The School of Primary Care Bristol Faculty Day Bill Irish

Most information can now be accessed via the School website: New Website – Jan 2009

Numbers 2500 GP Principals + Significant numbers of non-principals Full-Time GPSTRs: …324 increasing to 500 over next 3 years Year of EntryNumber recruited into ST

Opportunities Better rotations: – Less internal medicine, T&O, etc – More palliative care, SRH, Paediatric A&E etc using 100% funding from SHA More foundation rotations with 4m GP – Conversion of hospital F2 posts into GPSTR posts – To 55 or even 60% All with 18m GP – mainly in ST2

Threats Capacity in General Practice – Major recruitment drive Improvement grants – £0.5 Million Local support in WSM and in Bristol for new trainers – Pressure to pick up surplus medical and surgical posts in context of EWTD – GPE and Trainer fatigue – Recruiting from same pool of applicants – standards?

Experienced Trainer Courses (ETCs) We have listened… We have trashed the old Severn and Wessex Courses Paul Main has led a major redesign of the 3 yearly ETC Thank you for all of your input

ETCs What they wont… – Be didactic – Have any hidden agenda assessments – Be rigid – Have any political spin – Charged for What they will … – Be learner-centred based on adult education principles – Be experiential – Based on peer learning & feedback – Use live bait – Use local subject experts for current hot topics – 3 days every 3 years – Be developed in response to feedback Remain compulsory for re- accreditation as a Severn trainer

Extended Rotations

ST1 3 x 4 months, Hospital Based ST2 1 x 6 months, Hospital Based 1 x 6 months, GP ST3 12 months GP Structured Teaching through local programmes Single GP Educational Supervisor

ST1 3 x 4 months, Hospital Based ST2 1 x 6 months, Hospital Based 1 x 6 months, GP ST3 Scholars (5) 12 months GP 1 month training in education ST3 Scholars (6) 12 months GP 1 month training in medical Leadership Primary Care School Scholarship Programme 11 “High Flying” GPSTRs selected competitively at ST2 for additional training in ST3

New 4-year Programmes ST1 3 x 4m hospital posts ST2 1 x 6m hospital post 1 x 6m GP ST3 50% academic 50% GP ST4 50% academic 50% GP 2 Clinical Research (Nationally funded ACFs) - UoB 1 Education – UoB 2 Public Health/Leadership – Bristol and Somerset PCTs 2 Clinical Research (Nationally funded ACFs) - UoB 1 Education – UoB 2 Public Health/Leadership – Bristol and Somerset PCTs

Collaboration With Universities Bath UWE Masters programme in Primary Health Care Taken over 4 years

Existing Links Research Projects – UWE ACFs and Undergraduate Teaching – UoB Advanced Practice Nurse Project – UWE/Derek Sprague – City KTP on QA of hospital training posts – UWE Language Skills Assessment in Doctors in Training – Bath Novel selection methodologies for GPST – City Advanced Educator Development – UoB – Dundee MRCGP exam teaching and NQGP mentoring – Severn Faculty, RCGP

How might it work? Self funded by trainees – 77% current ST1s interested in a self funded MSc Some limited development costs co-funded by deanery and university Credit accumulation – possibly allowing some import from other national universities Needs to be seen as high return – Additional Skills – High Value Qualification – High chance of completion Accessibility by established local GPs for CPD

Mapping an MSc on to GPST & Beyond Accreditation Licensure Clinical Learning Clinical Generic Taught Masters Modules Project Dissertation Research Skills ST1ST2ST3Post CCT Certificate Diploma Masters Mulitple Exit (and re-entry) Points

Accreditation Joint exercise between HEI and Deanery Minimal cost to trainees Oxford Brooke’s model – Assessed Portfolio – Passing 3 components of MRCGP Assessed by current faculty, after training by HEI Visiting university appointments

Taught Masters Adapted from existing taught Master’s level programmes. Opportunity to provide access to local GPs, and the NHS. Distance vs. face-to-face education Clinical Modules Eg: Sports Medicine Palliative Care Public Health Therapeutics Clinical Modules Eg: Sports Medicine Palliative Care Public Health Therapeutics Generic Modules Eg: Business & Finance Skills Law & Ethics Leadership Education Generic Modules Eg: Business & Finance Skills Law & Ethics Leadership Education

Project and Dissertation Taught basic clinical and/or educational research skills Opportunity to evolve into a research-based degree Distance learning Supervision from subject experts

Thank You Questions? Critiques? Suggestions?