1. ‘Planning the next three years ’ Dr Lena Farruggio ST3 Ipswich GPVTS

2. Before you start… Register with the RCGP o “Associate in Training” (AiT) o InnovAit (good for AKT!) o ePortfolio HR requirements: o DBS check (Update service online £13/year) o occupational health o Defence union subscription with MDDUS General Practice post: medical performer’s list OOH requirements: induction, level 3 safeguarding, BLS BMA o Advice on employment issues o Contracts o Pay/banding

3. Supervision Educational and clinical supervisors Clinical Supervisor is usually the senior doctor that you are working for – this will be the consultant in a hospital job and a GP Trainer for a GP post Therefore your Clinical Supervisor will change every time you change your post. Educational Supervisor is a GP trainer who looks after you for the entire 3 year GP training programme

4. Reviews Plan these in advance to ensure deadline is met ePortfolio up to date before these with released learning logs, WBA Clinical supervisor’s report – prior to end of placement (if in GP this may be your ESR also) Education supervisor’s review – following this, prior to deadline 6monthly think MAY and NOV o review the evidence you’ve collected against the 12 areas of professional competence o You’ll need to complete a self-assessment prior to the meeting ARCP – once a year o Check this on eportfolio o Done automatically, do not need to attend unless asked to do so for discussion of problems o May comment on potential problems in this

5. PostFromTo ST1/Debenham Surgery/General Practice 07/08/2013 04/02/2014 ESR Dec 2014 ST1/The Ipswich Hospital NHS Trust/General Medicine 05/02/2014 05/08/2014 ESR July 2014 ARCP ST2/The Ipswich Hospital NHS Trust/Paediatrics 06/08/2014 03/02/2015 ESR Nov 2014 ST2/The Ipswich Hospital NHS Trust/ENT 04/02/201505/05/2015 ST2/The Ipswich Hospital NHS Trust/Palliative Care 06/05/2015 04/08/2015 ESR June 2015 ARCP ST3/Orchard Street White Health Practice/General Practice 05/08/2015 06/08/2016 ESR Nov 2015 and May/June 2016 ARCP/CCT

6. Preparing for reviews Learning Log entries o Numbers (2-3 per week) o Reflective (quality) Share them! Work Based Assessments o CBDs o Mini CEXs (or COTs if GP) o PSQs if in GP or MSF in hospital o DOPS/CEPS Personal development plan Self rating – rating for each competence area, takes a while so do this well in advance! Ideally 2 weeks before ESR Audits Significant event analysis OOH if in GP o scan in record of these and keep a running total in the title

7. ST1 WPBAs ST1 minimum requirements prior to 6 month review 3 x cot (if in primary care) or 3 x mini- cex (if in secondary care) 3 x cbd 1 x msf (5 clinicians if in secondary care, plus 5 non-clinicians if in primary care) dops, as appropriate clinical supervisors report ST1 minimum requirements prior to 12 month review 3 x cot (if in primary care) or 3 x mini- cex (if in secondary care) 3 x cbd 1 x msf (5 clinicians if in secondary care, plus 5 non-clinicians if in primary care) 1 x psq (if in primary care) dops, as appropriate clinical supervisors report

8. DOPS/CEPS CEPs are replacing DOPs as a 13 th competency Recorded as a learning log Observation and assessment of CEPS may be made by clinical supervisors and other colleagues (including senior nurses and trainees at ST4 or above) There is no prescribed list of Clinical Examinations or Procedural Skills o essential to show evidence of competence in breast examination and in the full range of male and female genital examinations, as this is required by the GMC o there is no minimum number of assessments to be recorded

9. GP Curriculum defines the knowledge, skills and qualities required throughout a GP's career, from trainee to experienced practitioner It’s the basis of our MRCGP membership exam, and underpins our CPD resources for experienced GPs

10. Curriculum Statements Being a GP GP consultation in practice Patient safety and quality of care GP in wider professional environment Enhancing professional knowledge Healthy people, promoting health and preventing disease Genetics in primary care Care of acutely ill people Sexual Health Cardiovascular health Digestive health Respiratory health Care of people with ENT, oral, facial problems Care of people with eye problems Care of people with metabolic problems Care of people with neurological problems Care of people with skin problems Care of children and young people Care of older adults Women’s health Men’s health End of life care Care of people with mental health problems Care of people with intellectual disability Care of people who misuse drugs and alcohol

11. MRCGP exam: AKT o It is a summative assessment of the knowledge base: during/after ST2, max 4 attempts o Online format MCQs, SAQs, pictures etc o Done at Pearson Vue centres o 3hr 10m 200 questions o Three times a year – Jan, April, October o 80% clinical, 10% critical appraisal and EBM 10% Health informatics and admin o AKT content guide o Online question banks (passmedicine), courses inc GPupdate courses, innovAit magazine, feedback from previous years on RCGP website highlights areas for improvement o £477

12. MRCGP: CSA Test ability to gather information and apply learned understanding of disease processes and person-centred care appropriately in a standardised context, make evidence-based decisions, and communicate effectively with patients and colleagues 13 ten minute consultations with simulated patients Jan, Feb, March, April, May, Nov, Dec £1602 Can pay in seven instalments of £220 Courses with RCGP, DVDs, books, case cards Practice in study groups, use GP consultations, videos, OOH sessions

14. Out of Hours 108 hours over 18 months of general practice Induction Online booking of sessions Base, telephone, car OOH sessions Red, Amber, Green levels agreed with educational supervisor Keep a running total in e-portfolio in the title! Keep the paper copy feedback forms as proof but also scan them in Useful practice for CSA Try to do a good amount in ST1, book online in advance (be flexible about location) OOH courses can count towards total

15. Change of plans… So, what sorts of things can make you become out of sync? Maternity Leave Less than full time training Extended sickness leave Carer’s Leave Out of Programme Experience Other types of leave which totals to greater than 2 weeks in any one year (not including Annual or Study Leave) – e.g. a combination of jury leave, compassionate leave, sick leave etc.

16. Less than full time working Minimum number of WPBA assessments that you need to do is reduced pro rata accordingly So, a part time ST2 trainee doing a 1 year post at 50% needs to do a minimum of 1.5 CBDs every 6 months (or 3 in the 12 month period) Needs careful planning with Educational supervisor Suggest making yourself a time line of when need to do WPBAs and when ESRs occur as will be different

17. ARCPs ARCPs continue while OOP but outcome states this is the case and arranges next one for one year’s time Always fill out a form R each year even if OOP During OOP e.g. maternity leave can still enter log entries, go on courses, keeping in touch days etc If in work avoid June holidays if possible as lots to organise prior to ARCPs!

18. Problems or Questions Clinical Supervisor Educational supervisor Programme director and administrator Deanery HR BMA MDDUS GP

19. Sources of information Your GPVTS scheme website Other schemes websites RCGP website Other trainees Trainers/supervisors/programme directors Oxford handbook of GP