Trafford Day Release Course

ST3

MISSION STATEMENT

This Wednesday morning course works with the GP trainees to explore, within the context of a group, important areas of General Practice and to enhance the educational opportunities offered by the hospital training posts. The GP Educators achieves this by working positively with the trainees to provide the foundations for life-long interest and enthusiasm towards general practice by exploring topics which may be difficult, challenging and fun.
The course will give you an opportunity to meet with your peers to exchange ideas, experiences and support. The Wednesday half day course is run over all three training years by two Primary Care Medical Educators, PCMEs, Dr Jane Wilcock and Dr Carmel Morris with support from invited speakers.
We start on Wednesday Sept 8th 2010 and we meet from 10am to 12.30pm . We meet in the meeting rooms of Eccles Congregational Church. For those of you who are not Christian, we are not entering the worship area. The church is a 1960s building on the corner of Wellington Road and Clarendon Road. There is some parking and there are two schools on Clarendon Road so if bringing a car it would be advisable to park in the Eccles public car park which is pay and display and 3 minutes from the church venue. The church accepts no liability for vandalism to cars on its car-park.
Directions: The church is 12 minutes walk from Salford Royal Hospital and 10 minutes walk from Eccles tram terminus and Eccles bus station. From these last two walk up Church Street which is pedestrianised and across the motorway pedestrian bridge. The church is diagonally opposite, a 1960s building. The entrance is round the back. There are no reception staff so please use the code pad to enter to keep the building secure.
From the Motorway approaching Manchester: leave the M602 at the Eccles turn-off and turn left, signed to Pendleton/ Salford Royal Hospital. Then take the next immediate left, the church is on the next corner just after the pedestrian lights.
Further directions are on the church website, just Google Eccles Congregational Church.
If using sat. nav. the postcode is M30 ONP
The sessions are 10am to 12.30pm. We start promptly so be considerate and arrive a little early.
Attendance is mandatory for GP trainees to complete their training.
Please notify all holidays in advance, all sick leave etc. to the GP Educator, email address: davidandjane.wilcock@btinternet.com. If we receive no notification then we will assume you are ill and notify the Programme Director. You may end up extending your training if you have a period of sickness so please inform us of non-attendance.
There is a register for the trainees to sign for each session.
Food: drinks and biscuits will be provided. You are welcome to bring a packed lunch and eat at the church before leaving for your hospital posts.
The blog to find out the timetable for your course is on: http://trafforddayreleasecourse.blogspot.com. ST1 timetable is in red, ST2 in orange and ST3 in GREEN.
The sessions will consist of presentations and discussions. We hope all GP ST3s will contribute to this. In addition you will be contributing interesting or problematic cases and using small groups to learn and problem solve in.
The course should be interesting and fun and enhance the learning you are undertaking for your future GP careers.

Format For the nMRCGP:
The MRCGP is a minimal standard exam which must be passed in order to pass as a GP and gain the CCT (Certificate of Completion of Training) in general practice. The ST2 or 3 doctors will sit the AKT and ST3s the CSA.
The exam format consists of:
• Applied Knowledge Test (AKT)
• Clinical Skills Assessment (CSA)
• Work Based Practice Assessment (WPBA).

Associate In Training (AiT ): You can access the WBPA e-portfolio and exams without being an AiT but most of GP ST doctors have found the AiT status useful. Visit the RCGP home page and look at the information. You save money on books, the exams and subscriptions. You also have the InnovAIT journal which the doctors have reported as being good, we would recommend joining.

Applied Knowledge Test (AKT):
The AKT is a summative assessment of the knowledge base that underpins independent general practice in the United Kingdom. Candidates who pass this assessment will have demonstrated their competence in applying knowledge at a level which is sufficiently high for independent practice. Whilst candidates will be eligible to attempt the AKT at any point during their time in GP specialty training, it is anticipated that the most appropriate point, and that providing the highest chance of success, will be whilst working as a ST2 or 3.There are three sittings a year, application is through the RCGP site. It costs £414 if you are an AiT.
The test takes the form of a three-hour multiple-choice test of 200 items. It is computer-based and delivered at 150 Pearson VUE professional testing centres around the UK.
Approximately 80% of question items will be on clinical medicine, 10% on critical appraisal and evidence based clinical practice and 10% on health informatics and administrative issues. All questions will address important issues relating to UK general practice and will focus mainly on higher order problem solving rather than just the simple recall of basic facts.

