GP bit

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Part of ST 2 may have 1 or 2 stints in general practice of 4 months each.
If only one 4 month gp placement there is a lot to get done!
You should know where you are going already
Practices vary but conditions are on average better than in the big bad world

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Need to meet the practice manager and trainer before hand
Bring a number of documents GMC MDU
Passport CRB check P45 bank details payslip
CV
Sign contract.
You should have an induction into general practice .

REGISTRAR TIMETABLE
Monday am.
Monday pm.
Tuesday am.
Tuesday pm.
Wednesday am.
Wednesday pm.
Thursday am.
Thursday pm.
Thursday pm.
Friday am.
Friday am.
Surgery
Late visits
Surgery
Surgery
Training/PGE
Tutorial
Surgery
Practice meeting
Vid/normal surgery
Joint surgery tutorial prescriptions
Diabetic Clinic
Surgery
Surgery
Child Health Clinic
Or visits
09.00am – 11.30am
15.00am – 17.30pm
08.30am – 11.00am
14.00pm – 17.00pm
09.40am – 10.40am variable
08.30am - 09.30am
15.00pm – 17.30pm
09.00am – 10.00am
10.00am – 12.00pm
14.00pm – 16.00pm
16.00pm – 17.30pm
09.00am – 10.45am
11.00am – 13.00pm
Friday pm personal study/professional development/APE post etc

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You should enjoy the experience and the close educational relationship with the trainer
It should be good fun and you are part of the team. However you might find it isolating and lonely to consult on your own to begin with.
Make sure you have your trainers mobile phone number.
Sort out any potential timetable/placement issues right at the beginning of your placement

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The trainer should allow you to grow in confidence and independence in the time you are there so naturally you are protected to begin with.
If things not going well talk to someone.
You are supernumerary and so its expected that the practice should not depend on you being there ,so holidays should not be as much of a headache.

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You are entitled to study leave . This includes
VTS half days but also a week per 6 months.
With the trainers agreement you could take more but that is not an entitlement.
Days off for personal study will not be approved but of course attendances at relevant exams will be allowed.

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Equipment you are provided with include the black bag but I would expect people to have own stethoscopes and buy own opthalmoscopes and otoscopes.
Otherwise the practice should provide you with them.
Contents of doctors bag should be one of the first things you sort in induction period.
If things get busy from time to time that is not necessarily a problem but you should not be left without a practitioner in the building.
Practice meetings are important to understand general practice and its vital to attend these

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You must regularly look at the News section of the Pennine website.
You must join and use the Pennine Yahoo
Group
Review the Deanery website to become familiar with their expectations for successful
ARCP progression

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Home visits up to 3 a day often less
Be safe, be prepared know where you are going and whom you are meeting.
Often reason for visit will lend itself to a pre tailored action plan.
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AK story

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To further broaden your experience in different specialties we have Additional Postgraduate Experience attachments to ST2 GP posts:
Dermatology
Pall Med – Kirkwood 4 sessions
Pall Med - Overgate
Ophthalmology
Paediatrics
Pain Management
Rheumatology
ENT
Diabetic Clinic
GUM Clinic
O & G
Family Planning
Most are 2 sessions but the hospice at Huddersfield comprises 4 sessions plus night on call of course!
Arrange via Elaine

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PDP looked at last time
3 quality entries per week at least
Need entries in all domains and all bits of the portfolio
SEA, Projects, Audit and e-learning domains need entries in every post!
Some areas of curriculum poorly covered e.g.
LD, ophthalmology, Practice management
Patient safety

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You need to have minimum numbers of assessments done before the summative reviews by the ES (May & Nov).
Get your trainer to look at your portfolio, regularly checking your entries and validating them against the competencies
When you were in hospital practice consultants were rating you as competent but in general practice you will usually be in the needs further development category and don’t be upset by this!
DOPS need to be done on real patients and observed by an appropriate health professional

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Need to do one in ST2 start early!!
Consecutive handed out by the receptionist until 40 received.
Put on e-portfolio by practice administrator
Trainer does a declaration
Need to be done before ESR in ST2 and ST3

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Need one at least one 4 hour session per month in general practice pro rata
Need your supervisor to rate you with Dr
Hasanie`s form on the website
Book early otherwise face delays in your CCT
Need a mix, telephone triage (training counts as a session) visits & PCC
System 1 training needed
Book via Moira

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Various models which we will cover in HDR
It will get take some getting used to and expect you will consult at 20 min intervals to begin with
Eventually towards may be middle of ST3 year you will get down to 10 min intervals
Don’t worry if you are unsure of what to do with simple things it will not reflect badly
ASK!!!!

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Get started early
Learn how to use the video camera early
Have a surgery every week where you are videoing
Lets do an exercise sign posting with various models

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Don’t forget the minimum number have to be completed prior to your summative educational supervision (May & Nov)
PSQs can take a surprising length of time to complete