Future of SBVTS

1
Future of SBVTS

• Reasons for change
• nMRCGP
• Curriculum published
• Deanery/ SHA agenda
• Initial suggestions
• Modular course
• Self-directed learning sets
• Some form of half-day-release for ST1 and 2

2
Future of SBVTS (Deanery ST1 thoughts)

• 1.Induction to 3 year programme, to cover
  appraisal system especially WPBA. Introduction to
  general practice attachment itself, using case
  based discussions/Balint, watching out for GPRs
  in difficulty.
• 2. Important to orientate whole year-group to
  General Practice
• 3. Work-place assessment to focus on basic
  skills problem solving, consulting, primary care
  management
• 4. Trainees doing hospital attachments may attend
  speciality teaching, where possible both GP
  training too.

3
Future of SBVTS (Deanery ST2 Thoughts)

• Encourage maintenance of GP focus during hospital
  attachments with teambuilding day(s), practice
  visits (attachments or study days), or a
  residential. Reminders of how illness is dealt
  with in General Practice such as chronic disease
  management.
• 2. Case-based discussions are still important,
  both for learning and assessment. CBD and COT (or
  mini CEX) by hospital tutor
• 3. Need to cover specialities not in the GPRs
  programmed rotations- especially minor
  specialities (?how)
• 4. In latter part of the year, a practice CSA
  module

4
Future of SBVTS (Deanery ST3 Thoughts)

• Most will take, and pass, CSA in the first four
  months. (Some trainees may need help to build
  skills and restore confidence.)
• 2. Work-place assessment to focus on higher
  skills co-morbidity, professionalism, community
  responsibilities, holistic care learners should
  be heading for full autonomy
• 3. Opportunities for teamwork, leadership,
  management, finance, careers, etc
• 4. Registrars (who pass CSA first-time) with
  intentions of becoming GPwSI may start
  specialising

5
Future of SBVTS

• Course Organisers Response
• Networking is important
• HDR allows vital sharing of experience and
  knowledge and opportunity for feedback
• Longitudinal relationships foster continuity/
  community
• Pastoral support
• Keeping focus of GP when in secondary care work
  and determines orientation of learning
• Choice of style and venue of learning is a good
  facility if balanced by commitment and active
  participation

6
Future of SBVTS
DRAFT

• Modular days
• Set up centrally
• Stand-alone days of presented topics by a variety
  of leaders mostly COs (?)
• Varied diet of subjects
• Ability to sign up for those you need
• Time cut from HDR will allow for study leave
  needed
• 25 per day per delegate

7
Future of SBVTS
DRAFT

• Educational supervision (possibly C.O.s/
  possibly trainers)
• Regularly reviews the e-portfolio through all 3
  years
• Meets at least 1-2 times per year to review
  progress with individuals
• Keeps overall view of progress and give early
  warning of problems
• Feedback to deanery and clinical tutors re. needs
  of training doctors

8
Deanery Wide Modular Days Deanery Wide Modular Days Deanery Wide Modular Days
First Thursday 8 week Autumn Term (Half day release programme) Last Thursday
6.9.07 8 week Autumn Term (Half day release programme) 25.10.07
Deanery Wide Modular Days Deanery Wide Modular Days Deanery Wide Modular Days
First Thursday 8 week Spring Term (Half day release programme) Last Thursday
10.1.08 8 week Spring Term (Half day release programme) 28.2.08
Deanery Wide Modular Days Deanery Wide Modular Days Deanery Wide Modular Days
First Thursday 8 week Summer Term (Half day release programme) Last Thursday
8.5.08 8 week Summer Term (Half day release programme) 26.6.08
Deanery Wide Modular Days Deanery Wide Modular Days Deanery Wide Modular Days
9
Future of SBVTS

• There will be 2 extra VTS afternoons on the 9th
  and 16th August when among other educational
  items queries about the nMRCGP will be tackled
  and the groups re-formed .
• 23rd Aug and 13th Sept introductory days at City
  Hospital.