Bolton GP Training Programme Overview and Requirements

Local GP training programme induction DR REUBAN PRATHEEPAN DR AMRO AHMED DR SADIYAH KAUSER

BIG WELCOME TO THE BOLTON GP TRAINING PROGRAMME!

A bit about me.. I m the one who s been emailing you about your rotation preferences. GP Principal The Oaks family practice GP Trainer since 2018 Lead Educator 2019 Training programme director 2022

3-year overview ST1 FTE ST2 FTE ST3 FTE 2x 6-month Hospital posts flexible 1x 6-month GP- ITP + 1x 6-month GP post- flexible 12-month GP mandated CCT CS day-to-day oversight WPBAs CS day-to-day oversight AKT WPBAs ARCP Panel ES day-to-day oversight RCA WPBAs ARCP panel ARCP Panel

Fourteenfish portfolio ENGAGEMENT WITH THE PORTFOLIO IS CRITICAL TO SUCCEED AT THE PANEL. Explore the portfolio from the start. Start creating some SMART PDPs Arrange to meet with your Educational Supervisor If you haven t done so already, record a placement planning meeting with your Clinical supervisor. Input regular clinical case review entries and input your WPBAs

Exams AKT Can be taken from ST2 4x possible attempt, 459/sitting - Clinical knowledge, statistics, administration RCA Can be taken from ST3 4x possible attempts, 1050/sitting - 13x 12min audio/video recordings taken from day-t0-day clinical practice demonstrating a breadth of communication skills with appropriately complex clinical+psychosocial scenarios

Workplace based assessments (WPBAs) 1 * * * Mini-CEXs, COTs, CBDs, CATs - Can only be completed by a doctor ST4 and above

Workplace based assessments (WPBAs) 2

RCGP Curriculum Overview 1 Knowing yourself & relating to others Applying clinical knowledge & skills Managing complex & Long-term care Fitness to practise Maintaining an ethical approach Communication and consultation skills Data gathering & interpretation Clinical examination and procedural skills Making decisions Clinical management Managing medical complexity Working with colleagues & teams Caring for the whole Person and the wider community Practising holistically, promoting health and safeguarding Community orientation Working well in organisations & systems Maintaining performance, learning and teaching Organisational management and leadership

RCGP Curriculum Overview 2 The RCGP recommends that all GP training programmes should be configured to provide trainees with adequate opportunities to gain skills in the assessment and management of the general UK population, as well as providing more targeted training in the care of certain patient groups that require a specific clinical approach and skillset. Infants, children and young people Maternal health People with mental health needs People with long-term conditions and disabilities Frail & elderly people (including people with multimorbidity and those who are dying) People requiring urgent & unscheduled care People who have health disadvantages and vulnerabilities

Fitness to practice There are some things that all doctors need to demonstrate competence in! Child & Adult Safeguarding All trainees require evidence of level 3 safeguarding for both adult and child safeguarding from the start or early part of their training in ST1 and this should be evidenced with a certificate of level 3 in their log. Going forwards all trainees then need a knowledge update annually and this needs to include a demonstration of their knowledge, key safeguarding information, and the appropriate action to take if there are any concerns. In addition, all trainees require a minimum of one participatory piece of learning and reflection for both adult and child safeguarding in each training year.

Evidence of level 3 adult & child safeguarding Elearning for health (or alternative face-to-face online learning) valid for 3-years- attach to eportfolio from the start of training. Annual knowledge update - Do at the start of the year. Online or in-house. Participatory evidence Evidence of learning with a reflective entry i.e. face-to-face training, group case discussion, reflection on a case, practice safeguarding/CG meetings with demonstration on how reading has been applied

Fitness to practice Certificate of competence in CPR & AED The certificate must be issued by a Resuscitation Council (UK) instructor or equivalent, and conform to the Resuscitation Council (UK) guidelines in place at that time. Hands on BLS is now mandatory from Aug 22. Most CPR / Basic Life Support certificates have an annual expiry. It is essential that the certificate is valid at the time of CCT and extends beyond the end date of training.

Fitness to practice Combined Form R and Covid declaration Annual revalidation for doctors in training. Form R | Health Education North West (nwpgmd.nhs.uk)

Urgent & Unscheduled care ST1 Curriculum coverage is met through on-call arrangements ST2 & ST3 Curriculum coverage is met through undertaking supervised out-of-hours clinical sessions via BARDOC. YOU ARE CONTRACTUALLY OBLIGED TO ATTEND SESSIONS AND ARE PAID ACCORDINGLY WITH THE WEEKEND AND POST-9PM ENHANCEMENT

Study leave Plan this early and discuss your plans with your ES Input a PDP entry Complete study leave application paperwork and arrange leave with your host department/practice GPST Study Leave | Health Education North West (nwpgmd.nhs.uk) ST1 & ST2 = 15days ST3 = 5days

SuppoRTT programme When planning to take breaks from training of >3-months i.e. maternity/paternity leave or OOP, arrange a meeting with myself or ES. Pre-absence meeting entitles you to various courses and return-to- training/keeping-in-touch courses/activities. Supported Return to Training (SuppoRTT) | Health Education North West (nwpgmd.nhs.uk)

Avoiding burn-out Each one of you is on your own personal journey. Each one of you is capable. Take time-out to relax. Take time-out to exercise and maintain your hobbies and interests Take time-out to reflect

Any problems Tell someone Clinical Supervisor Educational Supervisor PCMEs Kat Rothwell/Seb Pillon Differential Attainment Champion Lucie Griffith/Sadiyah Kauser Training Programme Director Reuban Pratheepan Trainee liaison/rep Amro Ahmed Training programme administrator Carole Kennedy Occupational health - HWWB

Useful contacts Education centre/programme support: Carole.kennedy@boltonft.nhs.uk GP School Enquiries gptraining.nw@hee.nhs.uk TPD: Reuben.Pratheepan@hee.nhs.uk Kat Rothwell & Seb Pillon (Educators) gpeducatorsbolton@gmail.com Amro Ahmed (Trainee liaison/Rep) amroahmed@doctors.net.uk

Neurodiversity 1 in 7 of us are neurodiverse i.e. we think, process & interpret information in a slightly different way to others. The recent GP Training Reform programme agenda has inclusivity of neurodiversity at it s heart. Access to dyslexia screening assessments as well as accessing support for other conditions is more straightforward now. https://leademployer.sthk.nhs.uk/disability-support

Lead Employer (STHK Trust) Employment services:- lead.employer@sthk.nhs.uk or hr.helpdesk@sthk.nhs.uk Absence management:- leademployer.casemanagement@sthk.nhs.uk Helpdesk 0151 478 7777 Contact webpage Lead Employer - STHK | Contact Us

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