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ST1 Induction

ST1 Induction. Dr Richard de Ferrars Programme Director August 2013. ST1 Induction. General Information RCGP Examination - Exam overview - Assessments Education - Learning Objectives for posts - E-portfolio - Study Leave “To-do list”. Communication.

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ST1 Induction

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  1. ST1 Induction Dr Richard de Ferrars Programme Director August 2013

  2. ST1 Induction • General Information • RCGP Examination - Exam overview - Assessments • Education - Learning Objectives for posts - E-portfolio - Study Leave • “To-do list”.

  3. Communication Email is the principal means of communication VTS website: www.frimleyvts.org Capital Offences: Failing to check emails weekly / daily / hourly Failing to notify me/ Tracey/ KSS of a change in email address

  4. Communication Why is there always one? We always have at least one trainee who thinks this does not apply to them IT DOES!

  5. Contacting Us Allocated Programme Director: Richard de Ferrars Christine Marshall Andrew Cochrane Military - Various Email - anytime VTS Term - drop-in Thursday 12:45 – 13:30 discuss problems/ concerns

  6. Maternity Leave Should be nothing to do with me but…. ST1/2 - very complex ST3 - simple Return to a “re-built” rotation - depends on what posts unfilled - remember Aug/ Dec/ Apr start dates - cannot guarantee Frimley (usually do) - cannot hold places in practices (rarely do) LTFT Must now be post-share May mean waiting for a suitable sharer or moving hospital

  7. The GP Faculty

  8. The GP Faculty Committee that delivers GP Training here (for KSS) ST Representatives Military - TBC ST1 - Dr James Thambyrajah ST2 - Dr Bindu Babu ST3 - Dr Ellie Flatman - Dr John Smales KSS rep - Dr Flatman & Smales GP Faculty Group Programme Directors Couple of Trainers Dr Bob Ward (KSS) Lynn Moran DME (Ms Menon) Consultants

  9. The GP Faculty LFG meets Nov/ March/ June Part 1: Issues relating to training programme (rep feedback) Part 2: Closed - Discussion of each ST1, ST2, ST3 (no reps) Trainee in difficulty? Traffic light & meeting with PD Reports to….. FPH Local Academic Board meets 3x per year Reports to….. HEE KSS (KSS Deanery) Deanery Inspection (on behalf of GMC) every 2-3yrs - last one March 2013

  10. ST1 Induction • General Information • RCGP Examination - Exam overview - Assessments • Education - Learning Objectives for posts - E-portfolio - Study Leave • “To-do list”.

  11. MRCGP Overview You MUST register with RCGP to access the e-portfolio Delay registering = delay in using the e-portfolio = falling behind required pace = playing catch-up already Associate in Training Overall is ‘close to cost-neutral’ Can pay for exams in instalments (CSA is £1700) Tax advantages [if you do a tax return] Excellent journal (InnovAIT) plus online archive access Cost over 3 years is about £3,500 (Registration & Exams)

  12. MRCGP Overview • Applied Knowledge Test • 200 question MCQ, Pearson VUE centres • Often taken at the end of ST2, but limited to 4 attempts • Discuss again at the start of ST2 year • Clinical Skills Assessment • 13 station simulated surgery at RCGP exam centre • Always taken in ST3 (cost about £1700) • Workplace-Based Assessment • Continuous over the three years • Steps up several gears in ST3 • Recorded in your e-portfolio E-portfolio = WPBA.

  13. Assessments - Complicated Planning The tube map - looks complex at first glance but is very useful…..

  14. Assessments & Review Cycle Contact ES Contact ES Contact ES 1-2d Study Leave 1-2d Study Leave 1-2d Study Leave Month 6 ES Review Month 11 ES Review (ARCP report)

  15. Complicated Planning Clinical Supervisor Nominated Consultant for that 4 month post Meet start & end of post - PDP & Learning Opportunity Planning Responsibility for WPBA assessments (problems = ask them) CSR - must complete the end of placement report (CSR) Educational Supervisor GP Trainer/ Educator Continually monitors e-portfolio Completes ES review every 6 month (January & June) Submits recommendations to KSS (ARCP) Military KSS Several RAMC trainers Trainer usually from ST3 practice Will contact you directly 1-2 day attachment each 4m post

  16. Assessments & Review Cycle Similar to Foundation Assessments: • Case based Discussion (CbD) Two per 4-month post (three per 6-months) • Observed patient encounter (Mini-CEX) Two per 4-month post (three per 6-months) • Direct Observation Procedural Skills (DOPS) When appropriate – not very many • Multi-source feedback (MSF) Twice ST1, none ST2, twice ST3 • Patient satisfaction Questionnaire (PSQ) Only when in a GP post (including ITP).

