DarentValleyHospital
INDUCTION HANDBOOK FOR THE
GP FACULTY GROUP
August 2013
KENT SURREY AND SUSSEX POSTGRADUATE DEANERY FOR MEDICAL AND DENTAL EDUCATION
GPFACULTY HANDBOOK
A GUIDE FOR POSTGRADUATE DOCTORS AND STAFF IN
DARTFORD
This Handbook is mapped to the KSS Deanery’s Graduate Education and Assessment Regulations
[GEAR] for Local Faculty Groups
Introduction
Welcome to the Kent Surrey and Sussex Postgraduate Deanery [KSS Deanery] andto DarentValleyHospital.This Faculty Handbook is written for you as a postgraduate doctor and all who will be working with you during your time here in Dartford. Its purpose is to give you information about how your programme works, and who the key people are who will be working with you. This Handbook contains generic information, but is specifically written to support those of you who are on The GP Programme. It should be read in conjunction with your curriculum,and your Junior Doctor Handbook, which was given to you at Induction. This Handbook is updated annually based on feedback to the Faculty Group from you as a postgraduate doctor and from your Supervisors.
Location
During your time with us you will be based at DarentValleyHospital. Those who have a Psychiatry post in their programme will be based at Littlebrook Hospital Dartford during those 4 months.
Key People
There are several key people who will support you during you time with us:
The GP Programme Directors are Dr John Luffingham, Dr Purnima Sharma and Dr David Payne
The Director of Medical Education is Mark Waterstone and is contactable on 01322 428541.
The Medical Education Manager is Claire Nottage and is contactable on 01322 428541.
The Medical Education Officer/Faculty Administrator is Sue Franklin on 01322 428542.
The Head of Library Services is Simon Millgate on 01322 428549 and his Deputy is Christine Williams
A list of people directly involved in your Programme e.g. Educational Supervisors, Clinical Supervisors, Administrative Staff, Faculty Group, Deanery Staff, Deanery Careers and Library Staff with their contact details is given at the end of this document
Local programme administrative arrangements
The administrative arrangementsforthe local management of your programme,are managed by the MEM/Faculty Administrator, in conjunction with your Programme Directors.
The national arrangements for the management of your programme are contained in your e-portfolio .
If you experience any local admin issues your first point of contact is the Philip Farrant Education Centre.
The GP VTSCurriculum
[GEAR S 1.2; S 1.4; S1.5]
The curriculum for your GPTraining Programme can be found at The Local Faculty is responsible for ensuring that the GP VTS programme is such that it will enable you to meet specific competences required in any given year of your curriculum. The local programme is thus mapped to the national GPcurriculum
The GPCurriculum also includes opportunities for you to work with other health care professionals.
In the community you will work with The ‘Primary Health Care Team’ (PHCT), which includes practice and district nurses, health visitors and midwives.
Also in the community you will meet the Ellenor nurses specialising in palliative care, and nurses that specialise in Heart Failure, Parkinsons Disease and COPD.
The aims and objectives of the GPcurriculum
[GEAR S 1.4]
- The curriculum covers the core competencies required to become a General Practitioner
- There are 6 domains of core competencies, which need to be covered for each of the specialties.
Primary Care Management
Person centred approach
Specific problem-solving skills
A Comprehensive approach
A Community orientation
A holistic approach
- As General Practice is a ‘person - centred discipline’ the curriculum describes the learning required in each specialty in terms of:
Contextual: Using the context of the person, family, community and culture.
Attitudinal: Based on the doctors professional capabilities values and ethics.
Scientific: Adopting a critical and research based approach.
- A GP needs to be able to implement these competencies in 3 important areas:
Clinical tasks
Communication with patients
Practice Management
How you complete the GP curriculum
This GP curriculum is competency based and leads to attainment of 12 standards.
You will be supported during your time at our Trust by your GP Programme Directors, an allocated Educational Supervisor and Clinical Supervisors, all of whom will give you regular feedback about your progress. You should never be in any doubt about your progress and what you can do to improve this.
