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Dr Daniel Wardleworth. GP Haworth Medical Practice GPwSI MSK Airedale Consortia. What’s involved in GPwSI MSK work?. Assessment and advice on a range of musculoskeletal conditions Longer appointments Patient involvement Shared decision making. My experiences in becoming a GPwSI.
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Dr Daniel Wardleworth GP Haworth Medical Practice GPwSI MSK Airedale Consortia
What’s involved in GPwSI MSK work? • Assessment and advice on a range of musculoskeletal conditions • Longer appointments • Patient involvement • Shared decision making
My experiences in becoming a GPwSI • Brief history • BACS Eccleshill • In house clinic at Haworth • GPwSI accreditation • Airedale Consortia • Good/Challenging bits
Brief history • 12 month community MSK post • Lots of contact with physios, osteopaths and podiatrists • Large education versus service component • BIMM diploma course • Many courses and conferences!
BACS Eccleshill 2005-2010 • One session per week • Support and links with more experienced colleagues • Educational meetings with secondary care clinicians • Lack of investment in service
In house clinic at Haworth • Practice based commisioning • Triage and assess orthopaedic referrals • Popular with patients • Easier to reflect on patient journeys • Re-investment in service – new couch / joint models
GPwSI accreditation • Application to primary care trust • Collecting evidence (patient feedback / audit / reflective work) • Consultant supporting letter • Panel meeting
Airedale consortia service • Set up with existing PBC services • Four GPwSIs with One Extended Scope Physio • Various locations • Short waiting times
Good bits • Confidence in dealing with large area of GP workload • Working with enthusiatic and supportive colleagues • Expanding knowledge area • Empowering patients • Drugs don’t work!
Challenging bits • GP clinics filled with complicated MSK conditions • Maintaining skills (no extra study leave) • No separate appraisal system • Building support/confidence with GP colleagues
How do I become a MSK GPwSI? • Community MSK post • Diploma course ?University of Bradford/BIMM • Get a GP post • Develop links/support in local area