ST1 Induction

Dr Richard de Ferrars

Programme Director

August 2015

ST1 Induction• General Information

• RCGP Examination- Exam overview

- Assessments

• Education- Learning Objectives for posts

- E-portfolio

- Study Leave

• “To-do list”.

CommunicationEmail is the principal means

of communication

VTS website:

www.frimleyvts.org

Capital Offences:

Failing to check your emails weekly / daily / hourly

Not notifying me/ Jayne/ KSS of a change in email address (doctors.org or nhs.net please).

Communication

Why is there always one?

We always have at least one

trainee who thinks this does

not apply to them

IT DOES!

Contacting Us

Allocated PD:Richard de Ferrars

Christine Marshall

Andrew Cochrane

Military - Various

KSS Trainees – PDs will arrange a meeting Aug/ Sept

Email - anytime

VTS Term - drop-in Thursday 12:45 – 13:30

discuss problems/ concerns

Trainee   Trainer/ ES   Programme Director

Sarah Cunningham Dheshni Moodley Richard de Ferrars

Victor David-West Varsha Joglekar Christine Marshall

Reshmee Doolub Kate Russell Andrew Cochrane

Charlene Faure David Brown Richard de Ferrars

Rebecca I'Anson Claire Lindfield Christine Marshall

Colbin Jose Cliff Kimber Andrew Cochrane

Sumeet Khosla Maj Saeed Richard de Ferrars

Anjum Mahmood Ian Stuart Christine Marshall

Shams Shamoon Gareth Robinson Andrew Cochrane

Tina Sirichantaropass Gail Milligan Richard de Ferrars

Gomathi Sivathasan Arfan Ahmed Christine Marshall

Azad Kisha Louise Payne Andrew Cochrane

Polly Bennion Richard de Ferrars Christine Marshall

Should be nothing to do with me but….ST1/2 - very complexST3 - 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)

LTFTMust now be post-shareMay mean waiting for a suitable sharer or moving hospital

Maternity Leave

The GP Faculty

The GP Faculty

Committee that delivers GP Training here (for KSS)

ST RepresentativesMilitary - TBCST1 - TBCST2 - Dr Camelia WongST3 - Dr Hannah Pedley

KSS rep - Dr Vicky Goodall

GP Faculty GroupProgramme Directors Couple of TrainersDr Bob Ward (KSS) Tracey Franklin, Lyn MoranDME (Ms Menon) Consultants

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 Local Academic Board meets 3x per year

Reports to…..

HEE KSS (KSS Deanery)

Deanery Inspection (on behalf of GMC) every 3-4yrs

- last one March 2013

ST1 Induction• General Information

• RCGP Examination- Exam overview

- Assessments

• Education- Learning Objectives for posts

- E-portfolio

- Study Leave

• “To-do list”.

MRCGP OverviewYou 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  

Sarah Cunningham Yes

Victor David-West

Reshmee Doolub Yes

Charlene Faure Yes

Rebecca I'Anson

Colbin Jose

Sumeet Khosla Yes

Anjum Mahmood Yes

Shams Shamoon

Tina Sirichantaropass Yes

Gomathi Sivathasan

Azad Kisha

Polly Bennion Yes

MRCGP Overview• Applied Knowledge Test

– 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.

Assessments - Complicated Planning

The tube map - looks complex at first glance but is very useful…..

Assessments & Review Cycle

Month 6 ES Review

Month 11 ES Review

(ARCP report)

1-2d Study Leave 1-2d Study Leave1-2d Study Leave

Contact ESContact ES Contact ES

Post 1 Post 2 Post 3

CbD CbD

Mini-CEX Mini-CEX

CEPS

MSF

CSR

CbD

Mini-CEX

CEPS

CbD

Mini-CEX

CEPS

MSF (PSQ) CSR

CbD CbD

Mini-CEX Mini-CEX

CSR

CEPS

Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul

Complicated PlanningClinical Supervisor

Nominated Consultant for that 4 month postMeet 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 SupervisorGP Trainer/ EducatorContinually monitors e-portfolioCompletes ES review every 6 months (January & June)Submits recommendations to KSS (ARCP)

Military KSSSeveral RAMC trainers Trainer usually from ST3 practiceWill contact you directly 1-2 day attachment each 4m post

Similar to Foundation Assessments:1. Case based Discussion (CbD)

Two per 4-month post Three per 6-month review

2. Observed patient encounter (Mini-CEX)

Two per 4-month post Three per 6-months review

3. Clinical Examination & Procedural Skills (CEPS replace DOPS)

When appropriate – not very many!

4. Multi-source feedback (MSF)

Twice ST1 (once each 6m review cycle), none ST2, twice ST3

5. Patient satisfaction Questionnaire (PSQ)

Only when in a GP post (including ITP).

Assessments & Review Cycle

Assessments & Review Cycle

Month 6 ES Review

Month 11 ES Review

(ARCP report)

1-2d Study Leave 1-2d Study Leave1-2d Study Leave

Contact ESContact ES Contact ES

Post 1 Post 2 Post 3

CbD CbD

Mini-CEX Mini-CEX

CEPS

MSF

CSR

CbD

Mini-CEX

CEPS

CbD

Mini-CEX

CEPS

MSF (PSQ) CSR

CbD CbD

Mini-CEX Mini-CEX

CSR

CEPS

Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul

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.

Assessments & Review Cycle

ST1 Induction• General Information

• RCGP Examination- Exam overview

- Assessments

• Education- Learning Objectives for posts

- E-portfolio

- Study Leave

• “To-do list”.

Knowing What to Know?

Knowing What to Know?

GP Curriculum– 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.

Knowing What to Know?The Condensed Curriculum Guide

Useful Guide

RCGP Website/ bookshop (£16 for AiTs)

GP Curriculum Map (Handbook)

Summary of each Curriculum chapter

- where could it be covered?

- mapped to InnovAIT

GP Specialty TrainingHandbook for Hospital Specialties

KSS GP website, trainee’s section

Post-specific, more detailed

The Curriculum in Hospital & General Practice (handbook)

Simple suggestions of what to aim to cover in

each hospital post

Knowing What to Know?

Simple steps for each new post:1. Try and come up with 2-3 simple ideas

- Look at the two guides in the handbook

- Discuss with GP Trainer (ES) if appropriate

2. Bring these ideas to your planning meeting with your hospital consultant (CS)

3. 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.

E-Portfolio

E-PortfolioE-Portfolio = Workplace-based assessment

Record of required assessments

– CbD, COT, DOPS, MSF, PSQ, CSR….

Record of your educational activities (learning log & PDP)

Record of 6-monthly reviews by ES

Ultimately used by Deanery to sign-off WPBA

(Other uses – messaging, exam entry).

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– ST Teaching Friday September 26th

– 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...”

Teaching OpportunitiesInformal Teaching – learn by seeing patients & discussing cases

Formal Teaching SessionsMinimum 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 PGEC (Dr de Ferrars & Cochrane) Last Friday of the month (12:45)

Annual ST1/2 Communication Skills Workshop – at FGMCWhole day, February & June, using study leave.

Study LeaveSix 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?

KSS Study Leave

GP Practice Placements

Minimum of 1 day, preferably 2 days, per post

Key role in achieving goals with ES

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.

ST1 Induction• General Information

• RCGP Examination- Exam overview

- Assessments

• Education- Learning Objectives for posts

- E-portfolio

- Study Leave

• “To-do list”.

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

• Look at the websites– Especially www.frimleyvts.org

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.

The End