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York GPVTS

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

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York GPVTS

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  1. York GPVTS The future?

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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)

  7. 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 weekly PBL cases Balint groups Focus / Topics trainee determined

  8. 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.

  9. 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?

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