  17. Contact ES Contact ES Contact ES Assessments & Review Cycle 1-2d Study Leave 1-2d Study Leave 1-2d Study Leave Month 6 ES Review Month 11 ES Review (ARCP report)

  18. Assessments & Review Cycle It’s simple - how can things possibly go wrong? The formal RCGP sign-off is done by your ES No contact with them, no GP study days? This just will not happen Missing assessments & log entries = No review Incomplete reviews at year-end = ARCP ARCP can: • Forgive • Make you repeat a training year • Remove you from the programme.

  19. ST1 Induction • General Information • RCGP Examination - Exam overview - Assessments • Education - Learning Objectives for posts - E-portfolio - Study Leave • “To-do list”.

  20. Knowing What to Know?

  21. Knowing What to Know? GP Curriculum • Available on RCGP website • 26 Chapters (21 Clinical) • Thousands of pages long • Written by committees (and it shows) What do you really need? Simple idea of what to aim to cover in each post Use this at “start of post” meetings with CS.

  22. The Condensed Curriculum Guide Useful Guide RCGP Website/ bookshop (£16 for AiTs) GP Curriculum Map (Handbook) Summary of each Curriculum chapter - where could it be covered? - mapped to InnovAIT [and e-modules] Knowing What to Know? The Curriculum in Hospital & General Practice (handbook) Simple suggestions of what to aim to cover in each hospital post GP Specialty TrainingHandbook for Hospital Specialties KSS GP website, trainee’s section Post-specific, more detailed

  23. Knowing What to Know? Simple steps for each new post: • Try and come up with 3-4-5 simple ideas - Look at the two guides in the handbook - Discuss with GP Trainer (ES) if appropriate • Bring these ideas to your planning meeting with your hospital consultant (CS) • Put these in your e-portfolio PDP. Ask your GP Trainer (ES) if they havea copy of the “Condensed CurriculumGuide” that you can have a look at

  24. E-Portfolio

  25. E-Portfolio E-Portfolio = Workplace-based assessment Record of required assessments • CbD, COT, DOPS, MSF, PSQ, CSR…. Record of your educational activities (learning log & PDP) Record of 6-monthly reviews by ES Ultimately used by Deanery to sign-off WPBA (Other uses – messaging, exam entry).

  26. E-portfolio – First Stages • Assessments • Once registered, access forms from log-in page • Personal Development Plan • 4-5 SIMPLE entries from meetings with ES & CS • Learning Log • ST Teaching Friday September 27th • Minimum requirement is 2 entries per week • Make a start with simple entries based on the curriculum map and hospital post guide “I saw a patient with...”

  27. Teaching Opportunities Informal Teaching – learn by seeing patients & discussing cases Formal Teaching Sessions Open door policy for ‘juniors’ teaching at Frimley Minimum requirement is 70% attendance Departmental Teaching 1-2 lunchtimes & formal sessions per week Audit half-days GP ST1/2 Post Wednesday 14:00 with GP Trainer (closed door) GPST1/2 Teaching (Hospital and GP) Last Friday of the month (12:45)

  28. Study Leave Six weeks notice & must complete the form Deaneries funded: • They are allowed to say how their money is spent • They are all facing massive budget cuts • Each has their own policies KSS Policy & Guidance : • Study leave is an allowance and not an entitlement • Full guidance on KSS website • Focus of must be to help you achieve your GP CCT Is what you are considering needed for GP CCT?

  29. KSS Study Leave GP Practice Placements Minimum of 1 day, preferably 2 days, per post Key role in achieving goals with ES Discretionary Training linked to a PDP No GP placements? Answer will be “NO” Must be for skills that are required for GP CCT Must be in PDP & agreed with ES & agreed by PD Collecting multiple diplomas is discouraged AKT – 3/ 4 /5 days

  30. ST1 Induction • General Information • RCGP Examination - Exam overview - Assessments • Education - Learning Objectives for posts - E-portfolio - Study Leave • “To-do list”.

  31. To-do List - August • Find the RCGP website, register, look at AIT option • Activate your e-portfolio • CS (each post) and ES (whole programme) – GOT IT? • Start of post 1 meeting with your CS • Learning objectives in your first post • Start of year meeting with your ES • Study leave with your ES (September or October) • Look at the websites • Especially www.frimleyvts.org

  32. To-do List - September • Last Friday of month lunchtime meetings at FPH • Thursday lunchtime VTS (from Sept 19th) • Drop by and say hello • Get to know us • Start using your e-portfolio learning log • More about this September 27th meeting • Start getting assessments recorded

  33. The End

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