Download - The nMRCGP curriculum
The nMRCGP curriculumThe nMRCGP curriculum
A proposal from the Yorkshire A proposal from the Yorkshire Deanery Curriculum GroupDeanery Curriculum Group
Paul Robinson leads from the Paul Robinson leads from the DeaneryDeanery
The GPR 3 year programmeThe GPR 3 year programme
2 years in specialisms: ST1 and ST22 years in specialisms: ST1 and ST2
1 year in general practice ST31 year in general practice ST3
Some schemes will have innovative posts Some schemes will have innovative posts half GP/ half specialismhalf GP/ half specialism
ST1and 2: agendasST1and 2: agendas
Orientate new GPR’s to general practice; Orientate new GPR’s to general practice; keep in touch with GP during these yearskeep in touch with GP during these years
Preparing the GPR to hit the ground running Preparing the GPR to hit the ground running for the GP year to pass the CSAfor the GP year to pass the CSA
Acquiring knowledge and skills relation to the Acquiring knowledge and skills relation to the nMRCGP specialism curriculum to take and nMRCGP specialism curriculum to take and pass AKT at end ST2pass AKT at end ST2
ST1and 2: agendasST1and 2: agendas
Orientate new GPR’s to general practice; Orientate new GPR’s to general practice; keep in touch with GP during these yearskeep in touch with GP during these years
Preparing the GPR to hit the ground running Preparing the GPR to hit the ground running for the GP year to pass the CSAfor the GP year to pass the CSA
Acquiring knowledge and skills relation to the Acquiring knowledge and skills relation to the nMRCGP specialism curriculum to take and nMRCGP specialism curriculum to take and pass AKT at end ST2pass AKT at end ST2
ST1and 2: agendasST1and 2: agendas
Orientate new GPR’s to general practice; Orientate new GPR’s to general practice; keep in touch with GP during these yearskeep in touch with GP during these years
Preparing the GPR to hit the ground running Preparing the GPR to hit the ground running for the GP year to pass the CSAfor the GP year to pass the CSA
Acquiring knowledge and skills relation to the Acquiring knowledge and skills relation to the nMRCGP specialism curriculum to take and nMRCGP specialism curriculum to take and pass AKT at end ST2pass AKT at end ST2
ST1and 2: agendasST1and 2: agendas
Provide educational supervisionProvide educational supervision
Predominantly service commitmentPredominantly service commitment
Covering the curriculum for the jobs GPR’s Covering the curriculum for the jobs GPR’s will not have in their rotationswill not have in their rotations
AssessmentAssessment
ST1and 2: agendasST1and 2: agendas
Provide educational supervisionProvide educational supervision
Predominantly service commitmentPredominantly service commitment
Covering the curriculum for the jobs GPR’s Covering the curriculum for the jobs GPR’s will not have in their rotationswill not have in their rotations
AssessmentAssessment
ST1and 2: agendasST1and 2: agendas
Provide educational supervisionProvide educational supervision
Predominantly service commitmentPredominantly service commitment
Covering the curriculum for the jobs GPR’s Covering the curriculum for the jobs GPR’s will not have in their rotationswill not have in their rotations
AssessmentAssessment
ST1and 2: agendasST1and 2: agendas
Provide educational supervisionProvide educational supervision
Predominantly service commitmentPredominantly service commitment
Covering the curriculum for the jobs GPR’s Covering the curriculum for the jobs GPR’s will not have in their rotationswill not have in their rotations
AssessmentAssessment
ST1 and 2 : proposed ST1 and 2 : proposed solutionssolutions
Abandon HDR for ST1 and 2 Abandon HDR for ST1 and 2
Have study blocks written into GPR’s Have study blocks written into GPR’s contracts: a block every 6 months.contracts: a block every 6 months.
