Day Release
District Day Release
This is a full day on Tuesday and includes joint trainer/registrar discussions on topics of mutual interest, a counselling course, a critical appraisal course, an ethics course and management training amongst many other topics. The programme is reviewed termly with the Registrars and formally on an annual basis. The Hospital SHOs are welcome at lunchtimes if they are free.
Sub Regional Day Release
On some Tuesdays, we join with the registrars from the Wexham scheme for courses which benefit from a bigger group and which are economically more efficient. A bigger group benefits from excellent speakers and the interaction of the two schemes. The venue rotates around both districts and you will need to keep an eye on the timetable so that you are aware of the venue.
The Registrars usually form an MRCGP study group and also organise regular social activities, for example meals in restaurants and barbeques.
There is no day release in August which allows you to use the Tuesdays to suit your educational needs in discussion with your trainer.
The Day-release is a user friendly course which uses a wide range of teaching methods and topics. We use one-to-one teaching, small group work, formal lectures, debate, discussion, practical exercises and video recording of consultation for discussion. In addition we have developed a unique programme to teach and develop audit skills which ties in with the audit project required for summative assessment.
The day release course will cover those topics that you need to get on the Health Authority lists for child health surveillance and minor surgery. Most GP registrars will be eligible for maternity services, having done an Obs & Gynae job. We encourage doctors to do their family planning training during their Obs & Gynae jobs whenever possible. However, if needed, there is a sub regional family planning course every other year if you have not already been trained and the practical sessions can be organised locally during your GP year if necessary.
Aims & Objectives
Aims
To help prepare the registrars for a career in General Practice in the UK in line with the GMC document of Good Medical Practice. This would be done by complimenting and broadening the educational experience available to them in their training practices and on sub-regional and other courses.
Objectives
1. To enthuse registrars with General Practice.
2. To introduce the concept of adult learning and ongoing development.
3. To provide an introduction to the skills needed in General Practice.
In Particular:
Consultation skills
Counselling skills
Critical thinking/evaluation
Handling ethical dilemmas
Management skills, in particular management of change
Audit
Team working / Group working including social services
Stress Management
Personal Safety
4. To learn the principles of particular aspects of care, for example:
· Public Health including screening, health education, prevention, immunisation…
· Disease management.
· Rehabilitation
· Palliative care
· Child Protection
· Learning disability
5. To explore characteristics which may be individual to different practices and seldom all experienced by one registrar, for example:
· Dispensing
· Cultural differences
· Social differences
· Differing roles of GPs in the community (out-of-hours).
6. To explore the interface of hospital and general practice medicine.
7. To provide the theoretical training necessary for joining the Child Health Surveillance, Minor Surgery lists and the Family Planning STIF Certificate.
8. To provide information on subjects relevant to General Practice but not readily available from other sources, or not open to individuals, e.g.
· R.C.G.P
· B.M.A
· LMC/GP Politics
· The workings of the Health Authority/ P.C.T
· NHS Direct
9. To provide an appraisal system for registrars (6 weeks and 6 months).
10. To cover the basic requirements for the MRCGP, e.g. Resuscitation, evidence-based medicine, video analysis, mock vivas, MRCGP preparation course (two modules).
11. To be responsive to the needs of different groups of registrars according to their experiences and wishes, and to respond to their changing needs as a result of Health Services reforms and changes in society and the practice of medicine.
12. To support registrars in preparing for summative assessment.
13. To provide assistance in career planning.
Methods
1. Small group learning which includes journal club, trainer/registrar subgroup and MRCGP study group.
2. Didactic teachings.
3. Visits.