Cork Training Programme for General Practice

/ SHO/ Registrar name /

Experience
and
assessment
log

2014-2018

Contents...... 2

General background information………………………………………...…………………………………………………………………………………..6

LEARNER’s CONTRACT………………………………………………………………………………………………………………………………………………………………………………………….. 8

recommended reading………………………………………………………………………………………………………………………………………………….9

overview of SATISFACTORY COMPLETION OF TRAINING………………………………………………………………………………………………………………………………….. 11

Summative assessment……………………………………………………………………………………………………………………………………………….13

six-monthly reviews at one to one meetings……………………………………………………………………………………………………………….16

projects and assignments………………………………………………………………………………………………………………………………………….17

attachment to training practices (1st & 2nd YeAR)…………………………………………………………………………………………………..18

literature review…………………………………………………………………………………………………………………………………………………….20

PICO WORKSHEET & SEARCH STRATEGY……………………………………………………………………………………………………………………………………………………………… 25

Six-monthly review: First year, July-December...... 26

Six monthly review record: 1st year, July-December...... 27

Self-directed learning plan: EARLY REVIEW OF LEARNING NEEDS WITH CONSULTANT...... 28

Trainee-resourced day-release sessions:FEEDBACK RECORD……………………………………………………………………………………………………………………29

Trainee self-assessment of day release participation………………………………………………………………………………………………….30

Programme Director’s report on day release participation...... 31

General practice attachments………………………………………………………………………………………………………………………………….32

Activity log...... 33

Practice attachment checklist...... 34

General assessment of general practice attachment by trainee...... 35

Assessment of general practice attachment by trainer...... 36

Hospital reports...... 37

Hospital post evaluation...... 38

Hospital post evaluation...... 39

Hospital posts: SHO assessment form...... 40

Hospital post: General assessment of abilities and performance...... 41

Certification of attendance by consultant....... 42

Certification of satisfactory completion of hospital training...... 42

Refusal of certificate of satisfactory completion of hospital training...... 42

Hospital post: General assessment of abilities and performance...... 43

Certification of attendance by consultant....... 44

Certification of satisfactory completion of hospital training...... 44

Refusal of certificate of satisfactory completion of hospital training...... 44

Six-monthly review: First year, January-June...... 45

Six monthly review record: 1st year, January-June...... 46

Self-directed learning plan:EARLY REVIEW OF LEARNING NEEDS WITH CONSULTANT...... 47

Trainee-resourced day-release sessions: FeedBACK RECORD…………………………………………………………………………………………… 48

Trainee self-assessment of day release participation...... 49

Programme Director’s report on day release participation...... 50

General practice attachments....... 51

Activity log...... 52

Practice attachment checklist...... 53

General assessment of general practice attachment by trainee...... 54

Assessment of general practice attachment by trainer...... 55

Hospital reports...... 57

Hospital post evaluation...... 58

Hospital post evaluation...... 59

Hospital posts: SHO assessment form...... 60

Hospital post: General assessment of abilities and performance...... 61

Certification of attendance by consultant....... 62

Certification of satisfactory completion of hospital training...... 62

Refusal of certificate of satisfactory completion of hospital training...... 62

Hospital post: General assessment of abilities and performance...... 63

Certification of attendance by consultant....... 64

Certification of satisfactory completion of hospital training...... 64

Refusal of certificate of satisfactory completion of hospital training...... 64

Skills list: Internal medicine (see ICGP Curriculum p 34-36)...... 66

Skills list: Paediatrics...... 67

Skills list: Psychiatry...... 69

Skills list: Accident and Emergency...... 71

Skills list: Ophthalmology...... 72

Skills list: E.N.T...... 73

Skills list: Dermatology...... 74

Skills list: Rheumatology...... 75

Skills list: Geriatrics...... 76

Skills list: Palliative medicine...... 77

LEAVE LOGS: LOG RECORDING ALL LEAVE TAKEN …………………………………………………………………………………………………………………………… 78-79

APPENDIX: ICGP GENERAL PRACTICE SPECIALIST TRAINING AGREEMENT………………………………………………………………………………………………..80

Introduction

What this portfolio contains

This portfolio is divided into a number of parts.

Part 1.An introduction, giving general background information, the regulations and criteria applying to each part of the teaching programme and instructions on how to fill out the forms in the rest of the portfolio.

Part 2. For each year of training, a separate logbook is to be completed and provided to the Steering Committee in fulfilment of the conditions for satisfactory completion of training. Each part covers two six-month periods of training, during which two progress reviews will be carried out. This log book contains all the documentation necessary to fulfil training requirements for your first year of training.

