SALFORD AND TRAFFORD  HALF  DAY RELEASE COURSE (HDRC)
 SEPT 2008- JUNE 2009 ST 3.

MISSION STATEMENT

 The Half Day Release Course  works with the GP trainees to explore, within the context of a group, important areas of General Practice and to enhance the educational opportunities offered by  the hospital training posts. The GP Educators achieves this by working positively with the trainees to provide the foundations for life long interest and enthusiasm towards general practice by exploring topics which may be difficult, challenging and fun.
 The course will give you an opportunity to meet with your peers to exchange ideas, experiences and support.
The Half Day Release Course (DRC) is run by two Primary Care medical educators, PCMEs,  Dr Jane Wilcock and Dr Carmel Morris with support from invited speakers.
The DRC year runs each Wednesday morning from 10am prompt to 12.30pm starting 10th Sept 2008.
There are breaks over Christmas and Easter.
Attendance is mandatory for GP trainees to complete their training.
 Please notify all holidays in advance, all sick leave etc. to the GP Educator, email address: davidandjane.wilcock@btinternet.com.
There is a register for the registrars to sign for each session.
    Eccles Congregational Church has hired out its meeting rooms to us as we no longer have enough space at Trafford General Hospital. For those of you who are not Christian, we are not entering the worship area. The church is a 1960s building on the corner of Wellington Road and Clarendon Road. There is little parking and there are two schools on Clarendon Road so if bringing a car it would be advisable to park in the Eccles public car park which is pay and display and 3 minutes from the church venue. The church accepts no liability for vandalism to cars on its car-park.
Directions:  The church is 12 minutes walk from Hope Hospital and 10 minutes walk from Eccles tram terminus and Eccles bus station. From these last two walk up Church Street which is pedestrianised and across the motorway pedestrian bridge. The church is diagonally opposite, a 1960s building. The entrance is round the back. There are no reception staff so please come on time or you will have to ring the bell and be let in.
 From the Motorway approaching Manchester: leave the M602 at the Eccles turn-off and turn left, signed to Pendleton/ Hope hospital. Then take the next immediate left, the church is on the next corner just after the pedestrian lights.
Further directions are on the church website, just google Eccles Congregational Church. If using sat. nav. the postcode is M30 ONP
Food: drinks and biscuits will be provided, if you want to stop to eat a packed lunch before returning to your practices you are very welcome.
The blog to find out the timetable for your course is on: http://trafforddayreleasecourse.blogspot.com, please ensure you are looking at the ST3 time-table!
The sessions will consist of presentations and discussions. I hope all GP registrars (ST3s) will contribute to this. In addition you will be contributing interesting or problematic cases and using small groups to learn and problem solve in.
The course should be interesting and fun and enhance the learning you are undertaking for your future GP careers.

 Format For the nMRCGP:

As of July 2007 the nMRCGP is a minimal standard exam which must be passed in order to pass as a GP and gain the CCT ( Certificate of Completion of Training) in general practice. The exam has changed format and will consist of:
• Applied knowledge test (AKT)
• Clinical skills assessment (CSA)
• Work place based assessment (WPBA).
Applied knowledge test will replace the current Multiple Choice Paper.
200 MCQs/extended matching questions lasting 3 hours. It cost £360 in 2007 to sit and is bookable via the ST3 e-portfolio. It is sat like the current driving test on computer terminals and at Driving Test Centres.
 It consists of: 80% applied clinical medicine, 10% critical appraisal and evidence based medicine and 10% health informatics and administrative practice. Please access the RCGP website to book the AKT.
.
Clinical skills assessment  is organised nationally at an assessment centre and will include simulated patient consultation and objective structured clinical examination-type stations. It is bookable via the e-portfolio and will be available for 3 weeks during Feb, May and Oct each year. It will be in Croyden. Candidates are required to bring to the CSA their normal doctor’s bag. The specific equipment required will be notified to candidates in good time before they attend for their assessment.
Each candidate is allocated a consulting room and has 13 consultations, each of 10 minutes. Twelve of these are assessed; the 13th is a pilot case. Patients are played by role-players who have been trained and calibrated to perform their role in a consistent manner. Candidates’ performance on each consultation is graded Clear Pass, Marginal Pass, Marginal Fail or Clear Fail by assessors who observe the consultations. Assessors are also trained and calibrated. 
The CSA will test mainly from the following areas of the curriculum: 
Primary Care Management - recognition and management of common medical conditions in primary care. 
Problem Solving Skills - gathering and using data for clinical judgment, choice of examination, investigations and their interpretation. Demonstration of a structured and flexible approach to decision making. 
Comprehensive Approach - demonstration of proficiency in the management of co-morbidity and risk. 
Person-centred Care - communication with patient and the use of recognised consultation techniques to promote a shared
approach to managing problems. 
Attitudinal Aspects - practising ethically with respect for equality and diversity, with accepted professional codes of conduct. 
The CSA will also test: 
Clinical Practical Skills - demonstrating proficiency in performing physical examinations and using diagnostic/therapeutic instruments.
 In 2007 it cost £1,260 to sit this exam if you are an AiT.  There are exam[ple cases for the AKT and CSA on the RCGP website.

