General Practice Specialty Training. Block Release Teaching

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General Practice Specialty Training. Block
Release Teaching

• Dave Shackles

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A Compulsory Element of GP Specialty Training

• Takes 10 days from 30 day study leave entitlement
  in ST1
• Takes 4 days from 30 days in ST2
• Takes 16 days from 30 days in ST3
• Builds on workplace based training
• Time to share experiences and reflect.

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Constructed around the RCGPCurriculum

• Six Domains of Core competence
• Primary care management
• Person centred care
• Specific problem solving skills
• Comprehensive approach
• Community orientation
• Holistic approach
• Three Essential Application Features
• Contextual
• Attitudinal
• Scientific

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The Curriculum Statements.(The areas of
medicine to be covered in Specialty Training

• 1 Being a General Practitioner
• 2 The GP Consultation
• 3.1 Clinical Governance
• 3.2 Patient Safety
• 3.3 Clinical Ethics
• 3.4 Equality and Diversity
• 3.5 EBP
• 3.6 Research and Academia
• 3.7 Teaching and Supervision
• 4.1 Management in GP
• 4.2 IMT
• 5 Healthy People
• 6 Genetics in Primary Care
• 7 Care of Acutely Ill
• 8 Care of Children
• 9 Care of Older Adults

• 10.1 Womens Health
• 10.2 Mens health
• 11 Sexual health
• 12 Cancer and Palliative care
• 13 Mental Health Problems
• 14 Learning disabilities
• 15.1 Cardiovascular Problems
• 15.2 Digestive Problems
• 15.3 Drug and Alcohol Problems
• 15.4 ENT
• 15.5 Eyes
• 15.6 Metabolic Problems
• 15.7 Neurological Problems
• 15.8 Respiratory Problems
• 15.9 Rheumatology / Musculoskeletal
• 15.10 Skin Problems

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Competence Areas(For Assessment)

1. Managing Medical Complexity and Promoting health
2. Management of health and social care of the
   practice population and local community
3. Ability to work in physical, psychological
   socioecanomic and cultural dimensions
4. Ethical approach
5. Awareness of your own performance and health and
   how it affects others
6. Maintaining performance and CPD

1. Clinical management
2. Working with Colleages and in Teams
3. Primary Care IM and T
4. Communication and consultation Skills
5. Data gathering and interpretation
6. Making a diagnosis and decisions

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Residential Introductory Course
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Variety of Teaching and Learning
MethodsThroughout your Training Programme

• 11 Tutorials with your Trainer
• Small Group Tutorials
• Problem Based Small Group Learning
• Expert Lectures
• On Line Learning Modules
• Interactive workshops
• Role play
• Video analysis
• Bedside teaching
• Experiential Practice Based learning
• Case Analysis
• Developing Self Direction

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ST1 Practice attachment

• Being a GP,The GP Consultation,IMT,Care of
  children and young people,Care of people with
  mental health problems,EBP,Ethics and value based
  practice,Care of acutely ill people

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GPST1 During 6 months GP Placement

• 6 additional full days of teaching
• Consultation models
• Video analysis
• Problem Cases
• Clinical cases
• Difficult consultations

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ST1 Day Release

• GI,Cardiology,Dermatology,Respiratory,Opthalmology
  
• Orthopaedics,Neurology,ENT,Endocrinology
• Being a General Practitioner,Care of Children and
  young people , The GP consultation

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ST1/ ST2 Hospital Posts

• Care of acutely ill people
• Contextualisation of cases seen

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ST2 Day Release

• Being a GP,Palliative care,Sexual health,Equality
  and diversity
• Genetics ,Patient safety,Ageing and Health,Mens
  Health,Rheumatology
• Womens Health,IMT,Research and Academic activity

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ST3 Practice Attatchment

• Being a GP,Management,Teaching and mentoring
• Care of people with learning disabilities
• Personal and professional responsibilities,Clinica
  l governance
• Care of acutely ill patients,Healthy people
  promoting health
• Care of people with mental health problems
• Care of people with cancer pallitive care

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ST3 Day Release

• Skin Problems,ENT,Opthalmology,Clinical ethics
• Care of children and young people,Evidence based
  practice
• Womens Health,Palliative care...
• ...and whatever topics you want to cover in small
  groups or in the whole year group

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One/two Day ModulesWithin Day Release

• Women's Health course
• Minor surgery course
• Emergencies in General Practice (including CPR
  and AED)
• Hot topics
• Practice Management
• Child health and Child Protection
• Dermatology
• Palliative care

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ST3 Locality Based Study Groups

• Facilitated by GP Educational Supervisors
• Run by the groups for the needs of the group.
• Exam preparation
• E.g. role play with simulated patients
• Hot Topic Presentations
• Time to chat and share experiences
• Mutual support
• Review video consultations

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RCGP Examination PreparationEmbedded in Teaching
over the 3 years

1. Applied Knowledge Test (AKT) Preparation
2. Clinical Skills Assessment (CSA) Preparation
3. Workplace Based Assessment (WBPA)

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Evaluation

• Each session is evaluated by participants
• Feedback provided to presenters and course
  organiser
• Session modified as required
• Positive Responses
• Enjoyable
• Informative
• Useful
• Good to meet up with collegues

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Preparation for Independent Practice.
Springboard!