The GP Programme Structure
[GEAR S1.4; S 2.3]
This Faculty Handbook however gives you details of how the national curriculum for GP is organised here in Dartford. It gives you details of your local programme, which has been devised to meet the requirements of the GP curriculum and shows how this works locally. It will include, a half day release course on Wednesday afternoons for ST3s and ST1s/ST2s in rotation, organised in 3 terms, regional study days, clinical audit and exposure to academic opportunities. The programme is structured to comply with the Standards of Training of the Postgraduate Medical and Education Training Board (PMETB) and the Gold Guide
On 7th August 2013 there will be aninduction to the GP schemeat 4.30pm IN THE EDUCATION CENTRE, DARENTVALLEYHOSPITAL after the main Induction.
This will follow on from the hospital induction and it is extremely important for you to attend.
The curriculum summary allocates ‘learning outcomes’ into those suitable to learn in the hospital and those which are more suited to learning within General Practice. It has been devised with input from each of the lead consultants for each specialty.
The learning outcomes are also going to be mapped to the assessments to help identify the most appropriate assessment for each learning outcome.
The teaching programmeis weekly for the ST3 ‘s, on Wednesday afternoons in the Philip Farrant Education Centre. Although primarily intended for trainees in GP posts, who are expected to attend as part of their timetabled activities in General Practice, ST1s and ST2s in hospital posts will be organised into groups according to the advertised schedule and can attend in such a way that hospital departments continue to have enough establishment for service delivery.
The teaching for the ST1and 2’s is organised weekly on the ward, for each specialty. Once every 4 months you will visit your Educational Supervisor in his GP practice for a whole day, as part of your study leave, to allow you to meet with the members of the Primary Health Care Team, to allow for review of your educational progress, and for completion of your Educational Supervisors Report.
Exams
The MRCGP is the licensing exam for General Practice. You need to register online now. Your ePortfolio will be activated within 48 hours.
The exam has 3 components:
1. Work based assessment (WBA).
This starts in the ST1 year and continues throughout the 3-year programme.
- In ST 1 and 2 you will have to complete the following assessments EACH YEAR:
6 x Case based discussions. (CbD)
6 x Mini-CEX’s (clinical exams)
2 X Multi-source feedbacks (in ST1 only)
Directly Observed Procedures (DOPS) depending on the specialty. There are 8 compulsory ones to be completed by the end of the ST3 year.
3 x reviews by your CS.
2 x reviews by your ES.
- In ST 3 you will have to complete the following assessments:
12 x CbD
12 x Consultation Observation Tool (COT)
2 x Multi-source feedbacks (MSF)
1 x Patient Survey Questionnaire (PSQ)
2 x reviews by your ES.
2. AKT Applied Knowledge test. This is a multiple-choice paper. You can sit this exam 3 x a year
3.CSA Clinical Skills Assessment. This is a 12-station consultation skills assessment.
The dates for this exam are in February May and October.
Details can be found on the RCGP website:
It is your responsibility to complete the minimum number of assessments, and failure to do so will have implications for your ability to progress each year.
Your e portfolio will be looked at by an ARCP panel from the deanery, every June, and finally by the PMETB
at the end of your final year.
Your Educational Supervisor – roles and responsibilities
[GEAR S1.6]
Your Educational Supervisor is responsible for overseeing your training and making sure that you are making the necessary clinical and educational progress. You should have regular feedback from your Educational Supervisor. The responsibilities of an Educational Supervisor are given in the Gold Guide.
Your Clinical Supervisor – roles and responsibilities
[GEAR S1.6; S1.12; S1.14 ].
Your Clinical Supervisor is responsible for your progress within each placement and for your day-to-day clinical progress. You should have regular feedback from your Clinical Supervisor. The process by which information about your progress is collated by your Educational Supervisor from your Clinical Supervisors is by reviews, which you will have twice a year with your ES.
During your hospital posts you will also spend 1 day, every 4 months, in General Practice with your ES.
Your Programme directors will also feed back to you if the CS is concerned about your progress or if there are any difficulties. It is your responsibility to arrange theses visit days with your ES.
Your Role as a Learner
You are responsible for your own learning within the programme with the support of key people as above.
