The School of Primary Care

Bristol Faculty DayBill Irish

Most information can now be accessed via the School website:

http://primarycare.severndeanery.org/

New Website – Jan 2009

Numbers

• 2500 GP Principals + Significant numbers of non-principals

• Full-Time GPSTRs:

• …324 increasing to 500 over next 3 years

Year of Entry Number recruited into ST1

2007 102

2008 126

2009 138

2010 154

Opportunities

• Better rotations:– Less internal medicine, T&O, etc– More palliative care, SRH, Paediatric A&E etc

using 100% funding from SHA

• More foundation rotations with 4m GP– Conversion of hospital F2 posts into GPSTR posts– To 55 or even 60%

• All with 18m GP – mainly in ST2

Threats

• Capacity in General Practice– Major recruitment drive

• Improvement grants – £0.5 Million• Local support in WSM and in Bristol for new trainers

– Pressure to pick up surplus medical and surgical posts in context of EWTD

– GPE and Trainer fatigue– Recruiting from same pool of applicants –

standards?

Experienced Trainer Courses (ETCs)

• We have listened…• We have trashed the

old Severn and Wessex Courses

• Paul Main has led a major redesign of the 3 yearly ETC

• Thank you for all of your input

ETCs• What they wont…

– Be didactic– Have any hidden agenda

assessments– Be rigid– Have any political spin– Charged for

• What they will …– Be learner-centred based on

adult education principles– Be experiential– Based on peer learning &

feedback– Use live bait– Use local subject experts for

current hot topics– 3 days every 3 years– Be developed in response to

feedback

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Extended Rotations

Structured Teaching through local programmes

Single GP Educational Supervisor

Single GP Educational Supervisor

Primary Care School Scholarship Programme

11 “High Flying” GPSTRs selected competitively at ST2 for additional training in ST3

11 “High Flying” GPSTRs selected competitively at ST2 for additional training in ST3

New 4-year Programmes

2 Clinical Research (Nationally funded ACFs) - UoB1 Education – UoB2 Public Health/Leadership – Bristol and Somerset PCTs

2 Clinical Research (Nationally funded ACFs) - UoB1 Education – UoB2 Public Health/Leadership – Bristol and Somerset PCTs

Collaboration With Universities

• Bath• UWE

• Masters programme in Primary Health Care• Taken over 4 years

Existing Links• Research Projects

– UWE• ACFs and Undergraduate

Teaching– UoB

• Advanced Practice Nurse Project– UWE/Derek Sprague– City

• KTP on QA of hospital training posts– UWE

• Language Skills Assessment in Doctors in Training– Bath

• Novel selection methodologies for GPST– City

• Advanced Educator Development– UoB– Dundee

• MRCGP exam teaching and NQGP mentoring– Severn Faculty, RCGP

How might it work?• Self funded by trainees

– 77% current ST1s interested in a self funded MSc• Some limited development costs co-funded by deanery and university• Credit accumulation – possibly allowing some import from other national

universities• Needs to be seen as high return

– Additional Skills– High Value Qualification– High chance of completion

• Accessibility by established local GPs for CPD

Mapping an MSc on to GPST & Beyond

ST1 ST2 ST3 Post CCT

CertificateCertificate DiplomaDiploma MastersMasters

Mulitple Exit (and re-entry) Points

Accreditation

• Joint exercise between HEI and Deanery• Minimal cost to trainees• Oxford Brooke’s model

– Assessed Portfolio– Passing 3 components of MRCGP

• Assessed by current faculty, after training by HEI

• Visiting university appointments

Taught Masters

• Adapted from existing taught Master’s level programmes.

• Opportunity to provide access to local GPs, and the NHS.

• Distance vs. face-to-face education

Clinical Modules

Eg: Sports MedicinePalliative CarePublic HealthTherapeutics

Clinical Modules

Eg: Sports MedicinePalliative CarePublic HealthTherapeutics

Generic Modules

Eg: Business & Finance SkillsLaw & EthicsLeadershipEducation

Generic Modules

Eg: Business & Finance SkillsLaw & EthicsLeadershipEducation

Project and Dissertation

• Taught basic clinical and/or educational research skills

• Opportunity to evolve into a research-based degree

• Distance learning• Supervision from subject experts

Thank You

• Questions?• Critiques?• Suggestions?