Trainers Information
3.1. Sample Induction Timetable
3.2. Types of Joint surgeryJoint Surgery - Practical Tips
- Involves learner alternating between seeing patients (consulting) and listening (recording).
- The format for the appointments can be arranged in various ways.
Some examples below:
Consider:
- Appointment times (how long?) - initially longer appointment times then reduce as year progresses.
- Frequency - are they going to be scheduled weekly/monthly/ad-hoc?
- Will they be scheduled as a substitute for a tutorial or regular surgery?
- Are the joint surgeries going to be shared around with other doctors?
- How will the consultations be assessed? E.g. COT analysis or other tool.
- How will patients be booked-in?
E.g. Whose list will they appear on (for audit trail/prescriptions etc.)? Will patients be informed (consent) when booking appointment or when they arrive? What will they be asked/told when booking these appointments?
3.3 Computer use
3.4 Failing trainee (Sue Rendel) O/S or ?
- Section on E Midlands web????? Nicki to send link to replace this/ Link to CDU
3.5 Trainers Forms etc. (Graham)
3.6. Essential Equipment List (Doctor's bag, drugs and equipment (Ursula))
The practice should be providing for a registrar the following items
- Own room
- Desk
- Couch
- Computer with internet access
- Stethoscope ( should be their own)
- Sphygmomanometer (will need own for visits)
- Opthalmoscope/ orascope ( will need to buy own at some stage)
- Tendon hammer
- Speculae
- Access to oxygen saturation monitor
- Peak flow
- Testing kit for neuropathy in diabetes
- Tuning forks
- BM monitor
- Video camera
- TV with video link for watching video
- Resuscitation kit
- Drugs box
- Telephone list
- Registrars pack ( essential practice information)
- Thermometer
- Sonicaid ( has access to)
- Sick notes
- Protocol pack
- Practice formulary
- Practice intranet
- Access to practice library
3.7 Available Resources:
3.7.1 Where to go for help for key training documents:
- https://ePortfolio.rcgp.org.uk/login.asp
- http://www.yorksandhumberdeanery.nhs.uk/general_practice/documents/ePortfoliopearls-makingitworkforyou.pdf
- EPortfolio and WPBA -For new trainers the RCGP guides to the EPortfolio and Work Place Based Assessments are helpful and available to download from the ePortfolio website. Contact the deanery for an ePortfolio login and password.
- http://www.rcgp-curriculum.org.uk/info__resources.aspx
- The RCGP website also has a downloadable guide to your role as a Trainer, Educational Supervisor or Clinical Supervisor.
- Assessment sheets COT, Cbd, CSR, mini-cex DOPS link with further details link.
- http://www.bradfordvts.co.uk
- The Bradford VTS website has some excellent resources for trainers and trainees under the nMRCGP section as well as a wealth of other information. E.g. CBD question maker (trainers) and relevant COT questions (trainees). (The programme directors also have access to the RCGP DVD about CBDs and the CSA as well as a CSA textbook. These are essential reading / watching).
- curriculum educational resources
- consultation teaching/evaluation forms/induction tools/learning needs assessments/learning-personality questionnaire / OOHs/trainer-trainee appraisal tools/tutorial tools
- Ed Supervisor resources
- www.gp.notebook.co.uk / www.patient.co.uk
- electronic sources of info:
- www.doctorupdate.net
- Symptom sorter on
- www.wellclosesquare.co.uk
- www.learning.bmj.com
- www.doctors.net
- www.library.nhs.uk
- www.npc.co.uk/merec.htm
- www.dtb.bmj.com
- www.medicine.ox.ac.uk/bandolier
Specialist sites
Medical textbooks to read:
- Oxford Handbook of General Practice
- Consultation books
- Liz Moulton, The Naked Consultation
- Roger Neighbour, The Inner Consultation
- Peter Tate, The Doctor's Communication Handbook
- Critical appraisal
- Trisha Greenhalgh, How to Read a Paper
- BMJ 'ABC' series for specialties
3.7.2 WHERE ELSE TO GO FOR HELP:
Sometimes it is useful to have some triangulation / practical advice for the WPBA. It is worth contacting the programme directors for support. They can feedback on ePortfolio entries (with trainee consent) and set up specific workshops for new and old trainers on the ePortfolio / WPBA.
