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GP TRAINING IN THE DEFENCE MEDICAL SERVICES. Group Captain Alison M Amos FRCGP Director of Postgraduate General Practice Education. Scope. What is Military General Practice? Recruitment Processes Single Service Military Training GP Training Programmes The Future.
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GP TRAINING IN THE DEFENCE MEDICAL SERVICES Group Captain Alison M Amos FRCGP Director of Postgraduate General Practice Education
Scope • What is Military General Practice? • Recruitment Processes • Single Service Military Training • GP Training Programmes • The Future
What is Military General Practice? “Unique synthesis of general practice, practical occupational health and pre-hospital emergency care, practised in teams globally, in often challenging or hostile environments”
Very Broad Role • Anything medical! • Elderly • Refugees • Police Surgeon • Public Health • Family Medicine
Model of Service Primary Care Public Health Travel Medicine Military Psychiatry and Counselling Disaster and Refugee Medicine Pre- Hospital Emergency Care CORE ELEMENTS Disease Management Consultation Skills Service Management Health Promotion Medical Operational Planning Sports and Exercise Medicine Military Skills Occupational Health Environmental Medicine Training and Education Practice Issues Legal and Ethical From Richardson and Morgan-Jones
Recruitment • Mostly cadetships • Some Direct Entrants • Join RN, Army or RAF • Normally 6 year short service commission
Military Training • Attend Sandhurst, Cranwell or Dartmouth for 8 to 10 weeks where basic military skills are developed • Followed by Service specific military medical training • Aviation • Radiation • Travel • Sexual Health • Occupational • RN and Army undertake GDMO time. RAF begin GP training
Defence GP Training • Supported by DPGPE as part of the Defence Deanery • 3 single Service ‘Assistant Directors’ but not part of Deanery • 6 ‘Associate Directors’ – part time and secondary duty • The Educational Supervision while during the hospital phase is provided by x 6 GP trainers • In GP the ES is the military or civilian trainer
Defence GP Training • GMC Approved Programme of Training to achieve CCT • Aim for: • 16 mths hospital • 20 mths GP • Hospital posts at the MDHUs of which there are 5 • Plus R&R (Headley Court) and DCMH x 2
Defence GP Training • General Practice training is provided by a mixture of military and civilian placements • Military placements are in England, Germany and Cyprus • GP Placements and trainers are QA by the Defence GPEC chaired by DPGPE Mersey • Placements are in ‘families’ practices but some are ‘troops only’ hence the need for a 50:50 arrangement in some cases
Defence GP Training • Due to shortage of military practices, patient caseload and requirements of the AKT/CSA, 6 month NHS placements are sought for all Defence GPStRs • Details covered in an SLA • Trainers grant and all costs of the GPStR are paid for by the military
The Future • Defence will continue to need the support of the NHS for some elements of training • If the extension to GP training is realised this will become even more so • Your support is invaluable • Thank you