York GPVTS

The future?

Aims

To improve the VTS HDR by making it more:• Specific to individual year groups• Learner centred• Curriculum linked• PBL orientated• Easy to run with multiple facilitators

Rotations - constraints

2 Cohorts of trainees, 60 in total.• Primary Care– GP (FT) and GP Innovative posts (PT) – 18 months

• Secondary care – 2 “Front” rank posts - Med/Eld Med, A/E, Paeds,

Psych or O+G. – 12 months • (minimum can do 3 such posts)

– 1 “Second” rank post – Pall Care, Orthogeriatrics, Ophth + ENT – 6 months

HDR - Current• HDR runs on Wednesdays either for whole day or half

day• Normally run 2 half days and 1 whole day per month

and on the 4th week the Trainee might do a surgery or SDL

• Trainees in Hospital posts attend monthly whole day release.

• Trainees in GP and GP Innovative posts attend half day release x2/month and whole day x1/month

• Some overlap in content of whole days when the 2 cohorts might come together

Proposal

Split the trainees into 3 groups based on their post and the stage of their rotation:

A Hospital post in yr 1 or 2 of rotation

B GP or GP-Innovative post in yr 1 or 2

C GP or GP-Innovative post in yr 3

New HDR Structure

A Monthly day, 10-12 per year, topic based,curriculum driven. Trainer supported / led.2 year rolling programme.

B Attend monthly day as above, 2 half days per month both of which to be trainee led but trainer facilitated. Some could be PBL.

C PBL, Balint, assessment orientated ( CSA +WPBA)

New HDR Structure 2

Group C - year 3 of rotation, all in GP or GP Innovative posts, 15 – 25 in total?

2 – 3 small groups so 2 - 3 facilitators weeklyPBL cases Balint groupsFocus / Topics trainee determined

New HDR Structure 3

Group C - PBL • Cases needed for groups B and C will have to

consider resources e.g. HYMS, other VTS websites, writing new cases etc.

• Role for TWS? • Need to avoid repetition.• Aim to create cases that cover otherwise

difficult areas of the curriculum.

Issues• Accommodation

PGMC, LaRC, Practices. York Medical Society – could consider basing Group C entirely at YMS.

• LTFTT in Group C for 2 years attend half the number of sessions, they would choose.

• Residential Seminar for the trainees possibly in Sept / Oct to maximise subsequent teamworking?

• Extra PD session to be filled by a weekly tutor?