Feedback for Bucks VTS 2014/15 ST3 group.

This was separated into FB to:

  • St1/2 in hospital posts
  • ST2/3 in practices
  • Trainer/ES
  • PD team
  • Deanery

Useful Tips for GP consultations:

Structure, priorities, time, findings/results, physical exam, differential diagnosis, management, resources, follow up/safety netting, risk, health promotion, rapport, listenings, cues, psychosocial context, language, shred partnership between dr and patient.

Specifics: constructive , positive, generous. Conversational.Goals. Practice desciptions.

ST2/3

  • Knowing your ST2/ in your Practices- learning from each other and practical reasons. CSA practice between those in one practice in educational setting.
  • Deciding on CSA date
  • Forming a CSA group early perhaps in ST2.Be critical. Start early. Practice groups meeting early on Tuesday works well.
  • AKT: don’t underestimate the amount of prep this takes.
  • Year learning plan: discuss with your trainer/ES and decide on AKT and CSA timings. Revisit this during the year.
  • If any problems in your jobs/practice seek PD support early.
  • Claims for travel- do this regularly. Claim for petrol for visits and training days.
  • Understand theeportfolio requirements, keep an eye on curriculum coverage and competencies.
  • Referral/prescribing audit
  • OOH- book them early- sign off is in May. Can only have 12 hours remaining.
  • Exam prep- early talk from previous years
  • Don’t leave DOPS/CEPS and WPBA too late.
  • Deanery CSA curse is good.
  • GMC pilot days are good if available. Get paid and good CSA practice.
  • Keep an eye on your curriculum coverage
  • Books OPA clinics early, some need contracts and practice can then rearrange your week if needed and enough notice.

PDs

  • Clarity of plan for the year eg level 3 safeguarding, mandatory training. Should be presented at start of each year.
  • Admin to do list eg performers list, indemnity
  • Quality projects- needs clear expectation and advice,plan early they take longer than you think
  • Locality quality projects: better defined and managed better
  • Study leave
  • CSA leave
  • Better website
  • Careers day , CV planning, interview skills sessions april at latest.
  • Allocate trainee to named PD
  • Projects and clinics are good
  • Trainee swaps directly between trainee- PDs to match this
  • Thanks to Debbie. Like forwarding of job adverts locally

Trainers

  • Induction in practice: sitting in, allied professionals including midwife and DNs and HV, orientation and timetable prior to starting.
  • Make a plan of tutorials using learning needs assessment but be prepared for changes depending on learning needs.
  • Plan with your trainer how eportfolio will be monitored and given feedback regularly.
  • Bae tutorials on expertise of your trainer and other drs in your practice.
  • Intranet is helpful
  • Guide to local services and resources
  • Regular slots for COTS/CBDs
  • Regular video surgeries/joint surgeries.
  • Declare interests earlyie special interests of different doctors so can arrange tutorials or going to clinics.
  • Practice management tutorials
  • Attend as many meetings as possible and ask questions if not understanding.

Hospital Posts

  • O and G adjust rota for GP trainee to have more time in clinics.vs theatre
  • Paeds: neonate vs paeds time. Time in community paeds would be helpful
  • T and O: 3 months self directed option was very good.
  • Amersham neurorehab: fantastic GP role, lots of clinics and act as ward GP, MDT experience.
  • MUDAS good GP experience
  • Psych: more community based and less in patient based would be better
  • FNH: ?more capacity for GP trainees. Very good post.

Deanery

  • Clarification on SL, AL allowance, travel claims, study leave budget on one easy to find up to date website
  • Review dates are unclear if LTFTT especially ESR and ARCP
  • Revalidation date changes- admin and information is needed.
  • OOH: number of green sessions
  • Where is a simple, easy to navigate website?
  • Pension forms.