PBSGL in Scotland

1
PBSGL in Scotland

• Ronald MacVicar

2
PBSGL

• Canadian approach to CPD
• Evolved from a single group of GPs at McMaster
  University in the late 80s
• Now involves over 6000 practitioners in Canada
  (25)
• Foundation for Medical Practice Education (FMPE)
• Used extensively in North America as part of
  residency training
• International collaborations, including with
  Scotland

3
PBSGL in Scotland

• Piloted in Scotland 2003/04 (5 groups)
• Rolled out in Scotland from Aug 2006 and research
  into multi-professional and nurse-only groups
• Now involves over 1550 GPs in gt200 groups in
  Scotland (gt33) growing rapidly
• Includes a small number of Practice Nurses (PNs).
  Piloting in other professions, notably pharmacy
• Multi-professional groups
• Rapid growth within GPST from Autumn 2009

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Aye, but what is PBSGL?

• Peer facilitated
• Practice based (i.e. based in clinical practice)
• Small group (usually 4-9)
• Learning

5
and

• Topic-specific modules
• Canadian modules -gt tartanisation -gt single
  guideline modules (SIGN/ NICE) -gt de-novo UK
  modules.
• 12-14 per annum
• Gaps
• Between current and best (or better) practice
• Problems
• Stimulus to bring real cases
• Evidence
• Distillation of best available evidence for
  primary care practice
• Barriers
• And how to overcome them
• Leading to Commitment to change

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PBSGL Challenges Opportunities

• PBSGL as part of a NES GP/ primary care strategy
  based on
• a move from a deanery focus to a national focus
  including sharing resource, financial risk, and
  expertise in order to provide a sustainable,
  robust and secure CPD service to primary care
  practitioners in Scotland
• a presumption for a multi-professional/ primary
  care focus
• better coordination and access irrespective of
  geography
• a single approach to the administration of GP/
  primary care CPD
• CPD portal and Knowledge Services support
• a national GP/ Primary Care CPD management
  structure