GP SPECIALITY TRAINING

Report
GP SPECIALITY
TRAINING
Dr Deepen Patel MBBS BSc – GPST3
August 2014 intake Round 1 - All
posts to commence August 2014
Applications can be
submitted from
10.00am Tuesday 12th November 2013
Applications MUST be
submitted by
17:00 on Thursday 5th December 2013
No late applications will be accepted under
any circumstances
Foundation Competence
evidence submitted by
17:00 on Thursday 5th December 2013
Evidence MUST be attached to the
application form at the time of submission.
Stage 2 (Computer Based
Test)
From Saturday 4th January up to and
including Saturday 11th January 2014. Places
can be booked, on invitation, from 6th
December 2013 once your application has
been accepted.
For details regarding an overseas assessment
please see the FAQ’s for more information
Academic interviews (for those
applying for an Academic GP
programme)
w/c 27th January 2014
Stage 3 (Selection Centre)
From 3rd February - 14th February 2014. Places must
be booked by 30th January 2014
Offers out
By 5th March 2014 - offers may be released early if the
deaneries are able to do so.
Offers accepted by
Within 48 hours of offer
Held offers accepted or declined by 12th March 2014
Local Clearing commences
From 12th March 2014 onwards as offers are accepted /
declined
National Clearing
From 17th March 2014 or as soon after as possible
Round 2-remaing posts
Applications can be submitted from
10.00am Tuesday 18th March 2014
The online application form can be accessed at this time
17:00 on Thursday 3rd April 2014.
Applications MUST be submitted by No late applications will be accepted under any
circumstances
17:00 on Thursday 3rd April 2014.
Foundation Competence evidence
Evidence MUST be attached to the application form at the
submitted by
time of submission.
Monday 28th and Tuesday 29th April 2014. Places can be
booked, on invitation, from 14th April 2014 once
Stage 2 (Computer Based Test)
application has been accepted by long-listing deanery. No
overseas assessment centres will be available during
Round 2.
Stage 3 (Selection Centre)
Tuesday 13th and Wednesday 14th May 2014
Offers out
Around 16th May 2014 - offers may be released early if
the deaneries are able to do so.
Offers accepted by
Within 48 hours of offer. National Clearing - From 26th
May 2014 or as soon after as possible
PLEASE NOTE:
Vacancy details will not be available until Round 1 has
concluded and any applications will initially be for GP
training Nationally, with the ability to preference
LETB/deaneries with remaining vacancies at a later
Stage 2 – Computer test
 2 parts
 Professional dilemmas 110 mins
 Clinical problem solving 75mins
 If you pass this you get invited to stage 3 – selection Centre
Stage 3 – Selection Centre
 3 consultations -10 mins each
 Consultation with patient
 Consultation with friend/relative
 Consultation with non medical colleague
 Written exercise - 30mins
 Prioritisation of ranking issues and justification
Programme offer and National
Clearing
Kings Lynn – GP Training Scheme
 Why come to Kings Lynn….
 The King's Lynn Scheme is one of the oldest schemes in the country
and has been in existence for over 40 years. These years of
experience; past (and current) dedicated Trainers and Hospital
specialists have made it a hugely successful and popular scheme.
 The hospital is a great place to work - a real 'family' atmosphere - a
fact commented upon during a recent East of England Deanery visit
to assess our training across the hospital. The training practices and
their staff are equally friendly and welcoming and offer a fantastic
base from which to start, or continue, your training.
 For those of you who trained elsewhere and who are not familiar with
us, the hospital or the locale - it really is worth talking to us or visiting
the area before you decide where to train. The majority of the trainees
who did not originally train (ie during their foundation posts) at King's
Lynn have settled in the area and a significant amount are now
involved with training the current trainees.
