Dr Richard de Ferrars Programme Director August 2016 ST1 Induction Dr Richard de Ferrars Programme Director August 2016

ST1 Induction General Information RCGP Examination - Exam overview - Assessments Education introduction - Learning objectives for posts - E-portfolio - Study Leave “To-do list”.

Communication Capital Offences: Email is the principal means of communication VTS website: www.frimleyvts.org “Monty Python & the Holy Grail”. Reasonable use Capital Offences: Failing to check your emails weekly / daily / hourly Not notifying me/ Jayne/ KSS of a change in email address (doctors.org or nhs.net please). Goya “Third May 1808” Public domain

Communication IT DOES! Why is there always one? Purchased Dreamtime 18.3.16© Andreykuzmin | Dreamstime.com - <a href="http://www.dreamstime.com/stock-photo-scared-ostrich-burying-head-sand-near-blank-standing-wooden-signboard-image45111625#res13595413">Scared ostrich burying head in sand near blank</a> Why is there always one? We always have at least one trainee who thinks this does not apply to them IT DOES!

Contacting us Allocated PD: Richard de Ferrars Christine Marshall Trainee   Trainer/ ES Programme Director Esther Blenke Fenella Pambakian Richard de Ferrars Katarina Dhadwar Mike Pollard Christine Marshall Elizabeth Chege David Brown Andrew Cochrane Gursev Kate Russell Becky Mitchell (Holland) Ian Stuart Manavi Joshi Gail Milligan Amos Mak Arfan Ahmed Daniel Mason Jamie Martin Henry Matson Varsha Joglekar Maryam Rahiminejad Louise Payne Talbott Keeley Tanner Anita Vakil Margaret Tyau Claire Brooks Anupama Lochab Philip Wilcox Urmila Paramarajah Gareth Robinson Allocated PD: Richard de Ferrars Christine Marshall Andrew Cochrane Military - Various KSS Trainees – PDs will arrange a meeting Aug/ Sept Email - anytime VTS Term - drop-in Thursday 12:45 – 13:30 discuss problems/ concerns

Random Information IELTs? DBS Check Performers List used to accept 7.0 Now require 7.5 DBS Check Might hit a cluster of requests Consider annual update service.

Maternity Leave Should be nothing to do with me but…. ST1/2 - very complex ST3 - simple Return to a “re-built” rotation - depends on what posts unfilled - remember Aug/ Dec/ Apr start dates - cannot guarantee Frimley (usually do) - cannot hold places in practices (rarely do) LTFT Must now be post-share May mean waiting for a suitable sharer or moving hospital Free at http://cliparts.co/cartoon-stork-pictures

The GP Faculty Committee that delivers GP Training here (for KSS) ST Representatives Military - TBC ST1 - TBC ST2 - Dr Camelia Wong ST3 - Dr Camelia Wong KSS rep - Dr Vicky Goodall GP Faculty Group Programme Directors Couple of Trainers Dr Bob Ward (KSS) Tracey Franklin, Lyn Moran DME (Ms Menon) Consultants

The GP Faculty LFG meets Nov/ March/ June Part 1: Issues relating to training programme (rep feedback) Part 2: Closed - Discussion of each ST1, ST2, ST3 (no reps) Trainee in difficulty? Traffic light & meeting with PD Reports to….. FPH Education Board meets 3x per year HEE KSS (KSS Deanery) HEE KSS Inspection (on behalf of GMC) every 3-4yrs - last one March 2013

ST1 Induction General Information RCGP Examination Education - Exam overview - Assessments Education - Learning Objectives for posts - E-portfolio - Study Leave “To-do list”.

