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

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

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

4. Communication IT DOES! Why is there always one?
Purchased Dreamtime © Andreykuzmin | Dreamstime.com - <a href=" 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!

5. 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
- anytime
VTS Term - drop-in Thursday 12:45 – 13:30
discuss problems/ concerns

6. 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.

7. 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

8. 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

9. 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

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

11. 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

12. 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.

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

14. 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 ES Review (ARCP report)

15. 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

16. 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).

17. 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.

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

19. Knowing What to Know?

20. 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.

21. 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

22. 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.

23. E-portfolio

24. 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).

25. 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...”

26. 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.

27. 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?

28. 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.

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

30. 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

31. 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.

32. 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