ST 3 – The countdown begins!

The Year

Induction – tips and resources Making the most of the year Clearing the hurdles Preparing for life as a GP

Getting the most out of your induction Ensure you meet and get to know the

names of the team and their roles and responsibilities

Don’t just sit there, do something! The 1st two weeks – working in pairs

identify the key things you have to achieve

Remember the wider team

Health Visitor District nurses & Community Matron DSNs, McMillan Nurses Social Worker PM & Admin staff Secretaries & IT Manager House keeper

Clearing the hurdles

E-portfolio tips

Minimum means minimum! You need to be making 4 entries a week to achieve the

minimum of 3 quality entries Don’t forget your PDP (use your TISA form) – one entry

added and one completed per fortnight PSQs require 40 respondents, so they take time! CBDs,COTs etc all have to be achieved prior to May and

December – there are no formative Ed Sup reviews Get your Trainer to read and discuss your last ESR and

ARCP report

Audit/Projects & SEA

Domains that have to be populated! Discuss them with your trainer Complete at least 1 quality two cycle audit

or QOF project and 6 SEA during the ST3 year

See the Pennine website for ideas and advice

COTs & Videos – Start after the 1st 2 weeks!! Check the camera & make sure you know how it

works 20 mins appts and don’t forget your time keeping Ensure no disturbances Receptionists – paperwork, selecting patients etc Review the good consultations using the COT

criteria and select on the basis of your COT competency mapping

Review the bad and the ugly with your Trainer using a problem based approach

THINGS TO DO

MSFs, PSQs, CBDs and COTs Audit/Projects Exams Courses Video Ed Supervision & E-portfolio review OOH Tutorials & WPBAs

COURSES

CSA Courses – a must CHS – if you have not done it already BLS – if you have not done it already Minor Surgery Family Planning Exit course

EXAMS

CSA Jan-Feb, May, Sept, Nov -Dec

AKT March-April, Aug-Sept, Dec,

What is your strategy?

Budgeting for costs

CHS £250 EXIT £200 DFSRH (DFFP) £147 (Reg & Subs 1

year) CSA course £300 to £400 CSA £1525 CCT £350

Web Based Resources http://www.pennine-gp-training.co.uk/nmrcgp.htm - A wide array of useful downloads to support you through your

GPST year

www.gpnotebook.co.uk - Used by most GPs in the country, an excellent updated concise medical encyclopaedia.

www.patient.co.uk - A huge array of Patient Information Leaflets written in plain English.

www.bradfordvts.co.uk - A wonderful resource, full of useful downloads.

www.google.co.uk - A great search engine for any medical topic.

www.eguidelines.co.uk - Provides updated evidence based guidelines with a Primary Care perspective.

www.e-gp.org - a comprehensive programme of innovative e-learning sessions structured around the GP curriculum. 

www.bmj.com - Read the last BMJ, use it for literature searches or finding a job.

www.rcgp.org.uk - Essential for all your nMRCGP and e-portfolio information.

www.yorksandhumberdeanery.nhs.uk/general_practice/ - Courses, resources and information relating to GPST education.

www.dvla.gov.uk - Great updated medical guidelines downloads.

Life as a ST3 GPST?

Surgeries

Come in 15 minutes early to review the records Start on time! Organise your workspace Encourage your trainer to do some sit and swap

surgeries Don’t forget that ‘sitting in’ should occur

occasionally throughout ST3 not just at induction Have realistic expectations about your

knowledge, skills and performance

Tips for surviving on call

Working in pairs identify ways in which you can make GP on call more bearable

Home Visits

You can not avoid them Max 3 visits, usually 1 to 2 Prior to Tuesday HDR 1 visit is the norm Doctor’s bag, A-Z and mobile phone

Tutorials & debriefs & OOH

2 hours weekly of protected tutorial time Scheduled post surgery debriefs You need to have completed 6 hours of

OOH sessions per month of GP training (14 to 18 x 6 for most GPSTs)

The must include a variety of triage, home visit and surgery sessions

Time for tea!

ARCP It does not have to be like this!

Working in pairs

Progression to CCT - What does the ARCP panel assess?

When does this happen? How will you ensure a satisfactory

outcome?

Designing your road map

Working in small groups

Draw your time line for the ST3 year detailing the approximate dates of OOH sessions, courses, exams, Educational Supervision, ARCP panel, CCT application, job applications and other deadlines etc

What if things go wrong?

Don’t forget to enjoy your GPST year!