Programme 13th August Introduction Graeme

20th August Your year?– Your work!

27th August Handling DM

3rd September Risk

10th September Listening as work

17th September Decisions

24th September ST1 Induction Day

1st October Ophthalomolgy

8th October Consultation day

General practitioners (GPs) are the first point of contact for nearly all NHS patients. They can direct you to other NHS services, and are experts in family medicine, preventative care, health education and treating people with multiple and long-term conditions.

“They.... are experts in family medicine, preventative care, “

• Curriculum Ω

• Super-condensed curriculum Ф

Let’s just remember

• The Consultation – its exceptional potential– 190 million a year in England *(westmoinster

briefing in Sept 2015 said 390M!)– 200,000 per doctor’s lifetime!– High satisfaction rate– Complex business– 2004 MORI poll – 92% of the public

trusted the GP, higher than in 1983, and higher than for another other prof group

* www.bmj.com/content/349/bmj.g6245

Nuffield Trust

http://www.bmj.com/content/351/bmj.h4185

“Complicating relationships”—the water that doctors breathe

The hard work of caring for patients begins with honesty: the recognition of our limited skills, psychological vulnerabilities, and interior storehouse of our biases and beliefs. Mapping this terrain is best accomplished with the help of colleagues who accept our humanity and share our clinical burdens, because our work entreats us to risk affection and enter into the most delicate areas of a patient’s life, where lies their source of pain but also healing.

David Loxterkamp goes on

“The really important kind of freedom involves attention and awareness and discipline, and being able truly to care about other people. Real education has almost nothing to do with knowledge, and everything to do with simple awareness.... (paraphrased)

http://www.rcgp.org.uk/training-exams/mrcgp-workplace-based-assessment-wpba/~/media/Files/GP-training-and-exams/WPBA/RCGP-Hallmarks-of-good-practice-information-recording-ePortfolio.ashx

Disagreement with a senior

• It hurts• I was only doing

my job, the patient was unwell...

• I reflected on our professional duties

• He was unprofessional

• I was professional, I didn’t talk to him about it

• It hurts• I was only doing

my job, the patient was unwell...

• We were both trying to help the patient

• Lots of health care problems are to do with communication

• How can I communicate better?

Cluster groups

(number of approved trainers)

Will’s Group

Ashtree (1)           Granton (3)        Wychall Lane (3)Kings Norton (2)Cofton (3)Maypole (1)Bunbury Road (1)All Saints (2)

     

Fauzia Arif Darminder Singh Sanghera Neil McCulloch

Graeme’s Group

Kingsfield (2)Yardley Wood (2)Greenridge (2)Hollywood (2)Hall Green (6)Hawkesley (1)

     

Adeola Senbanjo Riaz Gulab Ambareen AhmedSanah Bholah

Malcolm Laird group

The Wand (1)

Varsity (1)       

Bellevue (3)

Bath Row (2)

Wake Green (1)

Baldwin’s Gate (1)

Griffin’s Brook (1)

University (1)       

Tania Hussain Timothy Badcock Marwa Saeed Rajani Tripathi (ST2)

David Taylor group

Karis (2)

Lordswood (2)

Harborne (1)

Ridgeacre (4)

Shenley (2)

Selly Park (1)

Quinbourne (1)

       

Qurratul-Ain Yousef , Peiming Yang Maala Nair , Arifa Miah Rachel Watkins

Joyce Williams group

• Bartley Green  (2)• Jiggins Lane (3)• Northfield HC Ross (4)• Northfield HC Ali (1)• Woodland Road (3)• Cornhill (1)• Woodgate Valley (1)• Millenium (1)

Amar Ladwa Robert Molloy Tarsem Madhar Harriet Colville Vivienne Chukwuneke

Some thoughts about the groups:• Form the basis of our group work here.• Also self directed educational sessions.• Lead person in each group (as well as TPD)

(?rotate).• Is part of working week (ST2GP and ST3) • Accountability:

– e-portfolio: must show reflection and content. Remember system can come down on things that are easy to measure.

– Trainers to be keeping account of their own trainees and sessions.

– Keep TPD and your trainer ‘in the loop’ re content

– E-portfolio for each member reviewed also by TPD

Some thoughts about the groups• May be trainers with expertise also do a cluster

group tutorial/ moderate so that participating practices reduce tutorial time for that week.

• Arrange educational visits to other clinical areas - e.g.occ. health, rehab centre, ENT etc.

• Remember when you are in a practice you are employed by that practice but responsibility for your education remains with the deanery.

Proforma• Could we have your name, e-mail and mobile

number (mobile is optional) • Can you fill in your jobs for ST1, your job and your

practice for ST2 and finally your job and Ed. Supervisor for ST3. Mark current job clearly.

Cluster Task

• By the end of this session you will need to have produced a short 4-5 minute video as a cluster.

• It should be based on a health promotion theme.• It can be done in a serious or humorous way.• It needs to be filmed in at least 3 different locations.• Every single member of your group must appear on

screen in the video somewhere, and say something.• The exact style and content are up to you.• It needs to have some medical point to it.• We suggest 30 minutes to write it, 15 minutes coffee

break and 30 minutes to film it.• You will then be asked to show your finished

masterpiece to the whole VTS group.• There will be a prize for the best video.