Whenever you present any topic or journal club you will need to have you log book with you so that feedback can be recorded by the PD team member taking the session.

green sheets in this log book are used by PD team to record feedback

red sheets are filled in as mandatory documentation for satisfactory completion;

blue sheets are for your responses(identification of learning needs/ feedback and evaluation)

yellow sheets are for administrative purposes used at one to ones to check you have all necessary documentation completed.

A summary form and a number of other assessment forms are to be completed prior to each six-monthly review (one-to-one meeting). Each form is repeated in each six-month section.

The forms include:

Record of six monthly review, by the programme directing team
Programme Director’s report
Personal learning plan
Day release evaluation
Record of trainee-resourced day-release sessions
Trainee and trainer reports on general practice attachments (1st and 2nd year)
Hospital reports and skills lists (1st and 2nd year).
Certification of attendance and satisfactory completion of training by consultant (1st and 2nd year)

In 3rd and 4th Year you will also need the following documentation completed

Video consultation log (3rd year)
Report by trainer on registrar’s progress (3rd year)
Training practice assessment
Registrar teaching and learning log
Structured trainer’s report
Certification of satisfactory completion of training by trainer.

This log is the basis on which the Cork General Practice Steering Committee will decide on whether you will be issued with a certificate of satisfactory completion of vocational training. It is important that you read it through at the beginning of each training year, and become familiar with the components and requirements of assessment.

Acknowledgements

We would like to acknowledge the sources of the following material:

Practice checklist: A GP Training Handbook (Second Edition). MS Hall; Blackwell Scientific Publications.
A core curriculum for Irish GP training.IrishCollege of General Practitioners
Women’s Health Logbook.IrishCollege of General Practitioners:
Skills lists for hospital posts: Sligo General Practice Training Programme
Structured trainer's report: North Thames Region
Curriculum guide:Oxford Region

We owe a particular debt to Paul Money, Roddy Quinn and the other staff of the Sligo General Practice Training Programme, for sharing their experiences and their “Competence and Assessment Portfolio” with us.

In this, the twelfth year of development of this portfolio, we would also like to thank the GP trainers, hospital teachers and, of course, trainees, who have taken the time to use, complete and comment on the content. We hope that at least some of these comments are reflected in each new version.

Cathy Banstead

Harry Comber

Dan Hinds

Sheila Rochford

Paddy Ryan

John Sheehan

Cork Training Programme for General Practice, July 2014.

General information for incoming SHOs

Training posts

The training programme extends over four years—two in hospital rotations and two in two different general practices.

Orientation day

An orientation day is held in early July for all incoming first year trainees. This consists of two half days of introduction to the programme and will include practical information on the course structure and content, some interactive sessions on trainees’ expectations of the programme and an opportunity for informal interaction between trainees and the programme directing team.

Terms and conditions of acceptance on the Cork General Practice Training Programme

A place as a trainee within the Programme does not constitute a contract of employment between you and the Training Programme. Your contract of employment is held by the Health Services Executive (HSE) or by the hospital in which you work (in first and second year). A separate registrar contract will apply in third year. Consequently, the Training Programme bears no legal responsibility for ensuring your continuing employment during the four years of your training. In practice, trainees have always had continuity of employment within the programme, but it is important to note this remains at the discretion of the participating hospitals and rotations can be subject to change. Any contractual problems, or problems with rota or leave, should be taken up initially with the appropriate person in the hospital/practice. If there are unresolved problems, the staff of the programme will always be happy to assist, but have no final say in these matters.

The programme requires a full-time commitment by all trainees. Enrolment in other educational courses during the training period is discouraged, and must be sanctioned in advance by the Programme Director.

Notice of resignation

The Steering Committee has agreed that any trainee wishing to leave the programme must give three months’ notice in writing to the Programme Director to enable recruitment of a replacement. It will be assumed that you accept this condition of service unless we hear to the contrary.

Hospital posts

The purpose of the hospital attachments is to allow you to gather as much practical experience for general practice as possible. It is important to keep in mind the relevance of what you are doing to your future career. In particular, you should make a habit, from the beginning, of taking time to talk to patients about their own beliefs, fears and expectations and to find out a little about their social circumstances. You should also take every opportunity to practice the basic physical examination skills which will be important in general practice, where investigations will not be readily available.

Because you have not been personally interviewed and recruited by the consultant for whom you work, you must remember that this consultant may know very little about you, and may have certain expectations of GP trainees based on previous experiences. While you are not dependent on a particular consultant for a reference at the end of your six months, trainees coming after you are dependent on the goodwill of the consultant and the hospital for the continuation of posts. It is important, therefore, not only to do a good job, but to be seen to do so. Particularly in hospitals where there are only one or two trainees, the programme can have its reputation badly affected by one trainee who leaves a bad impression and posts have been withdrawn from the scheme because of difficulties of this nature in the past.

