the defence postgraduate medical deanery gp training in the defence medical services group captain...
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THE DEFENCE POSTGRADUATE MEDICAL DEANERY
GP TRAINING IN THE DEFENCE MEDICAL SERVICES
Group Captain Alison M Amos FRCGP
Director of Postgraduate General Practice Education
THE DEFENCE POSTGRADUATE MEDICAL DEANERY
Scope
• What is Military General Practice?
• Recruitment Processes
• Single Service Military Training
• GP Training Programmes
• The Future
THE DEFENCE POSTGRADUATE MEDICAL DEANERY
What is Military General Practice?
“Unique synthesis of general practice, practical occupational health and pre-hospital emergency care, practised in teams globally, in often challenging or hostile environments”
THE DEFENCE POSTGRADUATE MEDICAL DEANERY
Very Broad Role
• Anything medical!• Elderly• Refugees• Police Surgeon• Public Health• Family Medicine
THE DEFENCE POSTGRADUATE MEDICAL DEANERY
CORE ELEMENTS
Disease Management
Consultation Skills
Service Management
Health Promotion
Travel
Medicine
Public
Health Military
Psychiatry
and Counselling
Pre- Hospital
Emergency Care
Sports and
Exercise
Medicine
Occupational
Health
Training and
Education
Legal and
Ethical
Practice
Issues
Military Skills
Medical
Operational
Planning
Disaster and
Refugee
Medicine
Environmental
Medicine
Model of Service
Primary Care
From Richardson
and Morgan-Jones
THE DEFENCE POSTGRADUATE MEDICAL DEANERY
Recruitment
• Mostly cadetships• Some Direct
Entrants• Join RN, Army or
RAF• Normally 6 year
short service commission
THE DEFENCE POSTGRADUATE MEDICAL DEANERY
Military Training
• Attend Sandhurst, Cranwell or Dartmouth for 8 to 10 weeks where basic military skills are developed
• Followed by Service specific military medical training– Aviation– Radiation– Travel– Sexual Health– Occupational
• RN and Army undertake GDMO time. RAF begin GP training
THE DEFENCE POSTGRADUATE MEDICAL DEANERY
Defence GP Training• Supported by DPGPE as
part of the Defence Deanery• 3 single Service ‘Assistant
Directors’ but not part of Deanery
• 6 ‘Associate Directors’ – part time and secondary duty
• The Educational Supervision while during the hospital phase is provided by x 6 GP trainers
• In GP the ES is the military or civilian trainer
THE DEFENCE POSTGRADUATE MEDICAL DEANERY
Defence GP Training
• GMC Approved Programme of Training to achieve CCT
• Aim for:– 16 mths hospital– 20 mths GP
• Hospital posts at the MDHUs of which there are 5
• Plus R&R (Headley Court) and DCMH x 2
THE DEFENCE POSTGRADUATE MEDICAL DEANERY
Defence GP Training
• General Practice training is provided by a mixture of military and civilian placements
• Military placements are in England, Germany and Cyprus
• GP Placements and trainers are QA by the Defence GPEC chaired by DPGPE Mersey
• Placements are in ‘families’ practices but some are ‘troops only’ hence the need for a 50:50 arrangement in some cases
THE DEFENCE POSTGRADUATE MEDICAL DEANERY
Defence GP Training• Due to shortage of
military practices, patient caseload and requirements of the AKT/CSA, 6 month NHS placements are sought for all Defence GPStRs
• Details covered in an SLA
• Trainers grant and all costs of the GPStR are paid for by the military
THE DEFENCE POSTGRADUATE MEDICAL DEANERY
The Future
• Defence will continue to need the support of the NHS for some elements of training
• If the extension to GP training is realised this will become even more so
• Your support is invaluable
• Thank you