Cork Training Programme for General Practice

Experience
and
assessment
log

2013-2017

Contents...... 1

Six-monthly review: Second year, July-December...... 2

Six monthly review record: 2nd year, July-December...... 3

Self-directed learning plan: EARLY REVIEW OF TRAINING NEEDS WITH CONSULTANT...... 4

Trainee RESOURCED SESSIONS –FEEDBACK RECORD:...... 5

TRAINEE SELF ASSESSMENT OF oF day release participation...... 6

PROGRAMME DIRECTOR’S REPORT ON DAY RELEASE PARTICIPATION...... 7

General practice attachments....... 8

Activity log...... 9

Practice attachment checklist...... 10

General assessment of general practice attachment by trainee...... 11

Assessment of general practice attachment by trainer...... 12

Hospital reports...... 13

Hospital post evaluation...... 14

Hospital post evaluation...... 15

Hospital posts: SHO assessment form...... 16

Hospital post: General assessment of abilities and performance...... 17

Certification of attendance by consultant....... 18

Certification of satisfactory completion of hospital training...... 18

Refusal of certificate of satisfactory completion of hospital training...... 18

Hospital post: General assessment of abilities and performance...... 19

Certification of attendance by consultant....... 20

Certification of satisfactory completion of hospital training...... 20

Refusal of certificate of satisfactory completion of hospital training...... 20

Six-monthly review: Second year, January-June...... 21

Six monthly review record: 2nd year, January-June...... 22

Self-directed learning plan: EARLY REVIEW OF TRAINING NEEDS WITH CONSULTANT...... 23

TraiNEE RESOURCED SESSIONS – FEEDBACK RECORD...... 24

TRAINEE SELF ASSESSMENT OF day release participation...... 25

PROGRAMME DIRECTOR’S REPORT ON DAY RELEASE PARTICIPATION

...... 26

General practice attachments....... 27

Activity log...... 28

Practice attachment checklist...... 29

General assessment of general practice attachment by trainee...... 30

Assessment of general practice attachment by trainer...... 31

Hospital reports...... 32

Hospital post evaluation...... 33

Hospital post evaluation...... 34

Hospital posts: SHO assessment form...... 35

Hospital post: General assessment of abilities and performance...... 36

Certification of attendance by consultant....... 37

Certification of satisfactory completion of hospital training...... 37

Refusal of certificate of satisfactory completion of hospital training...... 37

Hospital post: General assessment of abilities and performance...... 38

Certification of attendance by consultant....... 39

Certification of satisfactory completion of hospital training...... 39

Refusal of certificate of satisfactory completion of hospital training...... 39

Skills list: Internal medicine (see ICGP Curriculum p 34-36)...... 41

Skills list: Paediatrics...... 42

Skills list: Psychiatry...... 44

Skills list: Accident and Emergency...... 46

Skills list: Ophthalmology...... 47

Skills list: E.N.T...... 48

Skills list: Dermatology...... 49

Skills list: Rheumatology...... 50

Skills list: Geriatrics...... 51

Skills list: Palliative medicine...... 52

LEAVE LOGS: LOG SHEETS RECORDINGALL LEAVE TAKEN………………………………………………………………………………………………………………………………..53-56

Six-monthly review: Secondyear, July-December

Prior to the one-to-one meetings, please check that:

Your attendance record has been brought up to date by the Programme Administrator
All pages in this section have been completed, including:
self-directed learning plan (page 4). From the ICGP document “A Core Curriculum for Irish GP Training” (ICGP, May 2007), identify the competencies where you need further help, with particular reference to the post in which you are now working. Please enter these in the first column of the “Self-directed learning plan” and leave some space for your consultant to do the same.
feedback on day release (page 5-7)
practice attachment logs, case reports and trainer and trainee assessment (pages 8-12)
report by your consultant, which should be done before you finish your hospital post, including, hospital post evaluations(pages 14-15) and skills list (pages 41-52).
Leave logs (pages 53-54) should be filled in for all leave taken (annual/educational/sick/maternity etc)

Journal club

When presenting a journal it will be expected that you use the following PICO method. Look at the journal you are presenting and answer the following four questions. PICO stands for:

Patient/population: who or what?

