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For the GP Registrar Year (ST3) |
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Written by Dr Collins
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These are just some of the things I found useful, they may not be useful for everyone and certainly all registrars do things differently, but these have worked for me.
At your practice
- Home visits
- Have a GPS/local area map for home visits & enough petrol
- Prior to leaving for a visit – read notes, print summary (that includes patient number and address)
- Make sure you have practice’s back line number (unregistered phone number)
- Make sure you’ve got your trainer’s number in case any Q’s
- Basic equipment (and don’t forget Gloves, Paper for referrals, etc)
- Be safe especially late evening visits – make sure someone knows where you are etc
- Spare prescriptions
Practice Admin
- Keep up to date with referrals
- Keep a list of Q’s to ask trainer at the end of surgery
- Keep a to do list in case things get busy during the surgery
- Have GP notebook (www.gpnotebook.co.uk) open – I sometimes refer to it
- Patient info leaflets – available on www.patient.co.uk print double sided some of them are long, and make you know what’s in the info your giving them!
Personal Admin
- Keep a record of your car mileage – very important as can get as much as £150/month – do not get lazy with this; as much easier to do a little at a time – otherwise can be a headache to catch up on it (Form on KSS deanery GP website)
- Keep a record of courses so that you can claim back expenses/fees (Form on KSS deanery GP website)
Exams
AKT
- Know the relevant NICE guidelines (clinical ones) especially treatment targets and criteria for referral
- RCGP has about 50 practice Q’s on website – see under AKT
- Also nPEP useful
Good Websites for Q’s:
Useful Books
CSA
- Need to be able to do safe and focussed 10min consultation
- Still need to know NICE guidelines- management in CSA needs to be based on current guidelines
- Practice scenarios in groups (most people seem to prefer small groups of 2-4)
- RCGP Website – has practice scenarios see under CSA
- REALLY USEFUL – www.patient.co.uk - look at their patient info leaflets – explains everything in patient language which is really useful for the exam.
Books:
For both exams:
- RCGP curriculum is important – it is the basis for questions – I printed out the summary self assement and went through each point with a textbook/online to read up about each condition
- Personally I didn’t do any courses – the exams cost enough and if you put in the work I don’t think they’re strictly necessary – the half day free course organised by KSS deanery was enough for me to get an idea of the CSA exam without forking out too much
Enhancing understanding of CSA cases
Dissecting each case seen in practice,similar to case described below,enhances understanding of cases and helps to consider and cover all relevant points.Try this out with your trainer during a joint surgery.
Work Placed Based Assessments
- Keep upto date with CBDs/COTs/DOPs – otherwise they build up
- Try to do an audit/project – discuss with trainer they may have some ideas; useful for CV
- Reflective learning log entries – remember to keep adding these, even if you read something in a journal/have a conversation with your supervisor you can add this
- Make sure when you attend your Out Of Hours session that you take the documentation form with you (on KSS Deanery GP website) so that the trainer there can sign you off – you can actually scan this onto your e-portfolio if you like and make sure you enter the sessions onto a learning log (+the number of hours) so that your trainer can see it
- Most practices have a CPR session (it needs to include DEFIB training as well) – this is a necessary requirement for your CCT so make you hold a valid certificate – again this can be scanned onto your eportfolio and entered onto a learning log
It’s a busy year but great as so much learning and good opportunity to increase knowledge base!
Enhancing CBDs
Below is the structured questionnaire that the trainer uses to base assessment of performance during a case based discussion. A good tip is to go through the questions, when preparing the case and be prepared to answer each of them when challenged by your trainer. In addition, going through the marking sheet for CBD yourself also helps you to develop your analytical skills.
Course Feedback
In this section, we have a number of courses that trainees have been on that helped their studies:
This course is suitable for GP trainees in ST1, ST2 and ST3 years, particularly in preparation for the AKT part of the nMRCGP examination. It would also be of interest for any GPs interested in developing their skills in this area, and for GPs undertaking preparation for membership of the college by the iMAP route.
RCGP CSA cases videos
Get your trainer to buy RCGP CSA cases videos, volumes 1 and 2 available from RCGP.
Books have limited value for CSA exam the best practcie is getting your hand dirty and seeing lots of complicated ,challenges patients in primary care.Can you put links here to CSA update presentations on VTS timetable.
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Last Updated ( Wednesday, 26 May 2010 13:21 )
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