You should ensure that you have regular meetings with your supervisors, that you maintain your portfolio, keep up to date with assessments as required and be signed off.
The Local GP Faculty Group
[GEAR S 6.1-6]
The GP Faculty Group’s remit is threefold: to ensure that the local GP programme is fit for purpose and in line with the GP curriculum requirements, to quality control the local GP programme and to ensure that trainee progression is tracked, supported and audited. The Local GP Faculty meets three times a year, in November, March and June. The Local Faculty’s work is quality controlled by the KSS Deanery Standards for the Local Faculty Graduate and Education Assessment Regulations [GEAR].
Your Year Group
[GEAR S6.10]
Each Specialty group needs to meet as a Year Group three times a year, to elect a Year Group Representative and to give feedback to Faculty about the local programme.
Your Year Group Representative
[GEAR S 6.10]
This is key part of the feedback process. This is a member of your cohort who will undertake to meet with the whole cohort [either face to face or by e-mail] to gather feedback about the local programme and to give this feedback at the thrice yearly meetings of the Local GP Faculty Group. The feedback loop must be closed as relevant information / responses from the Local Faculty Group needs to go back to the cohort. This is the responsibility of the Year Group Rep.
The Local Academic Board
There is a Local Academic Board in each Trust whose responsibility it is to ensure that postgraduate medical trainees receive education and training that meets local, national and professional standards. The LAB undertakes the quality control of postgraduate medical training programmes. It receives Annual Audit and Review Reports from Local Faculty Groups.
Your SpecialtySchool
Details of your GP School can be found at
How will you learn in this programme?
In this programme we adopt a variety of learning approaches. These include web-based, CDs, ward based clinical teaching, exposure to outpatients and theatres at the appropriate identified level, group learning, private study, courses, reflective practice, audit projects, regular teaching specific to year and specialty, but also multi-specialty if appropriate.
Feedback
[GEAR S1.10; S1.11]
This is a crucial aspect of your programme. You can expect to receive detailed feedback on your progress from your Educational Supervisor and from your Clinical Supervisor. This will happen during on going review meetings with your Educational Supervisor. You should have a clear idea of your progress in the programme at any given time and what you have to do to move to the next stage.
Annual Appraisal
In this Trust the arrangements for annual appraisal are:
For ST 1 and 2’s your report biannually with your ES will fulfil the requirements for the appraisal
For ST 3 you will need to do an annual NHS appraisal, using your e portfolio and, completing a ‘form 4’ and developing a PDP.
Learning Portfolio
[GEAR S1.17]
This is a key aspect of your learning in the programme. It is your responsibility to maintain your e-Portfolio
as it is an essential mandatory requirement because it provides an audit of your progress and learning. Further information on how to manage and complete the specialty e-portfolio can be found at KSS Deanery website or the GPSchool. The necessary web sites are in your e-Portfolio.
How are you assessed? - What meetings should you know about re: assessment?
[GEAR S 1.16; 18]
This programme is competency based. The assessment tools are:
ST 1 and 2: Case Based Discussion. (CbD)
Mini Clinical Examinations (Mini CEX)
Directly Observed Procedures (DOPS)
Multi Source Feedback (MSF)
Patient Satisfaction Questionnaire (PSQ)
ST 3: Case Based Discussion. (CbD)
Clinical Observation Tool (COT)
Directly Observed Procedures (DOPS)
Multi Source Feedback (MSF)
Patient Satisfaction Questionnaire (PSQ
For further details please see your e-Portfolio.
It is your responsibility to undertake the assessment process in accordance with your e-Portfolio guidance.
What is the Appeals Process?
[GEAR S2.14]
If you wish to appeal against a decision made in relation to your training please discuss this first with one of the GPProgramme Directors who will advise you and give you information about the Appeals Process. If you cannot locate the Programme Director for any reason please feel free to come to the Centre so that the Manager can locate them for you.
What if you need help?
[GEAR S 2.4; 2.11; 2.12; 2.13]
Most Postgraduate Centres operate an ‘Open Door’ approach and here you can find information about local trust policies e.g. Grievance; Bullying and Harrassment and Equal Opportunities all of which are on the Trust Intranet details which can be found at the beginning of this document.
KSS Deanery also offers support for trainees in difficulty. Details of the KSS Deanery Trainees in Difficulty Guide can be found on the
How can you access career support?
[GEAR S3.1; 3.2; 3.3. 3.4]
Information about the KSS Deanery Career Service can be accessed at .
The GPFaculty have nominated a local careers lead who is Mr Vincent Kika, Cons.Emergency Medicine on 01322 428160.
Your GPSchool will have a named Career Lead.
Using Educational Resources
There is 24-hour access to the library computer room, which allows Internet access. The library is situated in the Postgraduate Centre and the staff are only too happy to help whether searching for journals/articles or for audit projects.
How do you access other educational opportunities?
Teaching sessions in the Postgraduate Centre are advertised on the notice board in the centre.
How about Study Leave?
[GEAR S1.13]
You will find a copy of the Study Leave Guidelines in your Induction Pack, which was given to you at Induction. For any queries, please contact Sue Franklin, Medical Education Officer.
How do you apply for Annual Leave?
Please contact The Medical Staffing team on 01322 428546.
GMC Ethical Guidelines
[GEAR S1.19]
Please see your Portfolio for guidance on probity. This is also written in your Letter of Appointment.
How about Flexible Training?
[GEAR S1.15]
Approach the KSS Deanery at
Useful names & numbers
Local, regional and national
KSS Deanery Website -
KSS Deanery Careers -
KSS Deanery GEAR for Local Faculty Groups
GMC Standards for Training -
Gold Guide -
Faculty Group Educational Support
See below the list of Educational Supervisors,with contact details, who will be working with you.
Educational Supervisors: (GP’s)
Dr David Corbett:
Dr John Luffingham:
Dr Clare King:
Dr Jonathan Mounty:
Dr Catherine Handy:
Dr David Payne:
Dr Naimish Gandhi:
Dr Chat Seehra:
Dr Pinder Sahota:
Dr David Lawrence:
Dr Bob Gill:
Dr Nick Fernandes:
Dr Purnima Sharma:
Dr Irshad Ahmad:
Dr Jenny Rush:
Dr Jane Bailey:
Dr Wotjek Biernacki:
Dr Chirag
Dr Parag
Dr Abdul
Dr Gareth
KENT SURREY AND SUSSEX POSTGRADUATE DEANERY FOR MEDICAL AND DENTAL EDUCATION
GPFACULTY HANDBOOK
A GUIDE FOR POSTGRADUATE DOCTORS AND STAFF IN
DARTFORD
This Handbook is mapped to the KSS Deanery’s Graduate Education and Assessment Regulations
[GEAR] for Local Faculty Groups
Introduction
Welcome to the Kent Surrey and Sussex Postgraduate Deanery [KSS Deanery] andto Darent Valley Hospital.This Faculty Handbook is written for you as a postgraduate doctor and all who will be working with you during your time here inDartford. Its purpose is to give you information about how your programme works, and who the key people are who will be working with you. This Handbook contains generic information, but is specifically written to support those of you who are on The GP Programme. It should be read in conjunction with your curriculum,and your Junior Doctor Handbook, which was given to you at Induction. This Handbook is updated annually based on feedback to the Faculty Group from you as a postgraduate doctor and from your Supervisors.
Location
During your time with us you will be based at Darent Valley Hospital. Those who have a Psychiatry post in their programme will be based at Littlebrook Hospital Dartford during those 4 months.
Key People
There are several key people who will support you during you time with us:
The GP Programme Directors are Dr John Luffingham, Dr Purnima Sharma and Dr David Payne
The Director of Medical Education is Mark Waterstone and is contactable on 01322 428541.
The Medical Education Manager is Claire Nottage and is contactable on 01322 428541.
The Medical Education Officer/Faculty Administrator is Sue Franklin on 01322 428542.
The Head of Library Services is Simon Millgate on 01322 428549 and his Deputy is Christine Williams
A list of people directly involved in your Programme e.g. Educational Supervisors, Clinical Supervisors, Administrative Staff, Faculty Group, Deanery Staff, Deanery Careers and Library Staff with their contact details is given at the end of this document