Developing Learning Environments

1. Developing Learning Environments Dr Barry Lewis Director GP Education

2. Educational programme Workplace Experience Clinical Supervision LEARNING ENVIROMENT Defining the Learning Environment The ‘fabric’ – rooms, equipment and people

3. The ‘Fabric’ • Standards for Better Health • Consulting rooms • Size • Suitability • Resources • ‘library’/study area • Records and IT • Practice based team

4. Workplace experience • Patients • List size • Morbidity • Access • Services • Chronic disease management • Additional services • Multidisciplinary team

5. Educational programme • In practice educational processes • PHCT meetings • Case based discussion meetings • Clinical education • Tutorial arrangements • Protected • ?shared • Relevant to stage of training

6. Clinical supervision • Organisation of supervision • Availability and access • Training as supervisor • Appropriate to stage of training • Non medical supervisors • Training • Time in usual role • Support for role as supervisor • Sessional vs overview processes defined

7. Expanding and extending GP training • Numbers in NW • ST1 recruitment 240 in 2009 • ST1 recruitment ~300 in 2011 • All to do minimum 18 months GP • Extending to 5 years • Pilot in NW for ST4 and 5 • ST4-5 in GP • More placements needed • New practices • New slots in existing practices • Hub and spoke arrangements – BUT environment conditions still apply

8. Funding • Existing Learning Environment Grant • Established process • Support needed from PCT • Points for undergrads, AHPs, FY2s as well as GPST slots • New LEG • Additional money 09-10 only • Same parameters but – removal of matched funding etc

9. Funding (2) • Developing remuneration for training • Trainers grant • Graded based on supervision required • Acknowledges service delivery by trainees • Environment payment • Fee/slot • Slot may be used by any of the range of learners