Frequently Asked Questions
1. Will F2 be working in their trust hospitals at nights or weekends?
2. Can a Training Practice have a Registrar and a F2 simultaneously?
4. What are the start dates for F2?
5. Is there a contract between F2 & the training practice?
6. Will NIMDTA be organising central computer training?
8. Should each F2 be provided with their own emergency bag?
9. What duration are the consulting slots for F2?
10. Are videos to be used as part of the assessment?
11. Do we need to contact MPS to confirm details?
13. Could F2 run Chronic disease management clinics?
14. How much teaching time does each trainer intend to provide?
15. How many surgery sessions should F2 Doctors be booked for?
16. How much time for orientation into GP before starting consulting?
17. Can F2 be sent to other practices for group training?
18. Who pays for any equipment?
19. How are F2 paid?
20. Will F2 be paid for travel to Home Visits?
21. Are we restricted to the DOPS as listed in the Guide?
22. How much protected teaching time does NIMDTA expect?
23. How can we reduce paperwork of assessment required for F2?
24. How much holiday leave should be taken each 4 month rotation?
25. What is the Deanery organising?
26. Guidance for F2 & Trainers in GP Home Visits (HV)
27. Foundation Doctors Working week
28. Car Insurance
Will F2 be working in their trust hospitals at nights or weekends?
No
Can a Training Practice have a ST2, ST3 and a F2 simultaneously?
Yes, if they have the space available.
Yes
What are the start dates for F2?
1st Allocation - Wednesday 3rd August 2011 - Tuesday 6th December 2011
2nd Allocation - Wednesday 7th December 2011 - Tuesday 3rd April 2012
3rd Allocation - Wednesday 4th April 2012 - Tuesday 31st July 2012
You will have an induction in Dunville Health Centre in Belfast that morning, then travel to your practice that afternoon.Is there a contract between F2 & the training practice?
Trainers are advised to sign an “educational contract” with F2.
The legal contract is between the Trust and the F2.
NIMDTA has an SLA between Trainers & NIMDTA http://www.nimdta.gov.uk/general-practice/gp-specialty-training/gp-trainers/
Will NIMDTA be organising central computer training?
There are three main computer suppliers & three types of EMIS within that. Each practice uses different templates and has customised their screens in different ways, so computer training is perhaps best done locally. However there is a list of induction competencies available for computer learning that could be delegated.
Yes
Yes the filling of this bag could be one of the induction tutorials. Once you are in GP land and fully registered you would be expected to assist in any medical emergency that comes your way and coming straight from hospital they are often well equipped with these skills. These bags can be bought as simple tool boxes from local hardware stores.
Initially 30 minutes. Then depending on confidence and competence reducing to no shorter than 15 minutes.
Are videos to be used as part of the assessment?
There is no video for submission.
Trainers are expected to facilitate Work Based Assessment.
Each F2 will need to do one TAB Feedback, and two Mini CEX / DOPS / Case based discussion. The video could be a way of assessing Min CEX.
The video is a powerful developmental tool in learning, but it should not dominate the attachment.
Do we need to contact MPS to confirm details?
F2 should be expected to arrive and present evidence of up to date and valid Medical Protection (organised through their Trust) & GMC registration. This should be part of induction for all Doctors entering GP.
Can F2 run acute clinics?
Yes, acute clinics are a powerful learning opportunity.
These F2 doctors will often end up in secondary care careers – it is vital they know what goes on in the real world of general practice. They should be given the opportunity to see everything - but supervised closely.Could F2 run Chronic disease management clinics?
Yes, again this could be a great learning opportunity to work with the Practice Nurses.How much teaching time does each trainer intend to provide?
Similar to what we give the ST3’s.
It’s the same training grant, but more supervision will be required during surgery sessions and the service delivery by F2’s may be less.It’s very important to use trainer time efficiently – trainers could work in groups to deliver teaching. This reduces workload, but improves the quality of teaching through small group work and varying instructional methods and each trainer will have different skills.
How many surgery sessions should F2 Doctors be booked for?
About seven each week – some of these will need to be cancelled for core days. With European Working Directives junior doctors are missing out on experience so it is vital to maximise exposure to real learning situations – balanced with protected learning.How much time for orientation into GP before starting consulting?
There is an induction package on the NIMDTA website. A list of tasks and competencies that is standardised, comprehensive and realistic could be covered within the first week. Consulting could start as early as the second week – because learning is easiest if relevant to daily practice.
Can F2 be sent to other practices for group training?
Absolutely – to be encouraged; there are many advantages to all concerned in this style of learning.Who pays for any equipment?
Same as for ST2 and ST3’s; these would be practice expenses. They should provide their own doctors bag, stethoscope, ophthalmoscope & auroscope.
How are F2 paid?
By their Trust that they are aligned to during that time.
Are we restricted to the DOPS as listed in the Guide?
No, DOPS could include spirometry, vaccinations, cervical smears, dressings, rectal, PR and genital examinations.
How much protected teaching time does NIMDTA expect?
In total the same as with a ST2 or ST3.
But there may be more supervision required during surgery sessions, which could reduce the amount of time left for one on one contact teaching.F2 could also have one session of self directed learning each week.
How can Trainers reduce paperwork of assessment required for F2?
Two DOPS / CEX / CBD – that less than with the ST2 or ST3 - No Trainers report or OOH workbook.The F2 is responsible to ensure timely completion.
How much study and holiday leave should be taken each 4 month rotation?
One third of their annual allowance - eight days - unless special circumstances are applied for in writing to NIMDTA.
What is the NIMDTA organising?
Programme Director – Dr Fergus Donaghy will organise 2 half days each four month rotation - Induction and Audit.Guidance for F2 & Trainers in GP Home Visits (HV)
- All F2 trainees should be given the opportunity to undertake HV
- HV should be a mix of acute and chronic care
- Chronic HV - Care in the community - Reviews of Diabetes/Dementia/COPD/Learning Disability
- Palliative care HV are a wonderful learning opportunity that captures the ethos of GP
- Aim for an average of 3 HV per week
- All HV should be discussed with Training Supervisor before undertaken and debriefed on return to practice. Visits to any mentally ill or potentially violent patients must be accompanied with Trainer
Foundation Doctors Working week
- Up to seven booked surgeries per week; expect to consult with about 60 patients per week on average
- 30 minutes appointment slots initially, reducing to 15 minutes later
- One session of protected self directed learning each week to work on Audit
- Debriefing to cover the cases seen during each surgery session at least thrice weekly
- Group tutorials on Friday afternoon 2.00 pm to 4.00pm - rotating about the local trainers premises - see NIMDTA website for details
- Attend Deanery dates for Generic skills as they arise to cover the 10 modules
- As soon as you arrive in GP tell your trainer of any Deanery days that you are due to attend in the following 4 months
- 8 days of annual leave allowance during the 4 mths GP attachment
- All study leave must be approved in advance in writing by NIMDTA - it is not possible to take study leave for higher professional examinations - the foundation programme is to develop generic skills
- There are 14 half days organised by Dr Donaghy and some in house SDL- this will equate to 10 days of your study leave allocation
- You are permitted reasonable time out of practice to attend Deanery Interviews for ST & Core training - subject to the approval of Trainer
F2 must inform their motor car insurance companies they intend to work in GP - this involves carrying drugs in their car and undertaking home visits.