Johnny LyonMaris

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Johnny LyonMaris

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Glynis Buckle. Mohan Kumar. John Pitts. Practice visiting in UK Deaneries. Currently what is known ... 18/22 deaneries watch a video of the trainer teaching. ... – PowerPoint PPT presentation

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Title: Johnny LyonMaris

1
Practice visiting in UK Deaneries

Johnny Lyon-Maris
Glynis Buckle
Mohan Kumar
John Pitts

2
Currently what is known

PMETB in process of developing Quality Assurance
Framework1.
To date all deaneries have developed their own
standards.
Little research Use of QOF on the visit2
Visits valued
but too much paperwork3
1. The PMETB Quality assurance framework
Consultation document 2007
2. Swanwick et al., 2007 Education for primary
care
3. Pitts et al., 2007 Education for primary
care

3
Survey of deaneries Aug-Oct 2007

Time scales for approval visits.
Supporting paperwork.
Visiting teams.
Use of video teaching.
QOF.

4
Common Features

All deaneries visit.
Initial trainer appointment 1-2 years.
Three year re-approval (many looking to 5 year
periods).
Structured re-approval forms completed
beforehand.
Visit led by senior medical educator.
Reapproval report sent to trainers.

5
Ranges for majority activities
6
Composition of visiting team

Visit lead senior medical educator in 100 1
Breakdown
12/20 same patch
2/20 random allocation
6/20 remote2

AD, senior trainer or director
Forces and NI not applicable

7
Composition of visiting team

CO in 11/22.

8
Composition of visiting team

Trainer in 16/22 1.
In only 10/22 is it considered mandatory for
trainer to be part of team.

1. expenses nil to 225 (5 deaneries pay the
trainer)
9
Composition of visiting team

GPR in 4/22.

10
Composition of visiting team

Practice manager in 11/22 1.

1. expenses nil to 140 (6 deaneries pay the PM)
11
Composition of visiting team

Practice nurse in 2/22.

12
Composition of visiting team

Lay member in 6/22 1.

1. in these representation from 5-25 of visits
13
Recommendations

Time between trainer practice approval visits
1-2 years as is current practice throughout the
United Kingdom. The reapproval visit period
currently 3 years, is being prolonged to a 5 year
period in some Deaneries. This extended
reapproval period be evaluated and compared to
current practice.

14
Recommendations

Pre-visit supporting information
A study be undertaken looking at the approval and
reapproval application forms from all UK
Deaneries to highlight similarities and
differences so that these forms can be
standardised for future use. The forms should
however contain a section for local variance.

15
Recommendations

Visiting teams
Lead continue to be senior medical educators but
that the teams consist of the key stakeholders,
namely GP Trainers and GP Registrars with the
addition of lay visitors in a pre-determined
percentage of practice visits.

16
Recommendations

Re/approval report
The re/approval report is made universally
available to the trainers being inspected.

17
Recommendations

Training practice visit processes
All patches within each Deanery standardise their
visiting processes as occurs in a large number of
the Deaneries, as without standardisation within
the Deaneries national standardisation cannot
occur.

18
Recommendations

Videotaped teaching
Trainer skills in teaching continue to be
assessed, currently most commonly using
videotaped teaching which is entirely acceptable,
but if this is done that the videotape be
reviewed in the presence of the trainer for
developmental feedback reasons.

19
Recommendations