8, 24 2 per term: Wk 8, 24
Complete a formative assessment of your supervisor Term Assessment 2 per term: Week 16, 26 2 per term: Week 16, 26 1 per term 1 per termParticipate in mandatory GP Synergy workshops** Complete online research module (available in late 2016.2) Complete Aboriginal health requirements*** Satisfactory completion of Extended Skills (ES) learning plan criteria if ES hospital RACGP: Complete ALS within four years of applying for fellowship ACRRM: Complete Rural Emergency Skills Training (REST) by the end of first PRRT year
ACRRM: Complete one further ACRRM accredited Tier 1 course or two accredited Tier 2 courses.
In-practice training requirements at a glance
Common training activity terminologyTerm used Name of activity Definition Other terms this activity may be known as:
CTV Clinical Teaching Visit A scheduled visit by an experienced general practitioner arranged by GP Synergy, who sits in with a registrar for a session (approximately 3 hours), observing the registrar’s consultations, and providing feedback.
In-practice teaching visit
ECTV - External Clinical Teaching Visit
MEV - Medical education visit
FACT - Formative Assessment and Clinical Teaching Visit
CA Competency Assessment A competency assessment is an assessment of specific competencies that a registrar gains relevant to their stage of general practice training. GP Synergy uses a competency grid to provide a framework for giving feedback to registrars about their progress in training. Competency assessments are used by the supervisor and clinical teaching visitor as part of their formative assessment process and requires direct observation of registrar consultations.
Direct Observation of the Registrar
FARS Formative Assessment – of a Registrar by a Supervisor
A GP Synergy online feedback mechanism in GPRime2 where GP supervisors provide feedback about their GP registrar which is linked to the Competency Assessment Grid.
Supervisor formative assessment
PGA Pre-GP Term Assessment A GP Synergy assessment conducted by registrars prior to entering their first GP term. Learning needs analysis
PL Practice logs A weekly requirement in which GP registrars in community based terms complete an online log detailing the number of patients seen, patient contact time, teaching time and participation in GP Synergy educational activities,
PTAR Pre-Term Assessment Report A report provided to GP supervisors prior to each term commencement summarising the registrar’s competency assessments to date.
TA Training/Teaching Advisory contact A formal contact between a registrar and GP Synergy medical educator which is recorded on GP Synergy’s online training management system, GPRime2.
Training Review Meeting
Re-enrolment All registrars must re-enrol prior to a new term commencing (this includes registrars going on leave, Extension Awaiting Fellowship, hospitals . Re-enrolment generally opens bi-annually in March and Aug/Sept.
Term placement All registrars seeking GP terms must participate in term placement which generally opens prior to a new term commencing in April / Oct. Only enrolled registrars can participate. For more information please see Term Placement Information for Registrars on GPRime2.
GPRime2 (GP Registrar Information Management System 2) - GP Synergy’s online training management system.ME - Medical Educator
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