MRCGP Overview You MUST register with RCGP to access the e-portfolio Delay = delay in using the e-portfolio = falling behind required pace = playing catch-up already Associate in Training Overall is ‘close to cost-neutral’ Can pay for exams in instalments (CSA is £1700) Tax advantages [if you do a tax return] Excellent journal (InnovAIT) plus online archive access Cost over 3 years is about £4,000 (Registration & Exams). Trainee   Esther Blenke Katarina Dhadwar Elizabeth Chege Gursev Becky Mitchell (Holland) Manavi Joshi Amos Mak Daniel Mason Henry Matson Maryam Rahiminejad Talbott Keeley Tanner Margaret Tyau Anupama Lochab Urmila Paramarajah

MRCGP Overview Applied Knowledge Test Clinical Skills Assessment 200 question MCQ, Pearson VUE centres Often taken at the end of ST2, but limited to 4 attempts Discuss again at the start of ST2 year Clinical Skills Assessment 13 station simulated surgery at RCGP exam centre Always taken in ST3 (cost about £1700) Workplace-Based Assessment Continuous over the three years Steps up several gears in ST3 Recorded in your e-portfolio E-portfolio = WPBA.

Assessments – Complicated Planning The tube map - looks complex at first glance but is very useful…..

Assessments & Review Cycle Post 1 Post 2 Post 3 CbD CbD Mini-CEX Mini-CEX CEPS MSF CSR CbD Mini-CEX (PSQ) CbD CbD Mini-CEX Mini-CEX Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Contact ES Contact ES Contact ES 1-2d Study Leave 1-2d Study Leave 1-2d Study Leave Month 6 ES Review Month 11 ES Review (ARCP report)

Complicated Planning Clinical Supervisor Educational Supervisor Nominated Consultant for that 4 month post Meet start of post - PDP & Learning Opportunity Planning (LOG ENTRY) Responsible for WPBA assessments (problems = ask them) Meet end of post - CSR (end of placement report) Educational Supervisor GP Trainer/ Educator Continually monitors e-portfolio Completes ES review every 6 months (January & June) Submits recommendations to KSS (ARCP) Military KSS Several RAMC trainers Trainer usually from ST3 practice Will contact you directly 1-2 day attachment each 4m post

Assessments & Review Cycle Similar to Foundation Assessments: Case based Discussion (CbD) Two per 4-month post Three per 6-month review Observed patient encounter (Mini-CEX) Two per 4-month post Three per 6-months review Clinical Examination & Procedural Skills (CEPS replace DOPS) When appropriate – not very many! Multi-source feedback (MSF) Twice ST1 (once each 6m review cycle), none ST2, twice ST3 Patient satisfaction Questionnaire (PSQ) Only when in a GP post (including ITP).

Assessments & Review Cycle It’s simple - how can things possibly go wrong? The formal RCGP sign-off is done by your ES No contact with them, no GP study days? This just will not happen Missing assessments & log entries = No review Incomplete reviews at year-end = ARCP ARCP can: Forgive Make you repeat a training year Remove you from the programme.

ST1 Induction General Information RCGP Examination Education - Exam overview - Assessments Education - Learning Objectives for posts - E-portfolio - Study Leave “To-do list”.

Knowing What to Know?

Knowing What to Know? GP Curriculum What do you really need? Available on RCGP website 26 Chapters (21 Clinical) Thousands of pages long Written by committees (and it shows) What do you really need? Simple idea of what to aim to cover in each post Use this at “start of post” meetings with CS.

Knowing What to Know? The Condensed Curriculum Guide GP Curriculum Map Copy in Handbook Summary of each Curriculum chapter - where could it be covered? - mapped to InnovAIT The Condensed Curriculum Guide Useful Guide RCGP Website/ bookshop (£16.15 e-book for AiTs) The Curriculum in Hospital & General Practice Copy in Handbook Simple suggestions of what to aim to cover in each hospital post GP Specialty Training Handbook for Hospital Specialties KSS GP website, trainee’s section Post-specific, more detailed

Knowing What to Know? Simple steps for each new post: Try and come up with 2-3 simple ideas - Look at the two guides in the handbook - Discuss with GP Trainer (ES) if appropriate Bring ideas to the planning meeting with your hospital consultant (CS) Put these in your e-portfolio & PDP Ask your GP Trainer (ES) if they have a copy of the “Condensed Curriculum Guide” that you can have a look at.

E-portfolio

E-portfolio E-portfolio = Workplace-based assessment Record of required assessments CbD, COT, CEPS, MSF, PSQ, CSR…. Record of your educational activities (learning log & PDP) Record of 6-monthly reviews by ES Ultimately used by KSS to sign-off WPBA (Other uses – messaging, exam entry).

