The School of Primary Care

1
The School of Primary Care

• Bristol Faculty Day
• Bill Irish

2
New Website Jan 2009
Most information can now be accessed via the
School website http//primarycare.severndeanery.
org/
3
Numbers

• 2500 GP Principals Significant numbers of
  non-principals
• Full-Time GPSTRs
• 324 increasing to 500 over next 3 years

4
Opportunities

• Better rotations
• Less internal medicine, TO, etc
• More palliative care, SRH, Paediatric AE 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

5
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?

6
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

7
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

Remain compulsory for re-accreditation as a
Severn trainer
8
Extended Rotations
9
Structured Teaching through local programmes
Single GP Educational Supervisor
10
Primary Care School Scholarship Programme
11 High Flying GPSTRs selected competitively at
ST2 for additional training in ST3
11
New 4-year Programmes
2 Clinical Research (Nationally funded ACFs) -
UoB 1 Education UoB 2 Public Health/Leadership
Bristol and Somerset PCTs
12
Collaboration With Universities

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

13
Existing Links

• 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

• Research Projects
• UWE
• ACFs and Undergraduate Teaching
• UoB
• Advanced Practice Nurse Project
• UWE/Derek Sprague
• City
• KTP on QA of hospital training posts
• UWE

14
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

15
Mapping an MSc on to GPST Beyond
ST1 ST2 ST3 Post CCT
Certificate
Diploma
Masters
Mulitple Exit (and re-entry) Points
16
Accreditation

• Joint exercise between HEI and Deanery
• Minimal cost to trainees
• Oxford Brookes model
• Assessed Portfolio
• Passing 3 components of MRCGP
• Assessed by current faculty, after training by
  HEI
• Visiting university appointments

17
Taught Masters

• Adapted from existing taught Masters level
  programmes.
• Opportunity to provide access to local GPs, and
  the NHS.
• Distance vs. face-to-face education

Clinical Modules Eg Sports Medicine Palliative
Care Public Health Therapeutics
Generic Modules Eg Business Finance
Skills Law Ethics Leadership Education
18
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

19
Thank You

• Questions?
• Critiques?
• Suggestions?