Welcome ST1s in General Practice

1. Welcome ST1s in General Practice Tameside 2013

2. Aims and Intended Learning Outcomes (ILOs) • AIM - to feel comfortable with and understand - each other, the tutor and the course • ILOs - • We shall be able to enjoy and make the most of the diversity of backgrounds of folk who come into GP • We will be able to start to think about and do some self directed learning • We will have some ideas for making the most of hospital jobs • We will know where the curriculum is and have some ideas for how to use it

3. What we are doing this morning • Interview your partner and prepare to present your partner to the group • Who are you? Names, where from, where trained? • What brought you to GP? • What special medical knowledge and skills do you have? • What hobbies, interests and unusual skills do you have? • Name a FEELING you have about being a GP

4. What we are going to do this year • What do you WANT to achieve? (Hopes) • What do you NEED to achieve? (Any fears) • What would your trainers (educational supervisors) like you to achieve? (What do you need help with) • What would I like us to achieve? • HOW?!?!?!

5. Enjoying The ST1 Year • What is an ideal GP? • What is the opposite of an ideal GP? • The curriculum • What is self-directed learning? • How to cope with hospital jobs? • What do we need to do?

6. The GP Curriculum • COMPETENCIES • Primary care management (clinical management, teams, IM&T) • Person-centred care (consultation skills) • Specific problem solving skills (data gathering,making diagnosis/decisions) • A comprehensive approach (medical complexity) • Community orientation • A holistic approach • ESSENTIAL FEATURES • Contextual • Attitudes (ethics and fitness to practice) • Scientific (maintaining performance, learning and teaching)

7. Self directed learning What is it?

8. What is Self Regulated Learning? • An active process whereby learners set goals for their learning and monitor, regulate and control their cognition, motivation and behaviour. (Pintrich 2002)

9. Performance Phase Self-Control Imagery Self-instruction Attention focussing Task strategies Self-Observation Self-recording Self-experimentation Forethought Phase Task Analysis Goal setting Strategic planning Self-Motivation Beliefs Self-efficacy Outcome expectations Intrinsic interest/value Learning goal orientation Self-Reflection Phase Self-Judgment Self-evaluation Causal attribution Self-Reaction Self-satisfaction/affect Adaptive/defensive

12. METACOGNITION Typology of Metacognitive Components

13. Features of Self Regulated Learning(SRL) • It is not a generic competency or a fixed ability • It is not about learning in isolation • All of us use self regulatory processes in our learning • Skills of SRL can be learned and taught • It is a context specific process

14. You are GPs now... • On our team

15. You are our spies.... • observers and participants • observe their behaviour • level of participation and reflection • our ethos - where to find this?

16. Anthropological Study • How do the other species behave? • What animals could represent physicians, surgeons, paediatricians, psychiatrists, A and E, O and G,

17. Discipline and Learning Environment • RULES OF ENGAGEMENT • Phones? • Eating? • Being late? • Wondering in and out? • Openness and honesty? • Respect and value all perspectives? • Support and constructive criticism? • Confidentiality? Anonymised or absolute? • Preparation and commitment? • Enjoyment? • Expressing emotion? • Attendance? Mandatory - need to email Sam!!! • samantha.austin@tgh.nhs.uk

18. The course • Have basic knowledge of subject of the month (NICE) • Two Thursday mornings per month - one with expert and clinical focus and one with ST3 and actors for communication focus • Start 9am. Half hour catch up time • 9.30am Expert presentation on clinical subject in GP • Including case discussion • Lots of interaction!!!