General Practice
Vocational Training
Scheme
INDUCTION – NUTS &
BOLTS
City VTS
Aims
•
Overview of GP training
•
Orientate you to the
boring-but-necessary stuff you need to know.
•
Do’s and Do not's
Developing people
Areas To Be Covered
•
The world of
acronyms
•
Escalating
concerns
•
Study leave
•
Annual leave
•
Important forms
•
Performers list
•
JEST survey
•
e
portfolio
•
ARCP
•
WpbA: vote with your
feet
•
Year planner
•
Questions
Acronyms Quick Quiz
Developing people
for health and healthcare
Who’s Who? Write down Job Title
•
Dr Sabena Jameel
•
Dr Steve Walter
•
Dr Martin Wilkinson
•
Dr Matthew Nye
•
Jackie Nichols
•
Prof Liz Hughes
•
Dr Sam Finnikin
Postgraduate Medical
Dean
Area Administrator
Training Programme
Director
JDF Representative
Area Director (BSOL)
Head of Postgrad School of
GP
The Deanery: Local
Structure
Prof Elizabeth Hughes
Postgraduate Medical Dean
Dr Martin Wilkinson
Director of Postgraduate GP
Education
Dr Steve Walter
Head of Postgraduate School of General
Practice
East & Solihull VTS Training Programme Directors
Prof. Rodger Charlton Dr Ryan Prince Dr Abs Bhattacharyya
South VTS
Training Programme Directors
Dr David Taylor Dr Anne Gillies Dr Malcolm Laird Dr Joyce Williams Dr William Drever North VTS
Training Programme Directors
Dr Vinit Kundra Dr Sarby Soorae Dr Gurpreet Khaira
City VTS Training Programme Directors
Dr Matthew Nye Dr Monica Milne Dr Jamie Hynes
Cov & Warks School
Dr Katharine King
Hereford & Worcs School
Dr Fiona Kameen
Bham & Solihull School
Dr Sabena Jameel
Bl
Staffs & Shrops
Dr David Palmer
>
Black Country School Dr Amjad Khan
Sandwell VTS (the ex) Training Programme Directors
The trainee’s world
TPD
Educational
Supervisor
Educational
Supervisor
Clinical
Supervisor
Clinical
Supervisor
Junior
Doctors
Forum
Junior
Doctors
Forum
Trainees
-Escalating concerns
-Patient Safety
-Roles of each supervisor
Rotas
•
All trainees need to register with the college.
RCGP Link
–
Associate in Training £167 + £240p.a. each April (total
£887.40)
–
Non-AiT up-front fee of £625.50
•
When you have registered:
–
Your 3-year training will be put on to your
e
portfolio:
–
FT Trainee 18 months hospital rotation, 18 months GP
–
ST3 year with your Educational Supervisor.
–
Educational Supervisor information will also be available.
•
Posts CANNOT be changed unless there are
very
exceptional
circumstances.
Developing people
Forms
•
Forms can be found on the Deanery & VTS
website:
ARCP Information Form
– to be completed every year and sent to the
Deanery.
•
Enhanced Form R
– to be completed every year and sent to the Deanery
in order to renew registration for specialty training
•
R7 Form
– complete all parts and submit to Area Office at least 1-2
months before start of GP training.
No R7, No PAY.
•
Performers List
– contact Shared Services 0845 111 1200
–
option 2.
–
Why is the performers list important?
–
DBS (Disclosure & Barring Service) – the new CRB check
Entitlements
•
Annual Leave
25 days per year plus 8 bank holidays or
30 days if on Point 4 of the pay scale (Pay-scale starts at point 0).
•
Sick/Paternity
Two weeks sick
OR
two weeks paternity.
NB:
Any more, could lead to an extension of your training period
and a
delay in CCT date.
•
Study Leave
30 days per year (includes 24x
1/
2
day VTS – attendance =
mandatory, <70% = ARCP problems).
•
Out of Programme
Sabbatical, Maternity, Unpaid Leave.
Must be applied for on an Out of Programme form.
Must give 6 months notice.
•
Maternity
- See guidelines. If returning less than full time
need to apply to:
maddie.meades
@westmidlands.nhs.uk
•
For any type of sick leave or change in circumstances please inform Training
Programme Director and Area Administrator.
Developing people
Working week
•
Whilst in GP placements:
–
40 hours per week
–
28 hours clinical & 12 hours educational.
•
7 or 8 clinical sessions.
•
1 self study educational session.
•
1 session for VTS half day release.
•
2 x tutorials per week.