Learner’s contract

Learning outcomes

As a result of your time in GP training you will acquire knowledge, skills and professional attitudes in a number of areas.1 You will demonstrate competence in six domains:2 3

Primary care management Initial presentations, other professions, advocacy role)
Person-centred care (lifelong care, doctor-patient relationship)
Specific problem-solving (prevalence and incidence of disease, undifferentiated disease)
Comprehensive approach (acute and chronic disease, health promotion)
Community orientation (balancing individual and community needs)
Holistic model (cultural and healthcare beliefs)

Each domain has three essential features3 4 encompassing

Context (person, family, community and culture)
Attitude ( professional capabilities, values and ethics)
Science (adopting a critical and research bases approach to practice and maintaining this through continuing learning and quality improvement).

Responsibilities of Programme Directing (PD) team

As programme directors we will endeavour to

identify learning objectives
use appropriate teaching methods and
evaluate the outcomes of teaching
respond to feedback from learners

In addition the PD team will attend to their ongoing professional development by evaluating their performance across a range of clinical and non-clinical areas, use reflective skills for the benefit of themselves and other practitioners and undertake significant event analysis.5

Responsibilities of learners

As learners

You will be punctual: all morning sessions begin at 10am and all afternoon sessions at 2pm. Lack of punctuality is a discourtesy to the PD team and visiting speakers. Punctuality will be noted each week.

You will endeavour to develop an awareness of your own learning styles and those of others.6
You will demonstrate a willingness and ability to ask for and learn from feedback.
You will acknowledge your responsibility to contribute to the culture of learning within the training programme by bringing your maturity, experience, independence and individuality to each learning session.7 8
You will construct a personal learning plan.
You will take responsibility for the success of your learning and that of your peers8 and sharing information that might be of benefit to others.
You will be prepared to further your learning by acquiring new knowledge, increasing self-awareness, examining your assumptions and engaging in reflective practice.9
You will complete assignments on time.
GP Training will take priority over other educational courses and enrolment in other educational courses must first be sanctioned by PD team.
You will extend common courtesy to others on GP Training Scheme by being punctual, giving notice of planned leave, checking emails regularly, keeping administrative staff up-to-date with details of address and contact numbers, and ringing in if unable to attend.
It is the policy of the training programme not to allow use of the premises or facilities in the Training Programme for:
Distribution of promotional materials
Hospitality purposes related to promotional activities
Meetings hosted by pharmaceutical companies
Display or use of items containing promotional logos

References:

Royal College of General Practitioners Curriculum Statement.
WONCA Europe. The European Definition of General Practice/Family Medicine, London, WONCA Europe, 2002.
A Core Curriculum for Irish GP Training, ICGP 2006.
Heyrman J (Ed). The Educational Agenda of General Practice/Family Medicine (Ed EURACT, Leuven (work in progress, 2005).
Chapter 3 entitled Research and Academic Activity from Curriculum Statement of RCGP.
Entwhistle Styles of Learning and Teaching London: Fulton, 1999.
Kolb D. Experiential Learning, New Jersey: Prentice Hall, 1984.
Knowles M, The Adult Learner: a neglected species. 4th Ed, Houston: Gulf Publishing.1990.
Schon D. Educating the Reflective Practitioner, San Francisco: Jossey-Bass, 1987.
Brookfield S. Understanding and facilitating adult learning: a comprehensive analysis of principles and effective practices. Milton Keynes; Open University Press, 1986.

Overview of satisfactory completion of training

Practice in any state-funded primary care programme in the EU is now dependent on registration in the register of specialists in general practice. The register in Ireland is administered by the IrishCollege of General Practitioners (ICGP), which has set two criteria for entry:

success in the examination of the College (MICGP)
certification of satisfactory completion of general practice (vocational ) training.

The ICGP criteria for the “Certificate of Satisfactory Completion of Specialist Training in General Practice” effective for trainees commencing their training on or after 1July 2004 are listed below. Before a programme director signs a Certificate of Satisfactory Completion of Training (CSCT) and/or an application form for the College Membership (MICGP) the criteria for satisfactory completion of training must be met.

Cork Training Programme for General Practice

Contents

What this portfolio contains

Whenever you present any topic or journal club you will need to have you log book with you so that feedback can be recorded by the PD team member taking the session.

green sheets in this log book are used by PD team to record feedback

red sheets are filled in as mandatory documentation for satisfactory completion;

blue sheets are for your responses(identification of learning needs/ feedback and evaluation)

yellow sheets are for administrative purposes used at one to ones to check you have all necessary documentation completed.

Acknowledgements

General information for incoming SHOs

Training posts

Orientation day

Terms and conditions of acceptance on the Cork General Practice Training Programme

Notice of resignation

Hospital posts

Learner’s contract

Recommended reading

Journals

Overview of satisfactory completion of training