In general the first port of call is the programme directors for all training related issues. Some issues e.g. contracts and maternity / adoption leave may also need liaison with the deanery office and TVPCA, however the PDs can advise you of the best route depending on circumstances.
- VTS web resources
- GP Notebook - factual knowledge
- Condensed Curriculum Guide - Curriculum Resource
- Mentor / patient.co.uk / bmjlearning / Athens /Hitting the headlines
- / Dippex (Healthtalkonline.org)/ BNF online/ Bandolier / dermnz / CKS website / Doctors.net / GMC / You-Tube / Family Planning website - web resources / West Berks site including prescribing advice / low priority system
- RCGP - News / Exams / E-Learning / Curriculum reading lists
- TRIP (Turning Research Into Learning)
- NICE
- SIGN
- COCHRANE
- https://www.spottingthesickchild.com
- http://www.ebp4nhs.org.uk evidence based practice course
- Guillebaud - Contraception books
- Oxford Textbook for general practice
- GP Update book
- Registrars List
- Consultation books - Understanding Consultation - Underwood / Pendleton neighbour - The naked consultation / Cambridge-Calgary / Advanced consulting skills / Communication skills handbook - Peter Tate / CSA (Green book), Wessex Faculty DVD /
3.7.3 Other useful information:
Maternity & Paternity leave regulations search for up to date guidance in:
Bumps, Babies & Beyond. This is a national email discussion group for GPRs: any GPR can join: http://groups.yahoo.com/group/bumpsbabiesbeyond/?yguid=368041372 Counselling service for Oxon/Berks PCT GPs & their families: http://www.dovedale.co.uk/contactus.html
LMC collection of sources of help for GPs: http://www.bbolmc.co.uk/srchlp/srchlp.html
- Assessment visit-Possible contents for Training Practice Assessment visits:
OXVT10 Course Organisers Report
OXVT3, old and new
Practice Development Plan
Appraisal outline and Personal PDP
Education PDP
QOF/Population Manager Printouts
Prescribing data/Consultation rate data/PBC referral data
Draft Induction Plan for Trainee
Aims and objectives for Induction period
Tutorial topics by curriculum/PHCT members
Curriculum plans and Objectives and reflections/induction program
GPR Equipment list
Registrar patient profile
Registrar hours of work
Trainer Working week template
VTS Training Commitments list
Practice Meeting Schedule
Example timetables for other learners
Subgroup minutes
ePortfolio printouts of previous registrars
My Registrars (and others) Learning Log
Previous Mid Term Assessment paperwork
360 Feedback results
Separate folders - Suggested info for visit - available on the day (Other folders not specifically about the visit but may be of interest)
Appraisal Data
Personal GPAQ Details
Practice GPAQ Summary
Locum Pack
Practice Audits
Prescribing Incentive Scheme incl Audits
Note Summarisation Protocol
Practice Protocol Printouts
Medical Student and other trainee documentation
Academic Meeting minutes (Journal clubs etc)
GPR Contract
SEA Summary
Enhanced Services Folder
Complaints Folder and protocol
IT strategy, IMT DES etc (IMT DES folder)
Staff handbook etc
Induction protocol for new staff
Annual staff appraisal process
3.9 Appraisals
An annual appraisal forms part of the revalidation process. Revalidation pilots are operating around the country and findings from these pilots will inform the national process. Appraisals will become more robust: "Strengthened Medical Appraisal". For further information on national and local developments regarding appraisal and revalidation visit:
www.revalidationsupport.nhs.uk
www.oxfordprimarycarelearning.org.uk
https://www.appraisals.nhs.uk/menu.html
www.tvpca.nhs.uk � Medical Performers list
3.10 Paperwork - See Appendix 4
3.11 F2 Trainers Pack - See Appendix 3
3.12 Benchmarking
At Trainers meetings and MTA
3.13 Consultation expectations (Experience suggests)
Start 2 weeks half an hour appointments
Then 20 minute appointments to 2 months
Then 15 minutes to 4-6 months
Then 10 minutes for 10 weeks before CSA ideally
3.14 The working week / Timetables - See Appendix 2
3.15 Debrief
In first 2 months, essentially one 10 minute slot of trainer time of patient seen by Registrar, and then half an hour at the end of each surgery until the end of the year.
3.16 Logs
- Own record of tutorial
- Info from partners
- Educator's notes on ePortfolio
- Concerns
- Trainer's educational log
- 360 degree feedback
3.17 OOH Information and requirements: