LEARNING PLAN FOR : <trainee’s name
Generally – how does the trainee feel?
How comfortable does the trainee feel at self videoing? Experience so far? (Discuss)
GP posts done so far:
1.
2.
Hosptial jobs done so far:
4.5.
6.
Future Placements:
4.5.
6.
PSYCHOMETRICS
Honey & Mumford: Learning Styles / Myers Briggs: Decision MakingActivist
Pragmatist
Theorist
Reflector / Extraversion
Sensing
Thinking
Judging / Introversion
iNtuition
Feeling
Perceiving
Overall:
Belbin: Teamwork / Transactional Analysis: Human Interactions
Leading / Doing / Parent (critical)
Parent (nurturing)
Adult
Child
Coordinator
Shaper / Implementer
Completer/Finisher
Thinking / Socialising
Monitor/Evaluator
Plant
Specialist / Teamworker
Resource Investigator
Conflict Style / Behavioural Style: Behav. Comfort Zone
Competing Shark
Collaborative Owl
Avoiding Turtle
Accommodating Bear
Compromising Fox / Analytical
Driver
Amiable
Expressive
nMRCGP:
Tick if completed
AKT : if not done, when planning to take:
CSA if not done, when planning to take:
Have you read previous Clinical Supervisor’s Report : any big issues?:
Courses Done
Highlight the ones the trainee needs to consider in the next 6m
AKT Preparation Course / Minor SurgeryCSA Preparation Course / Family Planning
Unschedule Care (OOH) Course / Child Health Surveillance
Exit Course / Other:
Consultation Skills Reading
Has trainee read one of the following (if none, highlight the one recommended)
(personally, I think Neighbour is a good introduction for the Novice who should then go on to read the Silverman book
Silverman - Skills for Communicating with Patients
Neighbour – The Inner Consultation
Pendleton – The Dr. Communciation Handbook
Moulton – The Naked Consultation
Other
IN-HOUSE TEACHING OPPORTUNITIES
Mon Tutorials
Format:
First 30 mins : scenario/emergency
Next 1.5h : COT/Other video methods eg Gask’s PBI, Pendleton, ALOBA
Fri Tutorials
Format:First 30 mins : scenario/emergency; Next 1.5h : CBD/Random Case Analysis/Problem Cases
CLINICS
BABY CLINIC
Child Health Development Checks
Administering Immunisations
Immunisation Schedules
SMOKING CESSATION CLINIC
GP trainee to liaise with Cath re: sitting and and getting involved
POST NATAL CARE
GPR trainee to liaise with Community Midwife re: joint visiting
ASTHMA CLINIC
GP trainee to liaise and sit in with Nurse Mary on two Asthma Clinics instead/after surgery
Needs to be participative
DRUG CLINIC
Liaise with Chris & Sarah re: sitting in drug clinic instead of surgery/after surgery
Need to discuss with Sarah : how to get elderly off benzos.
CONFUSION CLINIC
With DN Pam
assessment of confusion in the elderly
acute vs chronic
Minimental score, newer scoring systems
MINOR SURGERY CLINIC
Sitting in with some sessions (around 4) with Nick & Marvin, liaise with Chris (replace surgery)
Suture lacerations
Dressing of Wounds
Injecting Joints
Excision cysts etc
Removal of IGT
Evacuation of Hameatoma
Injection Tennis Elbow/Other Joints
This timetable may need re-organising in light of future learning needs identified throughout the training period which may have greater priority.
Learning Need / How it Is to be met / NotesEg COPD / Eg to attend 4 sessions with the nurse led COPD clinic / Trainee to liase with Nurse Mary Taylor and Practice Manager re: setting dates
SCENARIOS (tick the ones that need covering)
Counselling a couple following a cot-death
Arranging compulsory admission to a mental hospital
Giving a lecture to a local organisation
"I want to have my baby at home Doctor"
Dealing with an abusive patient in the waiting room
Counselling a 15 year old girl requesting the pill
Dealing with a suspected NAI in a child
Disciplining a member of staff for lack of confidentiality
Request to intervene in a marital dispute
"You won't tell Father he has cancer will you Doctor?"
"The other doctor always gives me my slimming pills"
"My husband will kill me if he knows I've told you about his drinking"
"I think I need an AIDS test"
"I want another termination, Doctor"
"Your partner refused to visit me last night"
Request for a late home visit for a cold
"If we accept this family onto the list we will fail to meet the smear targets..."
EMERGENCIES(tick the ones that need covering)
Cardiovascular system
Elderly patient SOB at night (in winter)
Middle-aged man, chest pain central and refer to left arm
Sudden onset of pleuritic pain and haemoptysis
Sudden onset painful, cold pale leg
Faintness, abdominal and back pain in elderly man
Sudden onset of occipital headache
Unilaterally painful swollen lower leg
Sudden onset unilateral headache
Increasingly severe chest pain SOB over a few days
Gastrointestinal
Haematemesis after stag night
Worsening abdominal pain in a dyspeptic
Vomiting in a 6 week baby boy
Blood stained diarrhoea in 70 year old
Severe bleeding PR
Abdominal pain after minor RTA
Orthopaedics
18 month old refusing to walk
14 year old with painful hip
75 year old lady unable to move one leg
Back pain with urinary retention
Ophthalmology
Metal worker with sore eye
Severe painful eye with vomiting
Respiratory
Pyrexial, ill, breath sounds chesty, quiet
Chest pain in man, sudden onset of breathlessness
Hot, sweaty child, sore throat, dribbling, unable to swallow
Acute shortness of breathe in pt with COPD
Cough and chest pain with haemoptysis
Obstetrics and Gynaecology
28 week pregnancy with slight pv bleed
36 week pregnant with headache & oedema
15 year old with heavy and painful blood loss
28 week pregnant with chest pain
IUD fined today Now has abdominal pains
Neurological
Sudden onset of severe occipital headache
Unexpectedly confused old lady, 2 weeks after a fall
A pyrexial twitching child
Pyrexial child with mottled rash
Urological
Man with agonising loin pain
Cyclist with pain in left testicle for past hour
Elderly man has not passed urine for 12 hours
Child with vomiting and rigors
Swollen penis for 6 hours
Psychological
Agitated, excited young man talking nonsense
Withdrawn morose nurse with access to insulin
Developed by Dr. Ramesh Mehay (Programme Director Bradford VTS) Jan 2009