Intervention: how?

Comparision: what is the alternative? (There may be none)

Outcome: what are you trying to accomplish/measure/improve/effect?

You need to present the journal ONLY using the above four lines and the discussion will follow. Try and pick relevant, interesting articles that show how you might change your practice. PICO examples can be found at and

Six monthly review record: 2nd year, July-December

Trainee name:

Date of review / Carried out by
1. Day release attendance
Appropriate section in the log book signed by consultant/trainer or filled in by trainee / Yes / No
2. Self- directed learning plan/Interim progress report by consultant (p4)
3. Day release evaluation
a. Trainee resourced sessions: feedback record(p5)
b. Trainee self-assessment of day release participation (p6)
c. Programme Directing Team assessment of day-release participation(p7)
d. Literature review and other presentations(p5)
e. Journal club(p 5)
4. GP attachments
a. Days attended(p9)
b. Activity log(p9)
c. Practice checklist(p10)
d. Assessment of attachment / by trainee(p11)
by trainer(p12)
e. Written work returned / full case report
short case reports
practice management report
5. Hospital posts
a. Hospital post evaluation (p 14-15)
b. Self-directed learning plan/Interim progress report by consultant (p4)
c. SHO assessment by consultant / General assessment(p17, 19)
Certification of attendance(p18)
Cert of sat completion of training(p18, 20)
Skills list (p41-52)
6. Women’s Health Log Book[1]
7. Other issues/ outstanding issues from previous yellow pages
PD Team Signature: Date:

Self-directed learning plan: Early review of learning needs with consultant

Please refer to relevant items in the ICGP core curriculum.

Educational need[1] / Plans to meet this need / Date completed / How? / Further learning needed
Interim progress report by consultant: mid-term review of training needs
Please comment on the trainee’s progress in this post to date
Progress reviewed / Comments/ actions
Clinical skills: diagnoses & assessments/ prescribing
Communication skills: patients & their families/ colleagues
Record keeping
Attendance/punctuality/leave management
Strengths/areas of improvement
Consultant signature / Date

Trainee-resourced day-release sessions: July - December

Trainees should bring this log book to every Wednesday session. If they are presenting a topic or journal club the PD member taking the session should note down any feedback/relevant comments.

Trainee name:

Review of: / Carried out by: Date:
Review of: / Carried out by: Date:
Review of: / Carried out by: Date:
Review of: / Carried out by: Date:

Trainee self-assessment of day release participation: July-December

Period From / To:

Topics you found most valuable to you:

…………………………………………………………………………………………

Topics you found least valuable to you:

…………………………………………………………………………………………

…………………………………………………………………………………………

Teaching methods that were most / least effective:

…………………………………………………………………………………………

How would you describe your overall participation in and contribution to the Day Release Programme?

…………………………………………………………………………………………

Give specific examples of your participation in the Day Release Programme:

…………………………………………………………………………………………

Do you have any other comments on the Day Release Programme (content, organisation, standards, tutors, group dynamics, peers etc)?

…………………………………………………………………………………………

One to One: Programme Director’s report on day release participation:Jul-Dec

Trainee’s Name: / Date:
Period being evaluated
From: To: / Name of current post:
Name of previous post:
Satisfactory / Unsatisfactory / Not assessed
Presentation of: journal club; clinical topic; literature review
Participation in day release sessions
Attendance
Punctuality
Areas of strength
Areas for improvement
Current post ( main discussion item today)
Any follow up action required
Previous post (any legacy issues) / Updates on any previous action
Any further follow up required
Signature / Date

General practice attachments.

Content and goals:

For successful completion of your practice attachments you must submit:

short case reports on five cases you have seen, with emphasis on important learning points
one full case report
an assessment of some aspect of the management of the practice visited.

In preparation for the attachments you should:

Read the prescribed material.
Consult the rota and contact the trainer to whom you will be attached.
Attend the training practice as agreed with your trainer.

During and immediately following the attachment the following must be filled out:

activity log
case reports
practice attachment checklist.
assessment of practice attachment (by trainee)
assessment of participation in practice attachment (by trainer).

