Specialising within GP Dr Anjaly Mirchandani MBChB MRCS MRCGP Salaried Gp Specialty Doctor in Palliative Medicine a.mirchandani@nhs.net
My timeline Graduated University of Bristol 2001 Basic and High Surgical Training Rotations Decision to switch to GP training Careers advice Mentoring - lifestyle, generalist interest in medicine, more holistic care feeling deskilled in aspects of care that i liked eg communication, variety, greater control over working hours, flexibility, autonomy, practical skills, teaching Access careers advice and mentoring from local deanery
GP Specialty training Last hospital post in Palliative Medicine Inpatient unit Community team Day Centre Clicked with specialty… MDT, supportive, time, holistic care, complements GP, develop advance communication skills, confidence with difficult conversations, complex symptoms, medication worked with specialty doctor so became aware of role
GP ST3 Palliative care locum shifts European Certificate in Essential Palliative Care Right place right time - position opened up. Maintained interest, further qualification
POst CCT 5 Session salaried GP 5 Session equivalent Specialty Doctor Inpatient Unit Middle grade on call rota Day centre - OPA and medical reviews Education/Service Development
development of other interests Medical Education GP tutor Imperial College Trainer Difficult Conversations Palliative Care teaching to GP’s and allied Health Professionals MSc Medical Education in progress
Minor Surgery and Joint Injection - accredited Event Medicine Coach/Mentor - Imperial Lead Provider Scheme
pathway Open minded Opportunity Networking Development of role Accreditation openminded to different specialties, own interests. ‘fall in’ right place at the right time
Benefits Pursue specialist interest in wide variety of specialties Personal satisfaction and development - increase in competence and certainty in specific area Vary working week Different working environment and professional relationships Share knowledge with colleagues in practice Opportunities for teaching and training Opportunities for service development
disadvantages Time commitments - competencies, setting up service, appraisal, personal development, timetable Variable income Medico-legal Know your limitations currently no extra fee to MDO Clarity and cost effectiveness of role
Useful links A Career Companion to Becoming a GP: Developing and Shaping Your Career by Patrick Hutt, Sophie Park London Postgraduate Medical and Dental Education Coaching Service http://www.lpmde.ac.uk/professional-development/coaching-service Imperial Lead Provider Coaching and Mentoring Scheme http://leadprovider.imperial.nhs.uk/resources/coaching-mentoring/ coaching.mentoring@imperial.nhs.uk
any questions?