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PBSGL in Scotland

PBSGL in Scotland. Ronald MacVicar. PBSGL. Canadian approach to CPD Evolved from a single group of GPs at McMaster University in the late ’80s Now involves over 6000 practitioners in Canada (25%) Foundation for Medical Practice Education (FMPE)

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PBSGL in Scotland

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  1. PBSGL in Scotland Ronald MacVicar

  2. PBSGL • Canadian approach to CPD • Evolved from a single group of GPs at McMaster University in the late ’80s • Now involves over 6000 practitioners in Canada (25%) • Foundation for Medical Practice Education (FMPE) • Used extensively in North America as part of “residency training” • International collaborations, including with Scotland

  3. PBSGL in Scotland • Piloted in Scotland 2003/04 (5 groups) • Rolled out in Scotland from Aug 2006 and research into multi-professional and nurse-only groups • Now involves over 1550 GPs in >200 groups in Scotland (>33%) & growing rapidly • Includes a small number of Practice Nurses (PNs). Piloting in other professions, notably pharmacy • Multi-professional groups • Rapid growth within GPST from Autumn 2009

  4. Aye, but what is PBSGL? • Peer –facilitated • Practice based (i.e. based in clinical practice) • Small group (usually 4-9) • Learning

  5. and… • Topic-specific modules • Canadian modules -> ‘tartanisation’ -> single guideline modules (SIGN/ NICE) -> de-novo UK modules. • 12-14 per annum • Gaps • Between current and best (or better) practice • Problems • Stimulus to bring ‘real’ cases • Evidence • Distillation of best available evidence for primary care practice • Barriers • And how to overcome them • Leading toCommitment to change

  6. PBSGL: Challenges & Opportunities • PBSGL as part of a NES GP/ primary care strategy based on • a move from a deanery focus to a national focus including sharing resource, financial risk, and expertise in order to provide a sustainable, robust and secure CPD service to primary care practitioners in Scotland • a presumption for a multi-professional/ primary care focus • better coordination and access irrespective of geography • a single approach to the administration of GP/ primary care CPD • CPD portal and Knowledge Services support • a national GP/ Primary Care CPD management structure

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