GP Practices Placements Mapping

1. GP Practices Placements Mapping Mapping Victorian GP Practices Educational Capacities A Combined Project of Deakin, Melbourne and Monash Universities

2. GP Practices Placements Mapping A Snapshot of the Evolving Structure of Medical Students Placements

3. GP Practices Placements Mapping • Applied Skills Learning Placement ( ASL) • Enables acquisition of undergraduate level applied skills in the discipline of general practice. • Learning for the Field of Medicine Placement (LFM) • Student based in GP practice for extended period to acquire undergraduate level knowledge and skills in the broad field of medicine. • Exposure and Orientation Placement (EOP) • A placement which exposes or orientates a student to the medical discipline of general practice.

4. GP Practices Placements Mapping • Major increases in medical student placement demands in Victorian GP practices. • Measured in clinical sessions an increase to calendar year 2011 of around 125% and calendar year 2017 of around 165%. On current indicators of statewide practices’ educational commitment. • 570 in a total of around 1730 Victorian practices could be available to absorb these demands (33 %). Conclusion: a huge demand increase on a system under prepared and under resourced to cope

5. GP Practices Placements Mapping • The Impact Picture • Year 2011, Sessions required = 59,336 Distributed against 571 practices = 104 sessions per practice pa or 52 days per practice pa.Distributed against 1297 practices (75% of state total) = 45.7 sessions per practice pa or 22.8 days per practice pa.Year 2017, Sessions required = 78,150 Distributed against 571 practices = 136.8 sessions per practice pa or 68.4 days per practice pa.Distributed against 1297 practices (75% of state total) = 60.2 sessions per practice pa or 30.1 days per practice pa.

6. GP Practices Placements Mapping • The practice clinical education needs of other Victorian learners. • Estimated Feb 08 at least 750 GP registrars linked to RTPs. • GPET estimates 480 registrar EFT pa. • 80 IMGs in mentored/supervised arrangements during 2007 but estimated at 48 for 07/08 (RWAV) • 510 interns estimated for 2009. • 35 PGPPP placements during 07/08 (PMRG).

7. GP Practices Placements Mapping • Translate the Statewide Picture to: • Quantifiable demands and manageable steps towards solutions at regional levels. • Gain a fuller understanding of willingness and capacity of local practices. • Correlate capacity with a regional demand figure across all learner types. • Begin to address solutions to bridge gaps (including actions for additional practice recruitment).

8. GP Practices Placements Mapping • Paradoxical Study Findings? • Practices want the freedom to decide which learners they take and the education providers they to deal with. • Practices expect education providers will collectively coordinate their requirements for the provision of placements.

9. GP Practices Placements Mapping • Actions and Recommendations • First level work be done preparatory to funding submissions which reviews cost benchmarks for University practice based clinical teaching and practice teaching subsidies and capital/ infrastructure requirements for medical students. • A round table with commonwealth and state government agencies to review funding sources for the various aspects of practice capacity building. • A range of funding /planning proposals identified.

10. GP Practices Placements Mapping • Actions and Recommendations • GPV/RWAV manage a state wide data base of practice education profiles. • GP learner placement coordinators be placed in Victorian RTPs for essential on the ground practice support “leg work”. • Preparation of a submission to AGPN for the strengthened recognition of the role of divisions.

11. GP Practices Placements Mapping • Today • Clarifying partnership roles. • Identifying regional actions to extend the provision of GP learner placements. • Using the practice capacity template as a guide.

12. GP Practices Placements Mapping