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About Frimley VTS

Foundation Programme

Hospital-Based Trainees

Practice-Based Trainees

Frimley Trainers Group

Course Organisers

Frimley Trainers Group

Frimley Trainers Group represents the GP Trainers who work in the practices around Frimley Park Hospital,  within the KSS Deanery area. We are an active group of 20-25 Trainers working in about 15 practices. We hold a variety of meetings - residential workshops, lunchtime meetings, evening meetings. The group is currently co-ordinated by Dr Richard de Ferrars.

This section of the website contains information and ideas that we have accumulated in recent years. As you can gather, we are always open to ideas and suggestions! There is a combination of material for the 2007 changes to the MRCGP and also material reflecting "older" aspects of GPR training

GP Faculty Handbook - a combination of a "Guide to starting with Frimley VTS" and "This is what the VTS and Trainers have to offer"

GP Registrar Starting Information

There are continuing revisions to all aspects of starting with a GPR/ ST3. The first section of the GP Training Handbook, available on the KSS website, explains all of this is in detail. KSS Website - Downloads holds most of these documents

Pre-Arrival

Post-Arrival

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Introductory Phase

In the future, GPRs/ ST3s will increasingly have spent time in the practice in ST1 and ST2. This can be used for some of the traditional "introductory programme" tasks including basic computer training and joining other PHCT members. We are hoping that this will allow a streamline introductory phase with own surgeries starting in week 3 (week 1 will start on a Wednesday). The main tasks in this phase are:
         ·     Getting to know the doctors - sitting in at least once with everyone
         ·     Computer training
         ·     Learning how the practice functions

These computer training session worksheets are specific to the way that we use EMIS at FGMC but they can be adapted for use at your own surgery. They are designed to fit with "Using EMIS" and generate a "hands-free" way of getting FY2's and ST's up to speed with EMIS

Getting Started with MRCGP

Check your GPR is registered with the RCGP (we do advise them to become Associates in Training)
Check that they have received details for their e-Portfolio
Talk through the year-planner at an early stage. In particular, discuss:
            - planned AKT dates
            - planned CSA dates (affects speed of progression onto 10 minute appts.)
            - OOH training

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Formative Assessment Information & Tools

We have recently updated two old tools to make them useful with the updated MRCGP. They are part of the "Formative Assessment Workbook" that can be downloaded (link at the end of this section).

Under the old Summative Assessment scheme, most trainers locally were operating a 3-4 month review cycle. Usually these would happen in month 2, 5-6 and 8-9. Each review would consist of:
    - Knowledge check using a checklist, PEP or confidence rating scale
    - MARS review
    - Review of GPR's learning log
    - Review of progress in "required tasks" - SA, MRCGP, OOH, minor ops etc
    - Agreeing a plan for use of tutorial time in the next 3-4 months

Under the 2007 revised MRCGP, there is a requirement for a "nodal" review at month 6 of the year and the final review at month 10. These reviews duplicate a lot of the content of the previous review cycle but first review at month 6 is too late for planning activity. By introducing an introductory meeting in month 1 and a formal review in month 2, the old cycle continues and encompasses the WPBA & e-portfolio reviews required in months 6 and 10. The Formative Assessment Workbook includes updated templates for these reviews.

Download   - MARS 2003 template
                 - Mid-term review template
                 - Formative Assessment Workbook (includes knowledge & competence checklists - large download)

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Other Useful Information

Personal Development Plans

These are some of the standard forms used in PDP folders:

Trainers are required to submit their "Trainer's PDP" to claim the additional allowance. These were some suggestions on generic content: Trainer's PDP - suggestions

ST1 & ST2 Study Leave Attachments

As a group, we are recommending 2 days per 4 month post, with a fee of £100 per day. If the trainee has budget restrictions, then 1 day per post is an acceptable minimum. If a trainee does not wish to engage even for 1 day per post, this is going to cause problems with the reviews for the WPBA - please contact the relevant Course Organiser / Programme Director. A payment of £200 from the study-leave budget for the 2 days roughly equates to a session of GP time.
Time spent with other PHCT members should be relevant and focused. Time spent with trainer should focus on communication skills, the consultation and clinical issues relevant to current post.

What should be organised to provide a good experience?
Sessions:
     Sitting-in with trainer 
     Sitting in with a GPR and having a good chat
PHCT experience relevant to their current post:
     A&E - minor ops session, OOH session (2pm - 10pm day)
     Medicine - focus on one chronic disease with teaching session and nurse clinic
     Geriatrics - nursing home visit, time with District Nurse
     O&G - time with Midwife
     Paediatrics - time with Health Visitor
     Orthopaedics - minor ops session or collect some joint injections 
Education & Portfolio:
     Nodal reviews in months 6-7 (post 2) and month 10 (post 3)
     Review of post PDP and learning objectives
     Review of learning log
     Review of assessments

Download   - Study Leave Payment Invoice

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Out of Hours Work

The ST3 still needs to complete an OOH workbook - enter "OOH" into the search box on the KSS Website. The ST3 also needs to complete entries in their e-portfolio for every OOH session. National guidance still recommends 12 OOH sessions as typical experience required to achieve competence. These OOH sessions should be 6 hours duration, although busy shorter sessions may be acceptable. The e-portfolio MUST record 12 completes sessions for CCT.

With each session, the OOH supervisor should complete a record sheet (linked below) and should share this with their ES. 

After each session, the trainee should also complete a record in their learning log / e-portfolio and link it to section 7 (Care of Acutely Ill People). You will note that competencies outlined under the "Primary Care Management" domain are identical to the headings in the OOH Workbook

At the end of the training programme, the educational supervisor will search for all OOH sessions in the ‘shared entries’ in the e-portfolio (there exists a filter facility for this) ensuring that the requisite number have been completed. A declaration by the educational supervisor is then completed which will appear in the ‘progress to CCT’ section of the e-portfolio

These documents below provide an outline plan for covering aspects of these competencies within the typical primary care OOH setting

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Tutorial Plans

From the Frimley Trainers Group Cumberland Lodge Workshop May 2002. We all worked very hard(!) and came up with the following:
                            What Makes a Good Tutorial          Tutorial Evaluation Template

Trainer Group Tutorial Outlines:

Other Tutorial Outlines:

Here are some other outlines from my own folder - please send in any additional plans that you have