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P revocational G eneral P ractice P lacements P rogram

PGPPP. P revocational G eneral P ractice P lacements P rogram. John Hunter Hospital Session 12 and 19 September 2012. Today’s Program. What is PGPPP? Who manages the program? Where can you do a placement? Why consider a PGPPP placement? Who can/should consider a PGPPP placement?

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P revocational G eneral P ractice P lacements P rogram

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  1. PGPPP Prevocational General Practice Placements Program John Hunter Hospital Session 12 and 19 September 2012

  2. Today’s Program • What is PGPPP? • Who manages the program? • Where can you do a placement? • Why consider a PGPPP placement? • Who can/should consider a PGPPP placement? • What’s the teaching and supervision like? • Hear from a past PGPPP “graduate” • PGPPP Questions and Answers • Where to find out more

  3. What is PGPPP? • Australian Government Initiative that provides Junior Doctors with an opportunity to experience a supervised General Practice placement as an accredited 10-11 week hospital rotation • Thinking of GP training? PGPPP will expose you to the daily life and challenges of General Practice in a supported team environment • Thinking of other specialties? PGPPP will provide you with a unique opportunity see how community care integrates with that in hospitals and how GPs and other specialists can work together

  4. Who Manages The Program? • The PGPPP program is administered by the Australian General Practice Training (AGPT) program.  • The Regional Training Providers (RTPs) that deliver the AGPT program, deliver the PGPPP program • This means PGPPP placements occur in accredited teaching practices who are experienced and enthusiastic about teaching

  5. Who Manages The Program? • There are 17 ‘RTPs’ in Australia, with 6 in NSW • General Practice Training – Valley to Coast manages this program in part of your network. We cover the beautiful Hunter, Central Coast and Manning regions.

  6. GP Synergy RTP… Who are we? GP Synergy is the largest provider of vocational General Practice education and training in NSW, delivering prevocational and vocational training across central and southwest Sydney, and the New England/Northwest region of NSW. Jani Mal- Program Manager Dr Graham Lee - DPET Lexi Kyle- Program Officer

  7. Where can you do a placement? • Hospital Network: 12 – Newcastle, Maitland, Manning (Taree), Tamworth and Armidale hospitals • Location: Newcastle – Blackbutt Doctors Newcastle Mental Health Service (PGY1+) Tamworth - Northwest Health 1-2 more in New England and Newcastle in 2013 • All PGPPP placements are conducted in accredited RTP training practices, with experienced GP Supervisors

  8. Why do a PGPPP post? • Clinical autonomy – one on one direct care and continuity of patients • Excellent educational experience with individual supervision and mentoring by experienced and committed GP Supervisors who provide planned, structured teaching to support the clinical experience • Own patient load to build relationships and experience continuity of care • Work with Allied Health Professionals • Exposure to team care involving public and private providers

  9. Why do a PGPPP post? • Overall understanding of the Australian Health Care System • Interaction with staff in General Practice, learning in teams of clinical practitioners • Experience and observe a professional small business in operation • Benefit from one on one mentoring • To be a better specialist

  10. Who can/should do a post? • All Junior doctors who have not yet enrolled in a speciality training program should consider a PGPPP placement, even those not necessarily considering a career in general practice:- • Junior Doctors who are not sure of their career plans • Junior Doctors not considering a career in General Practice and who have decided on another speciality career choice • Junior Doctors already considering a career in General Practice

  11. Supervision • Supervisor on site 100% of your placement • Amount of Supervision varies as you progress through the stages • Stage 1: Observed Supervision • Stage 2: Waive Supervision (reviewed at end of each consultation) • Stage 3: Reviewed Supervision (reviewed at end of each session) • Stage 4: Independent Supervision • Movement from Stage 1-3 at the discretion of the Supervisor • Movement onto Stage 4 requires a Clinical Teaching Visit by an RTP Medical Educator

  12. Teaching • Minimum of 1 hour in practice structured teaching/week • Significant practice informal teaching/week in a variety of forms including case discussions, corridor consultations, shadowing, practical skills sessions, tutorials, case studies, video consultations and review, amongst others. • Opportunity to attend RTP half day/full day release Registrar workshops

  13. Orientation • Workshop on first day of term with Valley to Coast in Newcastle • On commencement at your General Practice • Equips you with some of the essential knowledge to help get you started in a general practice setting

  14. JMO Support • Dedicated PGPPP Program Officers at each RTP help manage and coordinate PGPPP Terms • Dedicated PGPPP DPETs oversee the PGPPP educational program and act as a liaison point for participants and hospital DPETs • Medical Educators available Monday - Friday

  15. Typical PGPPP Term • Orientation with RTP on first day of term • Week 1 – Commence at the Practice(Induction/Observation) • Week 1 – Contact with DPET at the end of the week • Week 2 – Contact with program officer • Week 4 or 5 – Teaching Visit by DPET • Week 5 – HETI mid term assessment • At least 2 full day GP Registrar Workshops with Valley to Coast • Week 10 – HETI end term assessment • Last week of term – DPET wrap up session (debriefing)

  16. PGPPP Q’s & A’s • Who can apply for a PGPPP term? • PGY2 + JMOs • How long is a PGPPP placement? • 10 -11 weeks long – consistent with hospital rotations • What hours will I be working? • 38 – 42 hours per week (time accrued over 38 hours) • How will I be paid? • You remain an employee of your hospital and will continue to be paid and accrue leave entitlements in the usual way

  17. PGPPP Q’s & A’s • Can I take leave during the Term? • Taking leave during a PGPPP rotation is discouraged but will be considered in exceptional circumstances • Will my consultations be supervised? • You will be required to consult your Supervisor about the management of patients • As you move through the Supervision stages the review/discussion of patients care and management will be negotiated with between you and the Supervisor • You and your Supervisor share responsibility for individual patients

  18. PGPPP Q’s & A’s • Provider/Prescriber number eligibility? • Yes, PGY2+ are eligible for a Provider/Prescriber number (The RTP sorts this out) • Are my consultations billed to Medicare? • Consultations generated by PGY2+ are billed to Medicare • How many patients will I see? • Depends on your Supervisor’s assessment of your capabilities • No more than 2 - 4 per hour during the term

  19. Ignacio Ugarte and Craig Roberts-Thomson completed a PGPPP rotation in 2012 My PGPPP Experience

  20. Like to find out more? • Talk to your JMO Manager: Jeanette Chadban • Talk to the RTP associated with the PGPPP post you are interested in: • General Practice Training – Valley to Coast www.gptvtc.com.au or GP Synergy www.gpsynergy.com.au • See PGPPP Brochure for contact details of other RTPs • Email me Chris.Starling@gptvtc.com.au

  21. Going Places Network

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