Clinical Skills Assessment (CSA):
Each candidate is allocated a consulting room and has 13 consultations, each of 10 minutes. It is sat at ST3 level. Twelve of these are assessed; the 13th is a pilot case. Patients are played by role-players who have been trained and calibrated to perform their role in a consistent manner. A description of the type of cases used in the CSA and sample cases can be seen on the RCGP website. Candidates’ performance on each consultation is graded Clear Pass, Marginal Pass, Marginal Fail or Clear Fail by assessors who observe the consultations. The exam is in a centre in Croyden. If you are an AiT it costs £1,389.

The CSA tests mainly from the following areas of the curriculum:
Primary Care Management - recognition and management of common medical conditions in primary care.
Problem Solving Skills - gathering and using data for clinical judgment, choice of examination, investigations and their interpretation. Demonstration of a structured and flexible approach to decision making.
Comprehensive Approach - demonstration of proficiency in the management of co-morbidity and risk.
Person-centred Care - communication with patient and the use of recognised consultation techniques to promote a shared
approach to managing problems.
Attitudinal Aspects - practising ethically with respect for equality and diversity, with accepted professional codes of conduct.
The CSA will also test:
Clinical Practical Skills - demonstrating proficiency in performing physical examinations and using diagnostic/therapeutic instruments.

Work-Based Practice Assessment:
This is the e-portfolio with the Enhanced Trainer’s Report (ETR) which will include some external assessments, such as:
MSF = Multi-Source Feedback
DOPs = Directly Observed Procedures
COT = Consultation Observation Tool or MiniCEX = consultation tool used in secondary care.
CbD = Case Based Discussion
PSQ=Patient Satisfaction Questionnaire
There are 6 monthly reviews by the Educational Supervisor. For the ST3s this is your trainer usually. For the ST1 and 2 doctors this supervisor will be given to you by Dr Derek Seex, the Programme Director. The Educational Supervisor is distinct from your Clinical Supervisor, please read the RCGP website to ensure you understand the roles of each.


Specialty Training Year 3
Minimum prior to 6 month review:
6 x CbD
6 x COT
1 x MSF

Minimums prior to 10 month review:

6 x CbD
6 x COT
1 x MSF
1 x PSQ

READING LIST (ST1, 2 and 3)
Skills for Communicating with Patients Silverman, Kurtz, Draper.
The Inner consultation R. Neighbour.
The Consultation Pendleton et al
The New Consultation Pendleton et al
Making Sense of Audit Irving
Evidence Based Medicine in General practice
How To Read A Paper Trisha Greenhalgh
GMC Duties of a Doctor
The Condensed Curriculum Guide RCGP Ben Riley, Jayne Haynes, Steve Field.

JOURNALS: for GPs ST 1,2,3.
British Journal of General Practice.
BMJ
Update
Prescriber
Practitioner
A number of these journals will be in your trainers and the hospital library but by contacting the editor they will often be sent to you free.
The postgraduate and PCT libraries have courses on ITskills,search tools, evidence based medicine and these are usually free. You will need to go in and contact them or search on line.

WEBSITES FOR INFO:
www.rcgp.org.uk
www.bma.org.uk
www.sign.ac.uk
www.eguidelines.co.uk
www.nice.org.uk/
www.nelh.nhs.uk/

USEFUL NAMES
Dr Jane Wilcock
T: 0161 793 8686 W
The Lowry Medical Practice,
Pendlebury Health Centre,
659, Bolton Road,
Swinton. M27 8HP.
e-mail: davidandjane.wilcock@btinternet.com

Dr Carmel Morris
T: 0161 426 9020 W
Heald Green Health Centre,
Finney Lane
Heald Green
Stockport. SK8 3JD
email: carmel-sandhu1@sky.com

Dr Derek Seex: Programme Director:
T: 0161 226 9174 W
Brookes Bar Medical Centre
162-4 Chorlton Road
Old Trafford
M16 7WW
e-mail:dseex@doctors.org.uk

North Western Deanery:
NHS North West
Three Piccadilly Place
Manchester. M1 3BN.
T: 0845 050 019

Deanery Website: www.pgmd.nhs.uk . This has details of study leave etc.
Postgraduate Dean: Dr Barry Lewis
Head of School: Dr Bob Kirk
Primary Care Education Manager: Sally Howorth: T: 0161 625 7652 e-mail s.howorth@nwpgmd.nhs.uk
GP Academy Manager for our area (South): Maureen Duckworth: T: 0161 625 7655 e-mail: m.duckworth@nwpgmd.nhs.uk
Courses Administrator: Natasha Billington: 0161 625 7657
e-mail: n.billington@nwpgmd.nhs.uk