Trafford Day Release Course

ST3 Salford and Trafford Half Day Release Course

2010-07-28T01:41:00.000-07:00

SALFORD and TRAFFORD Wednesday Morning COURSE

SEPT 2010-2011. 10am to 12.30pm

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

TIMETABLE for SALFORD AND TRAFFORD HALF-DAY RELEASE COURSE
(HDRC) ST3 SEPT 2010 - MAY2011. WEDNESDAYS 10am-12.30pm

Term 1 Carmel 14 sessions.
8th September E-portofolio. CDT/CBD Exam planning presentations.
15th GUM/Young People
22nd 10 – 11.30 a.m.* OOH induction Kate/Louise/Peter*2 rooms
29th Medical Leadership Mike Gregory 11.30-12.30 (Wendy coming 11.00 a.m.)

6th October Wendy Seddon Time Management class
13th 9.30 a.m. PRIME TEACHING COURSE
20th MIDWIFE Child Health Surveillance (1)
27th Carmel away, joint with ST1 doctors. Triadic Consultations. role play

3rd November KATE SAXBY Child Health Surveillance (2)

10th CLARE WILKINS Child Health Surveillance (3)
17th GUNDI KIEML Psychosexual Counselling
24th *afternoon* MOCK CSA

1st December NO HDRC PCME BUSINESS MEETING
8th ETHICS (5)
15th 9am. RUTH STUBBS Cervical Cytology

22nd/29th Dec No Meeting

Term 2. 16 sessions. Jane
5th Jan 2011 Jane Community Drug Team
12 Parkinsons disease and other movement disorders.cbd. Foreign travel
19 Ethics 5: dealing with drug reps, relatives and staff as patients.
26 Pharmacy2: Robert Hallworth pharmacy advisor

2nd Feb Ethics 6 Mental capacity Act: and loss of capacity
9 th Community Alcohol Team
16th Team meetings, practice meetings and resolution of conflict
23rd Your c.v.

2nd March None Recruitment Day
9th Family Planning dilemmas. Occupational therapy
16th Skin3: skin cancers . Revision eczema and psoriasis, acne
23rd Diabetes3 management
30th Appraisal and assertiveness training Practice management 2: QoF and GP contracts

6th April Setting up a service in practice Practice Based commissioning
13th Locum work. Committees including LMC. Dr Giresh Patel/Dr Gen Wong
20/27th None Easter

4th May Practice management: 3: Employing a GP and staff Practice Manager Ms Andrea Simpson.
11th Accountancy Mr A Pow accountant.

------------------------------------------------------------------------------------------------

ST2 HDRC2010-11

2010-07-27T23:58:00.000-07:00

SALFORD and TRAFFORD Wednesday Afternoon COURSE SEPT 2010-2011
2pm-4.30pm
ST2

MISSION STATEMENT

This Wednesday afternoon course works with the GP speciality 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 Educator 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.
The ST2 group are facilitated by Dr Jane Wilcock. We meet at 2 pm to 4.30pm each Wednesday afternoon starting on 8th September 2010. 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 2pm to 4.30pm. 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 PURPLE and ST3 in green.
The sessions will consist of presentations and discussions. We hope all GP ST2s 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).

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 2:
Minimum prior to 6 month review:

3 x COT / mini-CEX
3 x CbD

1x PSQ if not done one in ST1 year
DOPS
Clinical supervisor report.
Educational Supervisor report

Minimum prior to 12 month review:
3 x COT/ mini-CEX
3 x CbD
1 x PSQ if not completed on ST1 year
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 IT skills, 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

map of medicine

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) ST2 SEPT 2010 - MAY2011. WEDNESDAYS 2pm to 4.30pm.

Term1: 14 sessions. Jane: Most days start cases/stats/pathology . MCQs. 15mins

Sept 8th: Meeting and Learning/ Planning. E-portfolio. Bridge Building Team Game.Teams. Defining Professionalism wrt. HDRC.
15th: Chloe: Million Womens Study, Womens Health Initiative. Christine: HRT an overview and quiz.

