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ST 3 – The countdown begins!

ST 3 – The countdown begins!. The Year. Induction – tips and resources Making the most of the year Clearing the hurdles Preparing for life as a GP. Getting the most out of your induction. Ensure you meet and get to know the names of the team and their roles and responsibilities

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ST 3 – The countdown begins!

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  1. ST 3 – The countdown begins!

  2. The Year • Induction – tips and resources • Making the most of the year • Clearing the hurdles • Preparing for life as a GP

  3. Getting the most out of your induction • Ensure you meet and get to know the names of the team and their roles and responsibilities • Don’t just sit there, do something! • The 1st two weeks – working in pairs identify the key things you have to achieve

  4. Remember the wider team • Health Visitor • District nurses & Community Matron • DSNs, McMillan Nurses • Social Worker • PM & Admin staff • Secretaries & IT Manager • House keeper

  5. Clearing the hurdles

  6. E-portfolio tips • Minimum means minimum! • You need to be making 4 entries a week to achieve the minimum of 3 quality entries • Don’t forget your PDP (use your TISA form) – one entry added and one completed per fortnight • PSQs require 40 respondents, so they take time! • CBDs,COTs etc all have to be achieved prior to May and December – there are no formative Ed Sup reviews • Get your Trainer to read and discuss your last ESR and ARCP report

  7. Audit/Projects & SEA • Domains that have to be populated! • Discuss them with your trainer • Complete at least 1 quality two cycle audit or QOF project and 6 SEA during the ST3 year • See the Pennine website for ideas and advice

  8. COTs & Videos – Start after the 1st 2 weeks!! • Check the camera & make sure you know how it works • 20 mins appts and don’t forget your time keeping • Ensure no disturbances • Receptionists – paperwork, selecting patients etc • Review the good consultations using the COT criteria and select on the basis of your COT competency mapping • Review the bad and the ugly with your Trainer using a problem based approach

  9. THINGS TO DO • MSFs, PSQs, CBDs and COTs • Audit/Projects • Exams • Courses • Video • Ed Supervision & E-portfolio review • OOH • Tutorials & WPBAs

  10. COURSES • CSA Courses – a must • CHS – if you have not done it already • BLS – if you have not done it already • Minor Surgery • Family Planning • Exit course

  11. EXAMS CSA Jan-Feb, May, Sept, Nov -Dec AKT March-April, Aug-Sept, Dec, What is your strategy?

  12. Budgeting for costs • CHS £250 • EXIT £200 • DFSRH (DFFP) £147 (Reg & Subs 1 year) • CSA course £300 to £400 • CSA £1525 • CCT £350

  13. Web Based Resources • http://www.pennine-gp-training.co.uk/nmrcgp.htm - A wide array of useful downloads to support you through your GPST year • www.gpnotebook.co.uk - Used by most GPs in the country, an excellent updated concise medical encyclopaedia. • www.patient.co.uk - A huge array of Patient Information Leaflets written in plain English. • www.bradfordvts.co.uk - A wonderful resource, full of useful downloads. • www.google.co.uk - A great search engine for any medical topic. • www.eguidelines.co.uk - Provides updated evidence based guidelines with a Primary Care perspective. • www.e-gp.org - a comprehensive programme of innovative e-learning sessions structured around the GP curriculum.  • www.bmj.com - Read the last BMJ, use it for literature searches or finding a job. • www.rcgp.org.uk - Essential for all your nMRCGP and e-portfolio information. • www.yorksandhumberdeanery.nhs.uk/general_practice/ - Courses, resources and information relating to GPST education. • www.dvla.gov.uk - Great updated medical guidelines downloads.

  14. Life as a ST3 GPST?

  15. Surgeries • Come in 15 minutes early to review the records • Start on time! • Organise your workspace • Encourage your trainer to do some sit and swap surgeries • Don’t forget that ‘sitting in’ should occur occasionally throughout ST3 not just at induction • Have realistic expectations about your knowledge, skills and performance

  16. Tips for surviving on call • Working in pairs identify ways in which you can make GP on call more bearable

  17. Home Visits • You can not avoid them • Max 3 visits, usually 1 to 2 • Prior to Tuesday HDR 1 visit is the norm • Doctor’s bag, A-Z and mobile phone

  18. Tutorials & debriefs & OOH • 2 hours weekly of protected tutorial time • Scheduled post surgery debriefs • You need to have completed 6 hours of OOH sessions per month of GP training (14 to 18 x 6 for most GPSTs) • The must include a variety of triage, home visit and surgery sessions

  19. Time for tea!

  20. ARCP It does not have to be like this!

  21. Working in pairs • Progression to CCT - What does the ARCP panel assess? • When does this happen? • How will you ensure a satisfactory outcome?

  22. Designing your road map

  23. Working in small groups • Draw your time line for the ST3 year detailing the approximate dates of OOH sessions, courses, exams, Educational Supervision, ARCP panel, CCT application, job applications and other deadlines etc

  24. What if things go wrong?

  25. Don’t forget to enjoy your GPST year!

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