1. THE DEFENCE POSTGRADUATE MEDICAL DEANERY GP TRAINING IN THE DEFENCE MEDICAL SERVICES Group Captain Alison M Amos FRCGP Director of Postgraduate General Practice Education

2. THE DEFENCE POSTGRADUATE MEDICAL DEANERY Scope What is Military General Practice? Recruitment Processes Single Service Military Training GP Training Programmes The Future

3. THE DEFENCE POSTGRADUATE MEDICAL DEANERY What is Military General Practice? “Unique synthesis of general practice, practical occupational health and pre- hospital emergency care, practised in teams globally, in often challenging or hostile environments”

4. THE DEFENCE POSTGRADUATE MEDICAL DEANERY Very Broad Role Anything medical! Elderly Refugees Police Surgeon Public Health Family Medicine

5. THE DEFENCE POSTGRADUATE MEDICAL DEANERY CORE ELEMENTS Disease Management Consultation Skills Service Management Health Promotion Travel Medicine Public Health Military Psychiatry and Counselling Pre- Hospital Emergency Care Sports and Exercise Medicine Occupational Health Training and Education Legal and Ethical Practice Issues Military Skills Medical Operational Planning Disaster and Refugee Medicine Environmental Medicine Model of Service Primary Care From Richardson and Morgan-Jones

6. THE DEFENCE POSTGRADUATE MEDICAL DEANERY Recruitment Mostly cadetships Some Direct Entrants Join RN, Army or RAF Normally 6 year short service commission

7. THE DEFENCE POSTGRADUATE MEDICAL DEANERY Military Training Attend Sandhurst, Cranwell or Dartmouth for 8 to 10 weeks where basic military skills are developed Followed by Service specific military medical training –Aviation –Radiation –Travel –Sexual Health –Occupational RN and Army undertake GDMO time. RAF begin GP training

8. THE DEFENCE POSTGRADUATE MEDICAL DEANERY Defence GP Training Supported by DPGPE as part of the Defence Deanery 3 single Service ‘Assistant Directors’ but not part of Deanery 6 ‘Associate Directors’ – part time and secondary duty The Educational Supervision while during the hospital phase is provided by x 6 GP trainers In GP the ES is the military or civilian trainer

9. THE DEFENCE POSTGRADUATE MEDICAL DEANERY Defence GP Training GMC Approved Programme of Training to achieve CCT Aim for: –16 mths hospital –20 mths GP Hospital posts at the MDHUs of which there are 5 Plus R&R (Headley Court) and DCMH x 2

10. THE DEFENCE POSTGRADUATE MEDICAL DEANERY Defence GP Training General Practice training is provided by a mixture of military and civilian placements Military placements are in England, Germany and Cyprus GP Placements and trainers are QA by the Defence GPEC chaired by DPGPE Mersey Placements are in ‘families’ practices but some are ‘troops only’ hence the need for a 50:50 arrangement in some cases

11. THE DEFENCE POSTGRADUATE MEDICAL DEANERY Defence GP Training Due to shortage of military practices, patient caseload and requirements of the AKT/CSA, 6 month NHS placements are sought for all Defence GPStRs Details covered in an SLA Trainers grant and all costs of the GPStR are paid for by the military

12. THE DEFENCE POSTGRADUATE MEDICAL DEANERY The Future Defence will continue to need the support of the NHS for some elements of training If the extension to GP training is realised this will become even more so Your support is invaluable Thank you