Activity log

Dates of attachment: from to

Trainer:

This log records the content of your experience for the week. The first line below is filled out as an example.

Date / sitting in / house calls / consulting / with other practice staff / reading/
study / other (please describe)
1/10/06 / 9:30-11:00 / 11:30-12:00 / 2:00-4:00 / 1:00-2:00 / with community nurse

Practice attachment checklist

Trainer:Trainee

This should be completed at the end of each attachment

In order to tailor the practice attachment to suit your needs, it would help your trainer and the Programme Directors to know how you feel about the experience you have had so far. Please comment freely.

Ring 'A' if you would like less

Ring 'B' if you are happy with things as they are

Ring 'C' if you would like more

Date:

Comments
Own surgeries / A / B / C
Own home visits / A / B / C
Watching trainer consult / A / B / C
Trainer watching you consult / A / B / C
Joint home visits / A / B / C
Opportunity to follow patients up
(a) at practice premises / A / B / C
(b) on home visits / A / B / C
Opportunity to discuss problems when they arise,
e.g. when you are consulting / A / B / C
Opportunity for one to one sessions with trainer / A / B / C
Opportunity for sessions with other partners / A / B / C
Opportunity for sessions with other team members / A / B / C
Opportunity to see other practices / A / B / C
Opportunity to explore local GP environment / A / B / C
Study time / A / B / C
Easy access to journals and books / A / B / C
Opportunity to meet with other trainees / A / B / C
Opportunity to discover your weaker areas / A / B / C
Which activities have taught you most?
Which activities have you not found helpful?
Overall comments:

I have discussed this with my trainer: yesno

General assessment of general practice attachment by trainee

Trainee:Trainer:

Period of attachment:

From:to:Attachment no.

1.What were your learning needs at the beginning of the attachment?

2.How were these learning needs met?

3.What is your final assessment of the value of this attachment?

Assessment of general practice attachment by trainer

Trainer:Trainee

1.What was your initial view of this trainee's needs with respect to an introduction to General Practice?

2.Was a focus on the consultation appropriate?

3.Was the experience worthwhile?

a)For the trainee

b)For yourself.

4.Please comment on the trainee's level of participation in the week.

5.I have discussed this assessment with the trainee YES/NO

Hospital reports

For satisfactory completion of a hospital post, a trainee must:

Attend for clinical duties at the hospital for the entire period allocated. Absences of more than three weeks in any six month period (other than through scheduled annual or approved educational leave) will need to be made up at a future time;
Have a satisfactory assessment by the appropriate consultants(s);
Acquire and have certified the skills listed for the post, as follows

. Page

•Obstetrics and gynaecology Found in Women’s Health Log Book

•Internal medicine 41

•Paediatrics 42

•Psychiatry 44

•Emergency medicine 46

•Ophthalmology 47

•E.N.T 48

•Dermatology 49

•Rheumatology 50

•Geriatrics 51

•Palliative medicine 52

(New skills lists are being prepared by the Irish College of General Practitioners and will be included in this portfolio when complete).

Return the hospital post evaluation.

Hospital post evaluation: July-December

Please fill out a separate copy of this form prior to each one-to-one interview (six monthly review) for each consultant to whom you have been attached. Extra copies are available from the office.

Please comment freely. These evaluation forms are our most valuable resource in improving the quality of your hospital experience

Trainee Name:

Consultant
Hospital / Time in post :From:
Specialty / To
Job satisfaction/breadth and quality of clinical experience/access to OPD & other relevant areas
Initial review of your learning needs by consultant
Orientation/induction/
training for specific equipment etc
Rota arrangement
Facilities(e.g. library etc.)
Problems with getting off to half-day release?
Teaching: GP or specialty orientated ;available; accessible; formal; informal; ward rounds; one to one teaching by consultant
Consultant’s engagement with the Programme
Other issues: medical manpower issues/availability of consultant/registrar for support etc/asked to do duties beyond competencies etc
Any other comments:

Note: You must fill out a separate form for each consultant to whom you were attached during your hospital post

Hospital post evaluation: July-December

Please fill out a separate copy of this form prior to each one-to-one interview (six monthly review) for each consultant to whom you have been attached. Extra copies are available from the office.