Work-based practice assessment: the Enhanced Trainer’s Report (ETR) which will include some external assessments, such as multi-source feedback (MSF).
DOPs = Directly Observed Procedures
COT = Consultation Observation Tool
CbD = Case Based Discussion
PSQ=Patient Satisfaction Questionnaire
There are 6 monthly reviews by the Educational Supervisor.  For the ST3s this is your trainer. 
The first 6 month review incorporates 6 x CbD and 6 x COT and 1x MSF.
At 10 months the second review includes 6 x CbD and 6 x COT and 1 x MSF and 1 x PSQ
OOH: 12 x 6 hour sessions are mandatory to be signed off at 10 months.
Outside of the exam there is also an annual appraisal to be discussed with your trainer.

READING LIST (ST1, 2 and 3)

Skills for Communicating with Patients   Silverman, Kurtz, Draper.
The Inner consultation                               R. Neighbour.
The Consultation                                        Pendleton et al
The New Consultation                               Pendleton et al
Making Sense of Audit                               Irving
Evidence Based Medicine in General practice
How To Read A Paper                               Trisha Greenhalgh
GMC Duties of a Doctor

JOURNALS: for GPs ST 1,2,3.

British Journal of General Practice.
BMJ
Update
Prescriber
Practitioner
A number of these journals will be in your trainers library but by contacting the editor they will often be sent to you free at the practice if you state you are there as a  ST3 registrar for 12 months.

WEBSITES FOR INFO:
www.rcgp.org.uk
www.pmetb.org.uk
www.eguidelines.co.uk
www.gmc-uk.org/
www.bma.org.uk/
www.sign.ac.uk/
www.nice.org.uk/
www.nelh.nhs.uk/
www.prodigy.nhs.uk/guidelines

USEFUL NAMES

Dr Jane Wilcock Tel: Surgery 0161 793 8686
                             Pendlebury Health Centre,
                             659, Bolton Road,
                             Swinton. M27 8HP.
                              e-mail: davidandjane.wilcock@btinternet.com

Dr Carmel Morris Tel: surgery: 0161 426 9020
                             Heald Green Health Centre,
                              Finney Lane,
                              Heald Green,
                              Stockport,
                               Cheshire.
                              email: carmel-sandhu1@sky.com

Dr Derek Seex: Programme Director: Tel: Surgery: 0161 226 9174
                                                              Brookes Bar Medical Centre
                                                              162-4 Chorlton Road
                                                              Old Trafford
                                                              M16 7WW
                                                              e-mail:derek.seex@doctors.org.uk

Postgraduate GP Education
General Practice Section
North Western deanery
Department of Postgraduate Medicine and Dentistry
Barlow House
Minshull Street
Manchester
M1 3DZ
Deanery Website:  www.pgmd.nhs.uk 
Postgraduate Dean: Dr Barry Lewis
Head of School: Dr Bob Kirk

Primary Care Education Manager: Sally Howorth: 0161 234 6666
                e-mail s.howorth@nwpgmd.nhs.uk

GP Academy Manager for our area (South):
 Maureen Duckworth: 0161 234 6176
              e-mail:m.duckworth@nwpgmd.nhs.uk

Courses Administrator: Natasha Billington: 0161 234 6155
             e-mail: n.billington@nwpgmd.nhs.uk

TIMETABLE ST3 DOCTORS .
SALFORD AND TRAFFORD HALF-DAY RELEASE COURSE
 WED 10am – 12.30pm.