Welco lcome me GP4 Workshop 4 Getting ready for your students - PowerPoint PPT Presentation

Welco lcome me GP4 Workshop 4 Getting ready for your students Dr. Barbara Laue Dr. Kimberly Bruce

Thank you For teaching GP4 in these difficult times Barbara and Kimberly

Overview • GP4 – In and OUT models • Learning remote consulting • Linking students to virtual consultations • AccuRx and conference calls • Tutorials • Authentic tasks - Giving Flu jabs • Engaging OUT students • GP4-PCC clinical diary and student reviews

Quick recap - GP4-PCC clerkship Two GP placements = One GP4-PCC clerkship The learning outcomes for GP4 need to be achieved by the end of the academic year • Two GP placements, one in each academy make up the GP4 – PCC clerkship • 18 Wednesdays in each placement, 36 Wednesdays in total • Students can catch up in the second GP placement on what they missed in the first one • GP4-PCC = GP4 Primary Care and Community

Recap - GP4 Building Blocks for GP4 Tutorial/cons. Self Surgery Authentic Community skills directed Consulting 1 hour every tasks Allied learning 2/52 Health 17.00 9.00 Check out Check in Morning Lunch Afternoon

Wednesday structure - 3 contact points Tutorial or Check in Check out consultation skills • How did it go today? • Hello and welcome • Concerns? Covid/Influenza • Icebreaker • What learned, what sticks out? • Skill of the week Gaining consent for flu • Drug of the week immunisation • Planning for the next week

GP4-PCC placement models 47 practices teaching year 4 • 3 F2F x 2 How many students in your group? • 4 F2F x 24 • 4 PIN&POUT x 5 Please type the number in the chat box • 6 F2F x 13 • 6 IN&OUT x 1 • Online only x1

What your students are bringing to GP4-PCC • Knowledge • Experience in CBL-case based learning, finding things out • Missed some year 3 skills (Covid) • Signed primary care confidentiality agreement • (sample in GP guide) • Signed DBS statement (had full DBS check in year 1) • Mandatory training in eLfH – 12 modules

Mandatory Training – e-lfh by HEE Complete before starting year 4, completion is monitored. 1. Health, Safety and Welfare - Level 1 2. Data security awareness level 1 – confidentiality, data protection, GPDR, Caldicott principles 3. Infection Prevention and Control level 1 - PPE 4. Infection Prevention and Control level 2 – covid-19 Resuscitation UK Guidance 5. Resuscitation adults - level 2 - covid-19 6. Resuscitation paediatric - level 2 7. Fire safety - level 1 8. Moving and Handling - level 1 9. Safeguarding children – level 2 10. Mental Capacity Act and Adult Safeguarding 11. Chaperones and Consent – authentic task 12. Equality and Diversity and Human Rights - level1

Data Protection – CAPC teaching DPIA • accuRx ,Blackboard Collaborate and telephone consulting • Data protection officers – UoB and Avon LMC • Viewed on request Is it safe to invite students on to accuRx calls? accuRx approved by NHS digital as a secure tool for video consultations. How should I consent patients for student consultations? verbal consent as you would for medical student teaching pre-Covid. Is Blackboard Collaborate safe to discuss patient identifiable data (PID)? We have made as much effort as possible to ensure that Blackboard Collaborate is a secure platform for discussion of patients Only use PID in the discussions if essential for clarity Sessions should not be recorded In most security breaches, humans are the weak link and we are providing training to students and GP teachers to ensure they know how to use the software.

Preparation Practice Students • Room, some equipment • We will send them an email with details of their group and practice • Information for the whole team • Student names and ? Photos • Sign the primary care prominently displayed confidentiality statement • Timetable in place for first 2-4 weeks • Answer a list of questions about your practice

Learning about remote consultations • Practical – lighting, picture quality, processing effects, examination • Medico-legal – 3-point ID check, consent, documentation • Para-verbal signals • Lose non-verbal cues - Cognitive overload and decision fatigue, lose congruency between visual/auditory, summarise and clarify • Physical barrier – difficult conversations, aggression

Student online tutorial – remote consulting

GP teacher guide COGConnect remote consulting top tips

Handbook - responding to domestic abuse during telephone and video consultations

Using accuRx in remote consulting • Secure NHS digital approved software - reviewed by CAPC Teaching, data protection team at the University of Bristol • Invite 2 people into the consultation in addition to the patient and clinician. • Students have undertaken data protection training and signed a confidentiality agreement that specifically addresses video consulting. • accuRx text to the patient before the consultation (e.g. template with max 400 characters) Thank you for agreeing to have x medical students present in your video consult today. Your GP will send you a link to join the consult. They will check that you are still OK to take part. Students will then join the call. You will be able to see the students and GP on screen. The call is not recorded. One of the students may consult, the GP observes and helps out as needed. Please let reception know if you do not wish to have students present.

Using accuRx in remote consulting • OUT (virtual) students - email addresses of both students • IN (in Practice) students – if in separate consulting room - logged onto EMIS/System One – working videocam and microphone • EMIS users – screen messaging • System One users – instant messaging 1. Invite the patient to the consultation as you normally would 2. Obtain verbal consent from the patient for the students to be present, as you would do for normal student teaching in practice. 3. 3. Click on the grey icon on the top left of the video screen: 4. 4. Select Copy link and paste this into an email to OUT students. Paste into an instant message (System One) or screen message (EMIS) for IN students 5. 5. The students click the link to join the consultation. They should enter their names as “First name (Student)” and ensure that their camera is turned on.

Click on the grey icon on the top left of the video screen:

Select “Copy link” and paste into an email to OUT students. Paste into an instant message (System One) or screen message (EMIS) for IN students

FAQ document – AccuRx text to patients What will the students want to know? These are students in the fourth year of their course to train to be a doctor. They are learning about different illnesses and health conditions. They will ask you questions but it is okay if you are not sure of the answer, and your GP will also be there to help out. Your GP will be able to give you more information when they invite you to the teaching session. Where are the students? Similarly to you, the students may be dialling in remotely from home due to the current covid-19 pandemic. Is what I say confidential? Video sessions will not be recorded. Students are bound by a code of confidentiality much like your doctors are. Students will discuss their general learning on clinical placement with their colleagues and teachers on their course. They cannot share any information where you could be identified with anyone outside your healthcare team without your permission. Your safety is paramount, and confidentiality can be broken if, when speaking to you, a student or doctor becomes concerned about your safety or that of others.

Using teleconferencing in remote consulting • accuRx text to the patient before the consultation (e.g. template with max 400 characters) Thank you for agreeing to have X med students present in your telephone call today. Your GP will send you a link to join the consult. They will confirm that you are still OK to take part. The students will then join the call. One of the students may consult whilst the GP observes and helps the student out as needed. Please let reception know if you do not wish to have students present. • Telephone the patient as usual • Verbal consent from the patient for the students to be present, as you would normally do when students are present in a consultation • Conference call in the medical students

Tutorials - 1 hour protected time • 14 tutorials in total • 7 in each GP placement • About fortnightly • 1 hour protected time • Alternating with consultation skills/skills practice/other activities • No tutorials on academy afternoon and student review days

Tutorials – 1 hour protected time • 14 tutorials in total • 7 in each GP placement • About fortnightly • Alternating with consultation skills/skills practice/other activities • No tutorials on academy afternoon and student review days • All learning resources including model answers are provided for GP teachers CBL Case based learning approach for tutorials • Students are given questions, research the answers, discuss and share what they have learned in the tutorial, GP facilitating, correcting, filling in missing information • We are not giving answers to students in their resources • Associated communication skills practice