Range of educational events to cover the Range of educational events to cover the nMRCGP specialisms curriculum: deanery nMRCGP specialisms curriculum: deanery level organisation, resources from VTS’slevel organisation, resources from VTS’s
ST1 and 2 : proposed ST1 and 2 : proposed solutionssolutions
Abandon HDR for ST1 and 2Abandon HDR for ST1 and 2
Have study blocks written into GPR’s Have study blocks written into GPR’s contracts: a block every 6 months.contracts: a block every 6 months.
Range of educational events to cover the Range of educational events to cover the nMRCGP specialisms curriculum: deanery nMRCGP specialisms curriculum: deanery level organisation, resources from VTS’slevel organisation, resources from VTS’s
ST1 and 2 : proposed ST1 and 2 : proposed solutionssolutions
Abandon HDR for ST1 and 2 Abandon HDR for ST1 and 2
Have study blocks written into GPR’s Have study blocks written into GPR’s contracts: a block every 6 months.contracts: a block every 6 months.
Range of educational events to cover the Range of educational events to cover the nMRCGP specialisms curriculum: deanery nMRCGP specialisms curriculum: deanery level organisation, resources from VTS’slevel organisation, resources from VTS’s
ST1 and 2 : proposed ST1 and 2 : proposed solutionssolutions
One compulsory block on consultations skills One compulsory block on consultations skills to prepare for ST3to prepare for ST3
4-6 weekly facilitated peer group sessions 4-6 weekly facilitated peer group sessions
Each GPR will have an educational Each GPR will have an educational supervisor for the 3 years- their trainer in supervisor for the 3 years- their trainer in ST3?ST3?
ST1 and 2 : proposed ST1 and 2 : proposed solutionssolutions
One compulsory block on consultations skills One compulsory block on consultations skills to prepare for ST3to prepare for ST3
4-6 weekly facilitated peer group sessions 4-6 weekly facilitated peer group sessions
Each GPR will have an educational Each GPR will have an educational supervisor for the 3 years- their trainer in supervisor for the 3 years- their trainer in ST3?ST3?
ST1 and 2 : proposed ST1 and 2 : proposed solutionssolutions
One compulsory block on consultations skills One compulsory block on consultations skills to prepare for ST3to prepare for ST3
4-6 weekly facilitated peer group sessions4-6 weekly facilitated peer group sessions
Each GPR will have an educational Each GPR will have an educational supervisor for the 3 years- their trainer in supervisor for the 3 years- their trainer in ST3?ST3?
ST1 and 2: assessmentST1 and 2: assessment
GPR is responsible for getting their GPR is responsible for getting their assessments completedassessments completed
There will be an electronic portfolioThere will be an electronic portfolio
RITA will occur at end 6 mnth posts and RITA will occur at end 6 mnth posts and completed by hospital specialist supervisorcompleted by hospital specialist supervisor
There should be formal assessment of There should be formal assessment of each piece of learning included in the each piece of learning included in the portfolioportfolio
ST1 and 2: assessmentST1 and 2: assessment
GPR is responsible for getting their GPR is responsible for getting their assessments completedassessments completed
There will be an electronic portfolioThere will be an electronic portfolio
RITA will occur at end 6 mnth posts and RITA will occur at end 6 mnth posts and completed by hospital specialist supervisorcompleted by hospital specialist supervisor
There should be formal assessment of There should be formal assessment of each piece of learning included in the each piece of learning included in the portfolioportfolio
ST1 and 2: assessmentST1 and 2: assessment
GPR is responsible for getting their GPR is responsible for getting their assessments completedassessments completed
There will be an electronic portfolioThere will be an electronic portfolio
RITA will occur at end 6 mnth posts and RITA will occur at end 6 mnth posts and completed by hospital specialist supervisorcompleted by hospital specialist supervisor
There should be formal assessment of There should be formal assessment of each piece of learning included in the each piece of learning included in the portfolioportfolio
ST1 and 2: assessmentST1 and 2: assessment
GPR is responsible for getting their GPR is responsible for getting their assessments completedassessments completed
