Tuesday, July 27, 2010
ST1 2010-2011 Salford and Trafford Half Day Release Course( HDRC)
10am to 12.30pm
ST1 GP Speciality Training.
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 and GP training posts. The GP Educators achieve 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.
The DRC year begins with a full day on 1st September 2010 at 9.30am. From then on we meet from 10am to 12.30pm each Wednesday morning 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,
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 ST1s 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 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. 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:
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 1
Minimum prior to 6 month review:
3 x CbD
1 x MSF, 5 clinicians
DOPS
Clinical supervisor report.
Educational Supervisor report
Minimum prior to 12 month review
3 x COT/ mini-CEX
3 x CbD
1 x MSF, 5 clinicians
1 x PSQ only if in primary care
DOPS
Clinical supervisor reports.
Educational Supervisor report
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/
national screening committee
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
TIMETABLE for SALFORD AND TRAFFORD HALF-DAY RELEASE COURSE
(HDRC) ST1 SEPT 2010 – MAY 2011. WEDNESDAYS 10am to 12.30pm.
1st Sept. 2010 9.30am to 4pm (2 sessions) Induction Day: Getting to know each other/Winter survival exercise/Team member actions/Team formation and progress/ e-portfolio/aspirations and learning sites.
Jane. term 1: 14 sessions
8th September: Learning Styles(Honey-Mumford): questionnare. Maximising potential. Bridge building team exercise
15 Communication Skills 1 and communication with the anxious patient. Sam: child protection ethical case/jw azothioprine and LFTs/ipratropium RP error.
22 Stats1 and Quiz. LARC/diabetes diagnosis/hypertensive guidelines/statistics, p, sensitivity, study methods/stratification. Tom: ethics of confidentiality and disclosure re epilepsy and driving Saniya: assessing consent /jw: violence to mother, confidentiality
29 Acute Mental Health Problems and sections: Saniya. jw: mental health act and capacity act scenarios: groups . Asma: NICE TLOConsciousness new NICE guidance.
6th October Skins 1: eczema Rose and Julie (Invited) creams/ointments and slides.
13 Hypertension in primary care Zareen NICE guidance and practical tips
20 with St2 group: The Poorly Child and NICE Feverish Child guidance Nida jw: Chickenpox/measles/complaints
27 Consultations Skills 2: Triadic consultations Alex: hypertension in pregnancy jw: AF and CHADs scoring/ elderly drinker cirrhosis and portal hypertension bloods.
3rd November: Hyperlipidaemia in primary care groups: setting up a lipid service in primary care. SMART/Forcefield/EBM/cost/audit: groups to do.
10 Communication Skills 3 : Breaking Bad news
17 A day in the life of a GP: introduction to organisation: groups.
jw: lipids cbd/hypermobility syndrome/UTI/community aquired pneumonias/Bact vaginitis
24 Smoking and Public Health. Smoking cessation: Claire. Contents of the GP bag: Tom
1st Dec No Meeting (PCME Business Meeting.)
8th Alcohol in primary care.
15th Special groups of patients: Equality and Diversity . Salford PCT DVD. Christmas Quiz
22/29th No Meeting Christmas Break.
Jane: Term2. 14 sessions
5th January E-portfolio and the MSF. learning theory
12th Asthma Incl. skill practice in spirometry/PEFR/oximetry/ CBD : OSCE style
19th Screening 1: colorectal, breast, prostate small groups data analysis and present
26th Screening 2: screening timeline creation/AAA new screening. Ppt and MCQ re ANC/neonatal screening. revision disease. Organisation of National Screening Committee ppt. two groups: why don't we screen for hypothyroidism and diabetes?: applying the criteria.
2nd February No meeting as job changeover
9th Orthopaedics Mr Kim: the limping child and adult knee problems including examination knee refresher.
16th Creating Guidelines: methodology and creating guidelines from inception to audit and publication: group work (incl. acne)
23rd Diabetes 1: Diagnoses. jw:acne and pics
2nd March : Communication skills COT and DVD analysis and feedback. Sam:LUTS: what do we tell our patients? from journal article and NICE
9th: Olufemi: shoulder problems and examination technique refresher. ppt.
Louise F: initiating the coc, incl. risk scoring of contraindications.
16th: practice CSA marking DVD. role-play small groups (A/B/ depression) incl. diabetic diagnosis revision.
23rd Ethical principles 1: frameworks and introduction: Derek Seex
30th: Funny turns in the elderly: group work- one on CVS causes and other on central causes. jw ppt sick sinus syndrome, long QT interval and orthostatic hypotension. jw: discussion case AML.
6th April: jw: pts with terminal care problems. jw case: CLL pt. Karim: 2 cases of syncope in the elderly.
13th: Tom: Hospice movement. jw: AF guidelines: CHADsVaS/ HASBLED scoringcbd. feedback of the year
FINISH
Labels: ST1