•
If VTS is not running then back to the
MRCGP
•
Progress towards MRCGP takes place
throughout the training programme.
•
Three
components:
see City VTS Training
Information link
–
Workplace-based Assessment (WpbA).
–
Applied Knowledge Test (AKT).
–
Clinical Skills Assessment (CSA).
•
But, it’s not all just about passing the
exams!
Developing people
e
portfolio
•
Portfolio of evidence for Workplace-based
Assessment for MRCGP:
•
Guide to the
e
portfolio is on the login page.
•
Probity - sign off educational agreements in your
e
portfolio.
•
Complete ARCP Information Form every year
(available from
e
portfolio - Help).
Quiz
True
or
False
:
•
The Deanery will contact to let me know if I need an ARCP –
T/F
•
Completion of the JEST Survey is optional – T/F
•
It is okay for an ST3 in O&G to sign of a DOPS for me – T/F
•
COTs & CbDs are pro-rata for LTFT trainees – T/F
•
The trainee is responsible for organising & paying for their
DBS check – T/F
•
A trainee who has had 11 days sick leave in the past 12
months will need additional training time – T/F
•
Not declaring a complaint/Significant Untoward Incident to
the Deanery is a probity issue – T/F
Developing people
ARCP
•
Educational Supervisor Review (ESR) - 2 per
annum:
–
December.
–
May.
•
ARCP panel - 2nd ESR will be annual review:
–
Your
e
portfolio is then reviewed by an external TPD, this review
can result in an unsatisfactory or satisfactory outcome.
–
Interim Panels, take place if out of sync (e.g LTFT, sick leave), or
previous unsatisfactory outcome.
–
Unsatisfactory outcome from ARCP panel:
ARCP –
JEST
survey
•
IMPORTANT (Job Evaluation Survey Tool)
•
Each year you will be sent an email to complete the
JEST survey, this is usually between Feb-Apr each
year.
–
Try to use a NHSmail email account.
–
Ensure the email account on your e-portfolio is correct.
•
You MUST complete this form and log the certificate
in your
e
portfolio.
–
No log = unsatisfactory ARCP outcome at the end of the
year.
Developing people
WpbA
•
Process of Learning: reflective encounters each week, one
‘Clinical Encounter’
see Guildford VTS youtube clip.
•
12 Competencies matched to evidence in ESR - Trainer Rating
and Self Rating. Trainees must complete their self-ratings prior
to review
•
COTs, CbDs, DOPS, SEA etc - Has the correct number been
done?
•
O
nly senior clinicians allowed to sign off DOPS: GPs, SpRs or
Consultants
•
Out of Hours – 108hrs over 18 months; conducted during ST2
(GP post) & ST3 (due to EWTD + Indemnity).
WpbA: 2,4,6,8
•
Number of hours
per month of OOH
Sessions
•
Minimum number
of weekly learning
log entries
•
Min. number of
CbDs in FT ST3 1
st
6-month
•
Number of
Mandatory DOPS to
be completed
•
Max. number of AKT
attempts allowed
•
Max. number of CSA
attempts allowed
WpbA: 1,3,5,7
•
Minimum number of
Significant Event
Analyses
•
Minimum number of
ARCP panels
•
Number of Mini CEx
per post in ST1 (FT)
•
Average number of
Posts during training
•
Minimum number of
Personal
Development Plan
items in each post
•
Number of years in a
Revalidation cycle
•
Number of
ST1 - Calendar
POST
Month
Ongoing
Jobs
External
Hospital –POST 1 August E-portfolio logs/DOPS/CbDs/MCEx Register with RCGP – get E-portfolio, start entries
Meet ES – arrange December meeting date. Document Placement Planning Meeting Hospital –POST 1 September E-portfolio logs/DOPS/CbDs/MCEx
Hospital –POST 1 October E-portfolio logs/DOPS/CbDs/MCEx
Hospital –POST 1 November E-portfolio logs/DOPS/CbDs/MCEx
Hospital –POST 1
December
E-portfolio logs/DOPS/CbDs/MCExCSR from current post
-Complete self rating for 6 month review with ES. -Complete 6 month ESR with ES. (ST1-1)
Hospital –POST 1 January E-portfolio logs/DOPS/CbDs/MCEx ARCP -Interim Hospital –POST 2 February E-portfolio logs/DOPS/CbDs/MCEx Document Placement Planning Meeting
Hospital –POST 2 March E-portfolio logs/DOPS/CbDs/MCEx
Hospital –POST 2 April E-portfolio logs/DOPS/CbDs/MCEx
Hospital –POST 2
May
E-portfolio logs/DOPS/CbDs/MCExCSR from current post
***If first GP rotation in ST2 in GP***: -apply for performers list. -complete self rating for ESR.
Meet with ES for annual ESR. (ST1-2) =Complete form R7 for GP placement
Hospital –POST 2 June E-portfolio logs/DOPS/CbDs/MCEx - Apply to OOH for induction if next rotation is GP.
