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, T&O, etc • More palliative care, SRH, Paediatric A&E 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 • Research Projects • UWE • ACFs and Undergraduate Teaching • UoB • Advanced Practice Nurse Project • UWE/Derek Sprague • City • KTP on QA of hospital training posts • UWE • 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

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 Brooke’s 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 Master’s 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?