Please comment freely. These evaluation forms are our most valuable resource in improving the quality of your hospital experience.

Trainee Name:

Consultant
Hospital / Time in post :From:
Specialty / To
Job satisfaction/breadth and quality of clinical experience/access to OPD & other relevant areas
Initial review of your learning needs by consultant
Orientation/induction /
training for specific equipment etc
Rota arrangement
Facilities(e.g. library etc.)
Problems with getting off to half-day release?
Teaching: GP or specialty orientated ;available; accessible; formal; informal; ward rounds; one to one teaching by consultant
Consultant’s engagement with the Programme
Other issues: medical manpower issues/availability of consultant/registrar for support etc/asked to do duties beyond competencies etc
Any other comments:

Note: You must fill out a separate form for each consultant to whom you were attached during your hospital post

Hospital posts: SHO assessment form

The trainee should have this form completed by each consultant for whom he/she has worked. Usually this assessment should be shared with the consultant, but, if a consultant wishes to submit a confidential report, a separate copy of this form can be had from the training programme office.

Note to hospital consultants:

Each trainee in the Cork General Practice Training Programme must now satisfy certain criteria before a certificate of satisfactory completion of training can be issued by the programme. This certificate is essential for the trainee to become a member of the Irish College of General Practitioners, or to practice in any state-funded medical scheme. One component of the assessment is the provision by each hospital teacher of a satisfactory report on the trainee's performance. This report should be filled out at the end of the trainee's time with you, and has three components:

certification of attendance,
general assessment of abilities and performance,
skills specific to the post.

You will be asked to certify these three components by signing a certificate of satisfactory completion for each trainee at the end of his/her time with you.

If the trainee cannot produce these documents the GP Programme cannot give a certificate of satisfactory completion, with serious consequences for the trainee’s future career. We would ask you to ensure that all trainees attending your post have the relevant forms completed before the end of the post.

Further copies of all forms are available on request from the training programme office at 4902312

Hospital post: General assessment of abilities and performance (July-Dec)

Please also complete the appropriate skills checklist (pages 41-52)

Trainee’s name:
Consultant / Specialty
Signature / Date
Period of post: From: To:
Assessed and satisfactory / Assessed and not satisfactory / Not assessed
Interviewing patients
Examining patients
Appropriate use of laboratory
Appropriate use of radiology
Making diagnoses/assessments
Appropriate prescribing
Use of records and note taking
Relationships with patients
Relationships with colleagues/staff
Relationship with teacher
Punctuality
Acceptance of criticism
Willingness and ability to learn
Areas of strength
Areas of weakness
Other points of particular importance not covered above

Comments

Certification of attendance by consultant.(July-December)

Consultant name

Trainee name

Trainees can be absent for their hospital post for not more than three weeks in any six months (exclusive of annual or approved educational leave). Longer absences, for whatever reasons, may have to be made up by the trainee later.

Total leave taken (excluding annual/approved educational leave)

If more than three weeks’ absence other than annual /approved educational leave, please give details

Certification of satisfactory completion of hospital training

Trainee name:

Hospital

Consultant:

Specialty

Duration of post: From:To:

I ………………………………………………………………….…………………………………

certify that ……………………………………………………………………………………….
has satisfactory completed training in this post, and that her/his attendance and skills acquired are as specified by the Cork Programme for General Practice Trainingas set out in the Programme logbooks and curriculum documents.

Date……………………………….Signature…………………………………………………………

Refusal of certificate of satisfactory completion of hospital training

I……………………………………………………………………… …………………………………

am unable to certify that …………………………………………………………………….…….
has satisfactory completed training in this post, for the following reasons(s)

Date……………………………….Signature…………………………………………………………

Hospital post: General assessment of abilities and performance (Jul-Dec)

Please also complete the appropriate skills checklist (pages 41-52)

Comments

Certification of attendance by consultant.(July-December)

Consultant name

Trainee name

Trainees can be absent for their hospital post for not more than three weeks in any six months (exclusive of annual/approved educational leave). Longer absences, for whatever reasons, may have to be made up by the trainee later.