There will be an electronic portfolioThere will be an electronic portfolio
RITA will occur at end 6 mnth posts and RITA will occur at end 6 mnth posts and completed by hospital specialist supervisorcompleted by hospital specialist supervisor
There should be formal assessment of There should be formal assessment of each piece of learning included in the each piece of learning included in the portfolioportfolio
ST3 agendaST3 agenda
Passing CSAPassing CSA
Completing the WPBACompleting the WPBA
Obtaining a satisfactory trainers reportObtaining a satisfactory trainers report
Preparation for independent practicePreparation for independent practice
ST3 essential attributes to be a ST3 essential attributes to be a GP: integrationGP: integration
Contextual: person, family, community, Contextual: person, family, community, culture and beliefsculture and beliefs
Attitudes: values and ethicsAttitudes: values and ethics
Scientific approach: critical and research Scientific approach: critical and research based approach, continuing learning and based approach, continuing learning and quality improvementquality improvement
ST3 possible solutionsST3 possible solutions
Weekly HDR in small stable facilitated groupsWeekly HDR in small stable facilitated groups
Emphasis on communication and problem Emphasis on communication and problem solving skills, attitudes, values and ethics, critical solving skills, attitudes, values and ethics, critical thinking- they will have passed the AKT!thinking- they will have passed the AKT!
Educational supervision; the electronic portfolioEducational supervision; the electronic portfolio
3 monthly review in WPBA process3 monthly review in WPBA process
The big changesThe big changes
GPR will be responsible for their learning and GPR will be responsible for their learning and completing their assessments to a clear completing their assessments to a clear timetable. No AKT/WPBA/CSA/TR = no job. timetable. No AKT/WPBA/CSA/TR = no job. More will fail.More will fail.The electronic portfolio means we will know what The electronic portfolio means we will know what happened in other postshappened in other postsThey will arrive in practice with a higher They will arrive in practice with a higher knowledge baseknowledge baseThe practice year will be about integration of The practice year will be about integration of knowledge, skills and attitudes to be a GPknowledge, skills and attitudes to be a GP
The big changesThe big changes
VTS’s through Deaneries could combine VTS’s through Deaneries could combine to deliver learning opportunities in ST1 to deliver learning opportunities in ST1 and 2and 2VTS’s could deliver learning opportunities VTS’s could deliver learning opportunities in a HDR release format in ST3 by in a HDR release format in ST3 by organising stable facilitated groups.organising stable facilitated groups.Trainers could take on the role of Trainers could take on the role of educational supervisors for GPR’s not yet educational supervisors for GPR’s not yet in their practicesin their practices
The big changesThe big changes
The assessment role will increaseThe assessment role will increase
The teaching role may change: the HDR/ The teaching role may change: the HDR/ practice teaching roles and responsibilities will practice teaching roles and responsibilities will have to be more clearly described and allocatedhave to be more clearly described and allocated
We will have to acquire the skills to manage the We will have to acquire the skills to manage the tensions of the formative/ summative tensions of the formative/ summative assessment interface in a creative way to enrich assessment interface in a creative way to enrich out roles as trainers rather than rip out our out roles as trainers rather than rip out our enthusiasmenthusiasm
Issues for trainersIssues for trainers
Weekly tutorials: what will they be for? What will Weekly tutorials: what will they be for? What will the practice contribute vs the HDR e.g. the practice contribute vs the HDR e.g. consultations skills consultations skills Clinical skills emphasis in CSA- are we good Clinical skills emphasis in CSA- are we good enough to teach them?enough to teach them?Trainers as assessors: can we do it?- quality Trainers as assessors: can we do it?- quality assuranceassuranceTrainers as assessors vs trainer as teacher/ Trainers as assessors vs trainer as teacher/ coach/mentor/educational supervisor.coach/mentor/educational supervisor.