22nd Morning 10am for ST2 who have OOH(4)Induction 2pm for the others (12) Matthew: SEA hypercapnia/pneumonia and CCF and use of O2./jw: consent to disclose in a mother suffering violence/ RP error generic/brand Aricept . small groups: create a repeat prescription protocol. SWOT / SMART/ forcefield analysis.

29th Trainers meeting Dementia/elderly Revision psychiatry sent as distance learning module.

6th Oct Ethics 3: consent Flu and H1N1vaccination. Organisation of flu clinics by Gups and clinical aspects of flu by Dawood
13th The eye in Primary Care Mr Patton
20th CSA DVD analysis/role play Chloe diabetics and contraceptive choices
27 th Chronic Kidney disease CKD cbd Diabetic on coc. cbd short cases: chickenpox and measles

3rd Nov Ears: red ear and glue ear. NICE guidance
10th Paediatric asthma guidelines skills: peak flow and oximetry in GP

17th Chest infections in winter: pneumonias GPskills: spirometry Chloe: BMJ article and revision TB and detection. Matthew:Prescriber revision of ACEI in hypertension; short cases hyperlipidaemia, metabolic syndrome and diagnosis of diabetes m, hypermobility syndrome, HVs and bacterial vaginosis

24th (Practice CSA pm FOR ST3 so MORNING 10am ST2) Childhood behavioural problems. Bav

1st Dec None: PCME Business meeting
8 th Medical Leadershipppt. discussion : statements and matching leadership/management
15th Christmas Quiz
22/29th No meetings. Christmas

Term 2. Jane . 16 sessions.
5th Jan 2011 Health Economics pt: QoF and well person checks ppt and small group work: deciding QoF, is it fair. evidence for HYP/ obesity/ smoking/ alcohol in public health terms. jw: family planning dilemmasx2

12th Health Economics pt 2: rationing and decisions ppt.Qualy/PROM/ICER/political and ethical approaches BMJ obesity paper in advance to work through-critical reading

19th Trainers meeting Rose and Julie SKIN 2 : Psoriasis , skin quiz , acne

26th Joints : GALS, Back pain e-GP ppt with cbd. Dave: borderline hypothyroidism: how do we decide who to treat /mapofmedicine/ppt and cbd. jw: family planning dilemmas x 3 cbd groups.

2nd Feb NO meeting (ST2 change over day)
9th The role of the coroner and doctors as murders. jw: fplanningcases.

16th Liz Farrell at St James' House, Salford : Salford PCT Library Services: searches and research. Get an Athens password.
23 Paediatric Quiz jw

2nd March : Communication skills7: CSA practice. Christine: diabetes drugs metformin and acarbose part1. journal club Chloe: epididymo-orchitis journal club

9th What does the District Nurse do? Sr Wendy Etchells District Nurse and district nurse manager discussion.
16th: Vicky: hyperthyroidism. Christine: diabetic drugs part2: sulfonylureas and -glinides

jw: attributes of a GP doctor and pt perspectives.

23rd: Pharmacy 1: Robert Hallworth prescribing advisor
30th: Alison : IUS. Christine: diabetic drugs part 3: glitizone and insulin.Dave: BJGP McKenzie lecture: The role of the doctor - journal club . jw: fibromyalgia and heart sink patients

6th April: Palliative Care symptoms. ICP: drugs and paperwork Alison and Laurappt and cbd

13 th jw: AFibrillation: HASBLED and CHADSVAS scoring. COPD cbd and ppt.

20/27th None Easter

4th May cancelled. AKT

11th May: Practice managers 1: what do they do? Ms Andrea Simpson Practice Manager
18th: CME/ eportfolio/ feedback forms. jw: Manchester a history and intellectual capital.

FINISH

-------------------------------------------------------------------------------------------------

ST1 2010-2011 Salford and Trafford Half Day Release Course( HDRC)

2010-07-27T03:44:00.000-07:00

SALFORD and TRAFFORD Wednesday Morning COURSE SEPT 2010-2011
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,

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 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 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. 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:

3 x COT / mini-CEX
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

map of medicine

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