ST2 - Calendar
POST
Month
Ongoing
Jobs
External
Hospital –POST 1 August E-portfolio logs/DOPS/CbDs/MCEx Document Placement Planning Meeting
Hospital –POST 1 September E-portfolio logs/DOPS/CbDs/MCEx Arrange December ESR dates with ES.
Hospital –POST 1 October E-portfolio logs/DOPS/CbDs/MCEx
Hospital –POST 1 November E-portfolio logs/DOPS/CbDs/MCEx
Hospital –POST 1
December
E-portfolio logs/DOPS/CbDs/MCExCSR from current post
-Apply for performers list for next GP post.
Complete form R for GP placement.
-complete self rating for ESR.
Meet with ES for annual ESR. (ST2-1)
Hospital –POST 1 January E-portfolio logs/DOPS/CbDs/MCEx Apply for OOH –induction Do DBS forms for GP post
ARCP panel -Interim GP–POST 2 February logs/DOPS/CbDs/COTs/**OOH** Document Placement Planning Meeting
GP–POST 2 March logs/DOPS/CbDs/COTs/**OOH**
GP–POST 2 April logs/DOPS/CbDs/COTs/**OOH**
GP–POST 2
May
logs/DOPSCbDs/COTs/**OOH**CSR from current post
-complete self rating for ESR.
ST3 Calendar: see
http://www.hhs-tmc.co.uk/about-the-practice/being-a-training-practice/roadmap/POST
Month
Ongoing
Jobs
External
GP Placement
August
logs/DOPS/CbDs/COTs/OOH
Document Placement Planning Meeting
GP Placement
September
logs/DOPS/CbDs/COTs/OOH
GP Placement
October
logs/DOPS/CbDs/COTs/OOH
GP Placement
November
logs/DOPS/CbDs/COTs/OOH
GP Placement
December
logs/DOPS/CbDs/COTs/OOH
-Complete self rating for 6 month review
with ES.
-
Complete 6 month ESR with ES. (ST3-1)
GP Placement
January
logs/DOPS/CbDs/COTs/OOH
ARCP
-Interim
GP Placement
February
logs/DOPS/CbDs/COTs/OOH
GP Placement
March
logs/DOPS/CbDs/COTs/OOH
GP Placement
April
logs/DOPS/CbDs/COTs/OOH
GP Placement
May
logs/DOPS/CbDs/COTs/OOH
-complete self rating for ESR.
Meet with ES for final ESR. (ST3-2)
GP Placement
June
logs/DOPS/CbDs/COTs
ARCP
GP Placement
July
logs/DOPS/CbDs/COTs
ARCP
Quiz - Answers
True
or False:
•
The Deanery will contact to let me know if I need an ARCP – False
•
Completion of the JEST Survey is optional – False
•
It will be okay for an ST3 in O&G to sign of a DOPS for me – False
•
COTS & CBDs are pro-rata for LTFT trainees –
True
•
The trainee is responsible for organising/paying for their DBS
check –
True
•
A trainee who has had 11 days sick leave in the past 12 months
will need additional training time –
True
Key points
Register with RCGP for
e
portfolio and keep up to date
throughout.
Check posts on
e
portfolio – dates and places
.
Self-ratings for ESR must be done before your ES can do their
part
Get onto the Performers List, complete R7 – apply in plenty of
time!
When in general practice, policies e.g. compassionate leave,
disciplinary procedure are the same for ALL staff.
Make sure you sign an employment contract with the practice.
Your safety net: CS: ES: TPD
Developing people
Questions
•
Any Questions?
•
What to do next...?
ST1s Register with RCGP
ST2s/ST3s performers list
Resources
•
City VTS Website: http://sites.google.com/site/cityvts
•
Contact your Training Programme Director (TPD).
•
GP Training FAQs: www.westmidlandsdeanery.nhs.uk
•
RCGP website.
•
Contact Patch Administrator (based at the Deanery):
•
Jackie Nichols for City VTS
•
e
portfolio FAQs or You can call 020 3188 7655 between 9.00am and
5.00pm Monday to Friday.
•
Queries re: Transfers and Out of Programme email Deanery -
Developing people
