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Essential Insights for Medical Trainees: A Survival Guide

This self-help guide by Jamie Hynes, a former trainee from 2003 to 2007, offers crucial insights for medical trainees navigating the complexities of their early careers. It covers priorities for GP qualification, finding reliable information sources, essential reading materials, and strategies for job searching. The guide also addresses how to manage hospital jobs, the role of educational supervisors, and tips for succeeding in the nMRCGP preparation. With valuable advice on networking, flexibility, and resources, this book is an indispensable companion for trainees seeking to thrive in their medical careers.

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Essential Insights for Medical Trainees: A Survival Guide

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  1. Things I wish I’d known when I was a trainee… A Self-help guide Jamie Hynes VTS Survivor Aug 2003-Feb 2007

  2. Priorities for trainees • Qualify as a GP • Where on earth to find all that information • Which books, journals and magazines? • Which internet sites? • What to do, and What if I don’t know??? • How to look for jobs • Surviving hospital jobs

  3. Educational Supervisor • GP Trainer • Will oversee entire process • Go-to-person for most issues • Source of information • Relevance towards end goal of nMRCGP • Annual NHS Appraisals

  4. Vocational Training Scheme • Designed so you can mix ST1s, ST2s and ST3s. • Can be daunting as an ST1 • Managing Uncertainty • Mixture of primary care and secondary care experiences • Mixture of backgrounds in life and career prior to VTS

  5. VTS Afternoons • Various topics relevant to statements and domains of the nMRCGP • Opportunity for inexperienced trainees to mix with more experienced • Small and Large groups • Good to get involved in whatever way possible

  6. Sources of Information • Books • The Condensed Curriculum Guide • Riley, Haynes and Field • Doctor’s Communication Handbook • Tate • The Inner… Series • Neighbour

  7. Sources of Information • Journals and Magazines • BMJ, BJGP, Clinical Evidence, DTB • GP, (Registrar section) • Update, • Prescriber, • Doctor

  8. Sources of Information • Study Courses • NB Medical: Twice a year, most major cities. Summarises major journal evidence so you don’t have to. Ideal preparation for exams. Expensive but worth it. • www.nbmedical.co.uk • Warwick Study course: Practice exams, intensive but good reports, high success rate

  9. Sources of information • Websites • www.rcgp.org.uk Curriculum and links to resources • www.gpnotebook.com including GEMS • www.cks.nhs.uk (Prodigy) Guidelines & evidence • www.patient.co.uk Patient Info Leaflets • www.doctors.netwww.onmedica.com • www.nice.org.uk National clinical guidelines

  10. Looking for jobs • Experience in a training practice • Will be different to non-training practices • GO INTO IT THINKING IT IS A 6 MONTH JOB INTERVIEW • Networking, Make yourself memorable… PCT • Might not be the right time, ensure you are the right person

  11. Surviving Hospital Jobs • Gather experience- Knowledge & skills • Adjusting to changes, working patterns, specialties and colleagues. Flexibility! • Keep in mind what will be relevant to future practice in primary care • Keep in touch with Clinical and Educational Supervisors

  12. Appraisal & Revalidation • GMC’s Good Medical Practice (2006) • Mandatory • During VTS, by Educational Supervisor • After VTS, by GP Appraiser • Proposed 5 Appraisals to Revalidate • Structure of Curriculum in VTS helps

  13. Optional extras • Further exams, get back into habit of revising, perhaps less relevant • DRCOG • DFFP- Theory and Practical • DCH • Diplomas e.g. Diabetes • Masters in Medical Education

  14. nMRCGP Preparation • Applied Knowledge Test • MCQ, EMQ, SBA questions • Books, PEP CDs, Learning Groups • Clinical Skills Assessment • Get to 10 minute consulting for at least 4 weeks • Learning Groups, mock OSCE and video • WorkPlace Based Assessment

  15. nMRCGP Preparation • Keep organised regarding OOH sessions • Changing requirements, 12 sessions p.a, 4 hour, 6 hour, telephone triage, primary care centre and visiting • Keep a week of study leave free for exam week.

  16. nMRCGP Preparation • Type I questions • Know the answer, answer it, move on • Type II questions • No idea, answer best guess, move on • Type III questions • Little idea, worth spending time to think over when Type I & II all answered

  17. Finishing off • Ensure OOH sessions completed • All forms etc and assessments up to date prior to Certificate of Completion of Training • nMRCGP Ceremony

  18. Royal College Membership Ceremony

  19. Overall Experience • A lot of work, a lot of effort • DEFINITELY worth it • Last chance for peer group similar ages • Take social opportunities, away from Medicine • Lasting connections, come in handy

  20. 5 Things I wish I’d known… • Sources of Information • Helpful books & websites • Good courses • Optional extras • Looking for jobs • Surviving hospital jobs

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