 The area surrounding King's Lynn (itself an historical town with its
origins in the 12th century) is fantastically diverse from it's world
famous beaches (think of the beach scenes from Shakespeare in
Love) to its densely populated woodlands such as Elveden Forest,
home to Centre Parks. For nature lovers, the huge areas of wetlands,
homes to thousands of species of birds, together with stunning
scenery (and probably the 'biggest sky' in the UK) is a draw, whilst the
more active can cycle, wind and kite surf, sail and swim from one of
the most stunning coasts in the UK.
 For those of you who occasionally hanker after a more cosmopolitan
environment, Norwich is only 45 mins away and there is a great rail
link with Cambridge and you can be in London within 2 hours (but
you'll be so glad to come back again!). Throw in numerous gastro
pubs and Michelin starred restaurants
Programme Directors & Teaching
 The King's Lynn scheme is led by two Programme Directors (PDs) – Dr Leena Deol and Dr Richard
Musson.
 Both are GPs based at local training practices and are enthusiastic, committed and approachable
 Education programme: The Scheme's education is delivered via a half-day release course held at
the hospital every Wednesday afternoon (2.15-5.00pm).
 The topics for the programme are generated, in part, by the trainees themselves. Each quarter, a
'review/preview' is held where the trainees review the previous programme's teaching (which they
evaluated at the time of delivery). They then choose whether it would be beneficial to repeat any of
these sessions in the future. Discussion and sharing ideas then generate a new list of possible
topics for future programmes.
 Always on the programme (usually twice per quarter) are sessions on consultation skills. Trainees
are asked to submit their own video consultations which are then discussed within the safe
environment of a small group with a trained facilitator. Programmes would also normally feature a
proportion of 'when to refer' sessions led by a hospital specialist (ie ENT or O&G) who discuss
common conditions found in general practice and give insight into how and when these should be
referred to the hospital. GP registrar presentations also feature quite often and we try to
incorporate at least one or two group visits to a local training practice.
 We also try to incorporate a few 'out of school' sessions to allow team-building and learning with
the GP Trainer group.
 Most afternoons are split into two with the first half dedicated to an invited speaker and the second
spent on group work, focusing on general practice issues
Working Week
 10 sessions
 7 clinical sessions
 2 structured educational sessions
 1 self directed learning
 Each session approx 4hrs
 OOH – 6hrs/months – 18 month GP placement = 108hrs
MRCGP
 Compulsory exit exam
 AKT – Applied Knowledge Test
 Clinical Skills Assessment CSA
 WBPA – Workplace Based Assessment
 Costs – AIT registration £799 (3 years)
 AKT £430
 CSA £1445
 CCT Certification £500
 TOTAL £3174
AKT
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3 hours- 200 questions
3 sittings - Feb, May, Oct
Max 4 attempts
Computerised Test – Pearson Vue
Cant attempt only ST2 or later
Recommended – min 3 months of GP exposure
 EMQ/SBA
 80% -Clinical Medicine (GP)
 10 % - Critical appraisal
 10% - Statistics
CSA
 Simulated surgery
 13 cases
 Actor and examiner rotate
 10 mins per consultation
 Rest 15mins after 7 cases
 Domains
 Data gathering
 Clinical Management
 Interpersonal Skills
 Each domain is marked out of 3
 Need roughly 75/117 to pass
Work Place Based Assessment
 E – Portfolio
 Ongoing assessment throughout training
 Checkpoints needed to pass via ESR and ARCP to progress
 PSQ - Patient satisfaction Questionnaires
 Consultation Observation Tools (COT)
 Multi-source Feedback – MSF
 Case Based Discussion – CBD
 Direct Observation of Procedural Skills – DOPS
 Mini-Clinical Examination Exercise – Mini CEX
 Clinical Supervisors Report - CSR
E Portfolio
 Record and manage your learning
 Record check points
 Results for examination via eportfolio
 Reflection on learning
Summary
 Choose GP training as a speciality
 Good work life balance
 Kings Lynn GP Training is a fantastic programme
 No more nights and weekends and ward rounds!!
 GP is exciting and challenging
Thank you for listening!

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