E-portfolio – First Stages Assessments Once registered, can access forms from log-in page Can send ticket codes to assessors Personal Development Plan 1 or 2 SMART entries from meetings with ES & CS Learning Log Included on Wednesday half-day teaching September 14th Minimum requirement is 2 entries per week Make a start with simple entries Teaching sessions (this one), CS meeting “I saw an interesting patient with...”

Teaching Opportunities Informal Teaching – learn by seeing patients & discussing cases Formal Teaching Sessions Minimum requirement is 70% attendance. Open door policy Departmental Teaching 1-2 lunchtimes & formal sessions per week. Audit half-days Medicine “Top 20” teaching (Thursday) strongly recommended Weekly ST1/2 GP Teaching - at local GP Practice Wednesday 14:00 with GP Trainer (open door) Monthly ST1/2 Teaching - at FGMC (Dr de Ferrars) – study leave 2nd Wednesday of the month (14:00 – 17:00) Annual ST1/2 Communication Skills Day – at FGMC – study leave 2nd Wednesday November & June Must attend one or other.

Study Leave Six weeks notice & must complete the form Funded by HEE KSS (public money): They are allowed to say how their money is spent They are all facing massive budget cuts Each has their own policies KSS Policy & Guidance : Study leave is an allowance and not an entitlement Full guidance on KSS website Focus of must be to help you achieve your GP CCT Is what you are considering needed for GP CCT?

Communication Skills Day Study Leave Year 1 Year 2 Major Topic Minor Topic August Induction & AKT September Eye Problems Portfolio ENT & Facial October Cardiovascular Ethics Professionalism November Communication Skills Day December Dermatology ESR Preparation Drugs & Alcohol January Mental Health Respiratory Changing behaviour February Women’s & Sex Health Contraception Metabolic & Endocrine Investigations March Men’s Health Cancer Neurology Learning Disability April Paediatrics Statistics EBM/ Critical appraisal May Digestive Screening Genetics June July Rheumatology & MSK Complementary Rx Elderly Care Driving & DVLA GP Practice Placements Minimum of 1 day, preferably 2 days, per post Key role in achieving goals with ES ST1/2 Wednesday Half-days 2nd Wednesday afternoon of the month Held at Frimley Green Medical Centre Discretionary Training linked to a PDP Not arranged GP placements? Answer will be “NO” Must be for skills that are required for GP CCT Must be in PDP & agreed with ES & agreed by PD Collecting multiple diplomas is discouraged AKT – 3/ 4 /5 days.

ST1 Induction General Information RCGP Examination Education - Exam overview - Assessments Education - Learning Objectives for posts - E-portfolio - Study Leave “To-do list”.

To-do List - August Find the RCGP website, register, look at AIT option Activate your e-portfolio CS (each post) and ES (whole programme) – GOT IT? Start of post 1 meeting with your CS Learning objectives in your first post (log entry) Start of year meeting with your ES Study leave with your ES (September or October) Start of programme meeting with your PD Study leave for Wednesday afternoon study half-days Look at the websites Especially www.frimleyvts.org

To-do List - September Last Friday of month lunchtime meetings at FPH Should have met up with PD Thursday lunchtime VTS (from Sept 18th) Drop by and say hello Chat about issues & problems Start using your e-portfolio learning log More about this September 25th meeting Start getting assessments recorded.

Communication Skills Day ST1/2 Half Day Programme Year 1 Year 2 Major Topic Minor Topic August Induction & AKT September Eye Problems Portfolio ENT & Facial October Cardiovascular Ethics Professionalism November Communication Skills Day December Dermatology ESR Preparation Drugs & Alcohol January Mental Health Respiratory Changing behaviour February Women’s & Sex Health Contraception Metabolic & Endocrine Investigations March Men’s Health Cancer Neurology Learning Disability April Paediatrics Statistics EBM/ Critical appraisal May Digestive Screening Genetics June July Rheumatology & MSK Complementary Rx Elderly Care Driving & DVLA