QA developmental visit to Psychiatry Callington Road 28 4 10
Present:
Dr James Eldred
Dr John Seddon
Apologies:
Aims of visit:
Improve networking / communication / understanding between GPE and department
Build on strengths of department’s teaching of GP trainees
Recognise and aim to act on weaknesses
Provide a report to allow audit trail and achievements expected before next visit
Strengths highlighted by visit, trainee feedback and QA questionnaire
Learning in the affective domain
Promotion of self awareness and self care. Effective pastoral care
Exposure to a range of clinical conditions in various scenarios
Patients with cultural and language challenges
Well organised department with access to clinical experiences and teaching
Individual learning plan developed with trainee and clinical Supervisor early on in training.
Good collaborative team working atmosphere within departments in the hospital
Responsibility given to GPSTs 20 inpatients shared with Psychiatry ST
GPST liaises with MDT – GP, Care Coordinator, and receives hand over from nursing team
Trainees responsible for discharge summaries
Varied training programme sensitive and responsive to learning needs of GPST.
Large amounts of teaching, support, observation with feedback given to trainees
Large amounts of face to face contact time with consultant
GPST made to feel part of the team and valued
Faradays Trainees part of the assessment team – see what is referred from primary care,
and how this process is managed in psychiatry. GPSTs encouraged to critically assess
referrals and to consider exactly what the GP is asking / having problems with
Opportunity to do visits in the community and see acutely unwell patients in their homes
Opportunity to experience old age psychiatry
Opportunity to work in drug and alcohol units
Attend MDT meetings and do case presentations
Have teaching and support from excellent Clinical Psychologist who helps trainees formulate
patient centred analysis of symptoms based on an empathic study of their narrative
Weaknesses highlighted by visit, trainee feedback and QA questionnaire
Could make better use of GPST knowledge and experience within the department in
teaching clinical staff
Questions raised by visit:
Difficult to manage continuity of teaching and service provision with job share GPSTs
Agreed action points:
Will encourage GPSTs to give update teaching sessions on chronic disease management to
medical and nursing staff as a means to:
 provide teaching experience for GPSTs
 consolidate and enhance GPPST understanding of those topics
 be an effective team member by giving something back to a supportive department
Agreed inaction:
Summary
Supportive department integrating GPSTs into their effective multidisciplinary team
Close supervision and support with targeted GP focussed training
Individual learning plans developed with the support of their consultant
Good and excellent feedback both anecdotally and written from GPSTs
Sophisticated consultant teaching
Exposure to wide range of clinical problems
Evidence of deep learning, change and development in some of the trainees passing through
the department
Observation and feedback given to Trainees from their consultant
Well done