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East Deanery
General Practice Specialty
Training.
Block Release Teaching
Dave Shackles
Educational Solutions for Workforce Development
A Compulsory Element of GP Specialty Training
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Takes 10 days from 30 day study leave entitlement in ST1
Takes 4 days from 30 days in ST2
Takes 16 days from 30 days in ST3
• Builds on workplace based training
– Time to share experiences and reflect.
Educational Solutions for Workforce Development
East Deanery
Constructed around the RCGP
Curriculum
• Six Domains of Core competence
1. Primary care management
2. Person centred care
3. Specific problem solving skills
4. Comprehensive approach
5. Community orientation
6. Holistic approach
• Three Essential Application Features
1. Contextual
2. Attitudinal
3. Scientific
Educational Solutions for Workforce Development
East Deanery
East Deanery
Educational Solutions for Workforce Development
The Curriculum Statements.
(The areas of medicine to be covered in Specialty Training
East Deanery
1 Being a General Practitioner
2 The GP Consultation
3.1 Clinical Governance
3.2 Patient Safety
3.3 Clinical Ethics
3.4 Equality and Diversity
3.5 EBP
3.6 Research and Academia
3.7 Teaching and Supervision
4.1 Management in GP
4.2 IMT
5 Healthy People
6 Genetics in Primary Care
7 Care of Acutely Ill
8 Care of Children
9 Care of Older Adults
10.1 Womens Health
10.2 Mens health
11 Sexual health
12 Cancer and Palliative care
13 Mental Health Problems
14 Learning disabilities
15.1 Cardiovascular Problems
15.2 Digestive Problems
15.3 Drug and Alcohol Problems
15.4 ENT
15.5 Eyes
15.6 Metabolic Problems
15.7 Neurological Problems
15.8 Respiratory Problems
15.9 Rheumatology / Musculoskeletal
15.10 Skin Problems
Educational Solutions for Workforce Development
Competence Areas
(For Assessment)
1. Clinical management
2. Working with Colleages and in
Teams
East Deanery
7. Managing Medical Complexity and
Promoting health
8. Management of health and social
care of the practice population and
local community
3. Primary Care IM and T
4. Communication and consultation
Skills
9. Ability to work in physical,
psychological socioecanomic and
cultural dimensions
5. Data gathering and interpretation
10. Ethical approach
6. Making a diagnosis and decisions
11. Awareness of your own performance
and health and how it affects others
12. Maintaining performance and CPD
Educational Solutions for Workforce Development
Residential Introductory Course
Educational Solutions for Workforce Development
East Deanery
East Deanery
Educational Solutions for Workforce Development
Variety of Teaching and Learning Methods
Throughout your Training Programme
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1:1 Tutorials with your Trainer
Small Group Tutorials
Problem Based Small Group Learning
Expert Lectures
On Line Learning Modules
Interactive workshops
Role play
Video analysis
Bedside teaching
Experiential Practice Based learning
Case Analysis
» Developing Self Direction
Educational Solutions for Workforce Development
East Deanery
ST1 Practice attachment
East Deanery
Being a GP,The GP Consultation,IMT,Care of children and young
people,Care of people with mental health problems,EBP,Ethics and
value based practice,Care of acutely ill people
Educational Solutions for Workforce Development
GPST1 During 6 months GP Placement
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6 additional full days of teaching
• Consultation models
• Video analysis
• Problem Cases
• Clinical cases
• Difficult consultations
Educational Solutions for Workforce Development
East Deanery
ST1 Day Release
East Deanery
GI,Cardiology,Dermatology,Respiratory,Opthalmology
Orthopaedics,Neurology,ENT,Endocrinology
Being a General Practitioner,Care of Children and young people , The GP
consultation
Educational Solutions for Workforce Development
ST1/ ST2 Hospital Posts
East Deanery
Care of acutely ill people
Contextualisation of cases seen
Educational Solutions for Workforce Development
ST2 Day Release
Being a GP,Palliative care,Sexual health,Equality and diversity
Genetics,Patient safety,Ageing and Health,Mens Health,Rheumatology
Womens Health,IMT,Research and Academic activity
Educational Solutions for Workforce Development
East Deanery
ST3 Practice Attatchment
East Deanery
Being a GP,Management,Teaching and mentoring
Care of people with learning disabilities
Personal and professional responsibilities,Clinical governance
Care of acutely ill patients,Healthy people: promoting health
Care of people with mental health problems
Care of people with cancer & pallitive care
Educational Solutions for Workforce Development
ST3 Day Release
Skin Problems,ENT,Opthalmology,Clinical ethics
Care of children and young people,Evidence based practice
Womens Health,Palliative care...
...and whatever topics you want to cover in small groups or in the whole
year group
Educational Solutions for Workforce Development
East Deanery
One/two Day Modules
Within Day Release
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Women's Health course
Minor surgery course
Emergencies in General Practice (including CPR and AED)
Hot topics
Practice Management
Child health and Child Protection
Dermatology
Palliative care
Educational Solutions for Workforce Development
East Deanery
ST3 Locality Based Study Groups
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Facilitated by GP Educational Supervisors
Run by the groups for the needs of the group.
– Exam preparation
• E.g. role play with simulated patients
– Hot Topic Presentations
– Time to chat and share experiences
– Mutual support
– Review video consultations
Educational Solutions for Workforce Development
East Deanery
RCGP Examination Preparation
Embedded in Teaching over the 3 years
1. Applied Knowledge Test (AKT) Preparation
2. Clinical Skills Assessment (CSA) Preparation
3. Workplace Based Assessment (WBPA)
Educational Solutions for Workforce Development
East Deanery
East Deanery
Educational Solutions for Workforce Development
Evaluation
East Deanery
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Each session is evaluated by participants
Feedback provided to presenters and course organiser
– Session modified as required
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Positive Responses
• Enjoyable
• Informative
• Useful
• Good to meet up with collegues
Educational Solutions for Workforce Development
Preparation for Independent Practice.
Springboard!
Educational Solutions for Workforce Development
East Deanery