Training Map: month 1
 |
 |
 |
 |
REMEMBER TO REVISIT THIS PAGE REGULARLY TO SEE IF YOU ARE ON TRACK AND WHAT NEEDS DOING.
------------------------------------------------------------------------------------------------------
Weeks 1-2 of the First Month
------------------------------------------------------------------------------------------------------
click on a grey tab to open up that panel, click again to close
You need to ensure the trainee has been dedicated a period of time to 'settle in'. They'll need to get to know the whole practice team, get some introduction to important policies and procedures and be aware of their personal responsibilities.
| Whar Area to Cover | Downloads | Suggested Responsibility |
| Induction Checklist |
|
Practice Manager |
| Things to discuss during first 2w |
|
|
| Agree on the Educational Contract | Trainer | |
| Discuss Giving and Recieving Feedback |
|
|
| Review learning needs identification questionairres |
Devise a learning plan: how the various learning needs identified are going to be met? |
|
| Personality/Learning Questionairres | May wish to consider doing some personality/learning questionairres
|
Trainer
|
| Construct a GP trainee learning plan for the next 6 months with you | Trainer | |
| Introduce to the E-portfolio and its purpose/importance | Trainer | |
| Give the trainee a practice survival guide |
|
Trainer |
pf = personal favourite
| Downloads | Suggested Responsibility | |
If this is the first time the trainee is experiencing general practice, you should try and arrange for them to sit in with several different doctors during the first week rather than consulting on their own. This will expose the trainee to a variety of consulting styles to illustrate that there is no such thing as the 'one and only' consulting style. It will also help them discover their own personal style and start working on it. |
Practice Manager to arrange.
Trainer to go through the task sheets. |
Again, if this is the first time the trainee is experiencing general practice, the induction timetable should also include (?perhaps in the second week) sitting with with various members of the wider primary care health team . Listed below are some useful task sheets that might help in this regard. As with all task sheets, follow up via a discussion with the trainer is essential (timetable this in if possible).
It is important to set the trainee tasks when "sitting in with Nellie" because it has more educational impact compared to passively sitting in and doing nothing.
Who to sit in with? |
Downloads |
Suggested Responsibility |
| the pharmacist | Practice Manager to arrange.
Trainer to go through the task sheets. |
|
| the practice nurse | ||
| the district nurse | ||
| the health visitor | ||
| sitting in reception | ||
| sitting in the waiting room observing patients | ||
| Others |
|
Trainer to decide |
Although I've said you should arrange "sitting in with Nellie" sessions if it is the trainee's first time in general practice, you might wish to do the same with those who are coming from a different GP practice but who may as yet not have been exposed to any of this. Ask the trainee to determine if this is a good use of training time.!
Finally, you need to book one or two sessions where the trainee recieves some initial training on the medical computer system (eg EMIS, Systm One).
| Computer training will need to cover: | Downloads for EMIS | Suggested Responsibility |
- a general overview of navigating around the medical record - adding consultations - prescribing - doing referrals and choose and book - how to use the internal email system - how to use practice notes (EMIS) - how to deal with medical letters (eg from the hospital) - how to handle lab results
They'll also need 1-2 sessions where they can play around with a dummy patient. |
(if you have any quick good guides on Systm One, please email them to me: rameshmehay@googlemail.com ) |
Practice Manager to arrange an appropriately trained admin person. Will need more than just one session. Perhaps 2-4.
|
- Do not book GP trainee in for their own surgeries
- No daytime oncall duties
- No signing of prescriptions
- No telephone consultations
- No visits (until start of week 2/3) - during week 1, the trainee should do visits with one of the other doctors
- Block one trainer surgery for a 1-1 "getting to know you session" with the new trainee
- Book one session with the practice manager: tour of practice, protocols/policies, regulations, emergency equipment (as above)
- Week 1: Book them in to observe a variety of consulting styles with different doctors
- Week 2: Book 'sitting with Nellie' sessions with pharmacist, practice nurse, district nurse, health visitor, reception and the waiting room
- Book in for computer training on the medical system
-----------------------------------------------------------------------------------------------------
Weeks 2-4 of the First Month
-----------------------------------------------------------------------------------------------------
click on a grey tab to open up that panel, click again to close
Book patients at half hourly intervals (unless the trainee has already had previous training in a GP post: book at 15 min intervals.
This half hourly interval allows the trainee to gradually adapt from hospital medicine where they've spent usually an hour or so taking a history and examination to the general practice model where one has to finely tune this skill down to an ultimate 10 minutes. It also gives them time to get used to the new computer medical system.
-----------------------------------------------------------------------------------------------------
A Special Note on Video Allergy
-----------------------------------------------------------------------------------------------------
