York GPVTS The future?

Aims To improve the VTS HDR by making it more: Specific to individual year groups Learner centred Curriculum linked PBL orientated Easy to run with multiple facilitators

Rotations - constraints 2 Cohorts of trainees, 60 in total. Primary Care GP (FT) and GP Innovative posts (PT) – 18 months Secondary care 2 “Front” rank posts - Med/Eld Med, A/E, Paeds, Psych or O+G. – 12 months (minimum can do 3 such posts) 1 “Second” rank post – Pall Care, Orthogeriatrics, Ophth + ENT – 6 months

HDR - Current HDR runs on Wednesdays either for whole day or half day Normally run 2 half days and 1 whole day per month and on the 4th week the Trainee might do a surgery or SDL Trainees in Hospital posts attend monthly whole day release. Trainees in GP and GP Innovative posts attend half day release x2/month and whole day x1/month Some overlap in content of whole days when the 2 cohorts might come together

Proposal Split the trainees into 3 groups based on their post and the stage of their rotation: A Hospital post in yr 1 or 2 of rotation B GP or GP-Innovative post in yr 1 or 2 C GP or GP-Innovative post in yr 3

New HDR Structure A Monthly day, 10-12 per year, topic based, curriculum driven. Trainer supported / led. 2 year rolling programme. B Attend monthly day as above, 2 half days per month both of which to be trainee led but trainer facilitated. Some could be PBL. C PBL, Balint, assessment orientated ( CSA +WPBA)

New HDR Structure 2 Group C - year 3 of rotation, all in GP or GP Innovative posts, 15 – 25 in total? 2 – 3 small groups so 2 - 3 facilitators weekly PBL cases Balint groups Focus / Topics trainee determined

New HDR Structure 3 Group C - PBL Cases needed for groups B and C will have to consider resources e.g. HYMS, other VTS websites, writing new cases etc. Role for TWS? Need to avoid repetition. Aim to create cases that cover otherwise difficult areas of the curriculum.

Issues Accommodation PGMC, LaRC, Practices. York Medical Society – could consider basing Group C entirely at YMS. LTFTT in Group C for 2 years attend half the number of sessions, they would choose. Residential Seminar for the trainees possibly in Sept / Oct to maximise subsequent teamworking? Extra PD session to be filled by a weekly tutor?