The bits you really wanted to know but were too afraid to ask What - PowerPoint PPT Presentation

The bits you really wanted to know but were too afraid to ask

What to expect from this morning...  A chance to tell us what you’d like to get out of the year.......  ...and for us to go through what we need from you!  Some practical stuff  An overview of the year  A bit of fun and general silliness

The VTS team – what we can do for you!  Provide curriculum based teaching that responds flexibly to each of your needs  Act on the feedback you give from that training  Support you through the MRCGP by providing teaching targeted to each stage of the process  Help ensure your practices are ideal learning environments and that your trainers are up to date  Support you and your trainer if you have problems during the year  Liaise on your behalf with the trainers’ groups and deanery

What do we expect from you?  Attend teaching ON TIME – or send apologies in advance- check the website!!! (we now have to take a register formally) www.readingvts.org  Participate in the group teaching activities  Be self-motivated – you’ll get much more out of your year  Give us feedback that helps us move forward and improve the scheme for next year  Let us know if you are experiencing problems

(Bits you need to get sorted now!)

You should all have completed....  Paperwork for the new single lead employer  Contract  Note responsibility for your working arrangements rests with you and your practice

‘New’ contract  40 hour week  30 hours clinical (including OOH – approx 1.5h/wk on av, 36h over your 6m placement)  10 hours educational (incl VTS, tutorials etc)  This is new for you and your practices, lots of info on our website

Indemnity  This is now handled by the single lead employer  Your practice will require evidence that you are fully paid up

Inform your car insurer!  It is often forgotten, but home visits count as business use.

Mileage  It’s a faff but it is worth you claiming mileage  The form is on the single lead employer website http://www.pat.nhs.uk/education-and- research/forms.htm  You can claim up to 20miles home and back + visits BUT only on days you actually do a visit, you can also claim for travel to and from courses

courses  You will need to apply for courses promptly (before they get booked up)  Courses you may want to consider include: - Minor surgery - DFSRH (costs depend on provider see their website) - Substance Misuse and alcohol misuse (these will be part of your VTS day-release course and you can choose to pay £150 to get each RCGP certificate) - Deanery CSA courses  Details regarding the application process, funding and forms are available on the single lead employer website - https://www.nwpgmd.nhs.uk/general-practice/gpst-study- leave

Go to the Oxford PGMDE for info... www.oxforddeanery.nhs.uk The site will tell you : - which deanery run courses are available - how to apply for them (2 months in advance, form to be signed by you, your trainer, us)

While we’re talking about courses...  Therapeutic Rapport  Mock CSA day  Hot topics for CSA  GP update (about £75)

Out of hours  You need to complete 72 hours of OOH sessions.  During ST3 these sessions need to be in a GP out of hours provider setting (ie not ambulance/ palliative care/ walk in centre)  Your educational supervisor must give you a ‘traffic light’ rating that determines the level of supervision you need. You will start on ‘Amber’ initially in ST3 and work up to ‘green’.

Those of you doing general practice in Berkshire over the next 12 months need to attend an introductory session at Westcall if you haven’t been before, date TBA Berkshire Practices: Westcall Helen.Johnson10@NHS.net Oxfordshire Practices: OXDOCS Angela.Jones@oxfordhealth.nhs.uk Ooh.st3oxford@gmail.com (James to book shifts) Scheduling.Department@scas.nhs.uk for ambulance shifts

Out of hours continued  You need to keep a separate record of OOH sessions attended, REALLY IMPORTANT - Fill in an OOH form (website ‘trainee’ section in ‘downloadable resources) and ensure the trainer supervising you for the shift signs it. - Make an OOH learning log entry on the shift and scan on the form - Ensure the first line of the OOH shift log entry states exactly how many hours you worked so that panel can easily check

OOH continued  You need to book the sessions early to avoid disappointment and inform your practice manager/trainer promptly so that they can modify your timetable.  If you work an evening shift on a weekday you will need to start late the next morning to avoid breaching the WTD. As you are paid for OOH shifts within your contract you are responsible to make up this time at another point in your training e.g. doing an extended hour surgery.

Extended hours  Within your registrar year you are expected to get the full range of experience of a jobbing GP, in most practices this will include extended hours  Like all your surgeries extended hours sessions should be supervised  Any extended hours you do should be paid back with time in lieu

...and how to survive it

Design your year CSA Mid term assessment Learning log entries ESR ST3-1 OOH ESR ST3-2 CEPs Appraisal CBD Basic life support COT Audit/ QIP MSF Job applications PSQ PDP FORM R

Your year as an ST3 Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Ed Sup review PSQ MSF Final review MTA MSF 34m!!!! + Form r 2w before panel AKT AKT AKT CSA CSA CSA CSA Minimum 12xCOT, 12x CBD + CEPS Minimum 72 hours OOH Learning log and PDP

MRCGP  You need to think about how you will plan your year.  We will be structuring your VTS sessions to fit in with the examinations.  You can talk to us and to your trainers about when to take the CSA

MRCGP continued  Try to keep on top of your WPBA  Now is a really good time to complete some CEPS  Ensure you make regular entries in your e-portfolio (we’ll be reviewing them over the year!)  Maintain a PDP and keep it ‘active’  Complete at least as many CBDs and COTs as you need (plus a few more!)  Don’t forget the MSF and PSQs or BLS  Start planning your QIP

Timetable  Year is structured into consultation skills teaching initially and professional skills later on  Formal teaching based on curriculum mixed with SDL SDL gives you the opportunity to target learning needs in your PDP

SDL  Plan them well in advance  Select areas in your PDP you need to target  Think about how you might address these clinics/ e-learning (once only)/ courses/meetings etc  Your trainers, PDs, peers may be able to suggest resources 

SDL cont  The sessions can be done any time in the week as long as you then spend the Tuesday pm in surgery  These sessions should NOT be used for exam revision or to catch up on your e-portfolio!!!  Each SDL needs to generate a log entry

QIP  You are encouraged to pursue some form of audit/QIP or notes-based review independently in practice

Child protection and Adult safe- guarding  These are also a mandatory part of revalidation  Training will be provided on scheme and it is important that you attend/complete the relevant e- learning and record it in your e-portfolio

Educational reps  1 or 2 reps  Preferably have an interest in education/teaching but not absolutely necessary  Apply in email ASAP, interview date to be decided.

Educational reps cont  Represent your groups’ views on the education you are receiving by regular liaison with the PDs  Help us develop the course to suit the needs of your group  Eventually run PBL  Develop new initiatives to increase the relevance of the VTS course

What you get out of it  Experience of an educational role  Ability to influence the scheme for your peers and for those following on  Development of new ideas and initiatives  Impressive addition to your CV