General
Practice Training at The Filey Surgery
To
get an idea of what living in the area is like, click here
The Practice became a Training
Practice in 1985, when <<<
Phil Garnett
(on the left in the picture)
became a
GP Trainer.
Roger Nunn (below right ) became a
Trainer in 1989, and Mike Shepherd (below left) is working towards
becoming the practice's third Trainer, having gained the MRCGP by
assessment.
Roger takes on
the role as Lead Trainer, though all the Partners participate in the Tutorial
Programme, as well as other members of
the Primary Health Care Team- including Carolyn Liddle, our Practice Manager.
The practice is a member of
the Scarborough Vocational Training Scheme (click here),
which works in with the "York & Coast" (we prefer
"Scarborough & Inland") General Practice Educational Centre- GPEC. The VTS runs a half day release course weekly (sometimes whole
days, sometimes in York), which you are expected to attend. You also are
encouraged to use Study leave to attend theoretical Family Planning, Child
Health Surveillance and Minor Surgery courses, as well as the Deanery annual
"Summer School" in September.
You usually have an additional
half day free.
Practice Description
Filey is a small coastal retirement town, with a declining
fishing industry and a growing retirement population. The area is surrounded by
large caravan and holiday parks, and an agricultural hinterland encompassing a
radius of five miles. The population is pleasant indigenous East Coast Yorkshire
people, with a large minority of retired West Yorkshire couples. They are on the
whole reasonable and understanding people (with a few notable exceptions!).
Intractable social problems, drug abuse and HIV are areas where regrettably we
are less able to offer clinical experience than some of our colleagues in the
cities.
Filey is a town of five thousand people, ten miles from
Scarborough and Bridlington along the coast to the North and South respectively.
York is forty miles inland. We are the only practice in Filey, there being two
small practices in neighbouring Hunmanby. We register patients in Filey and in
the villages of Hunmanby, Reighton, Muston, Lebberston, Gristhorpe, Flixton and
Folkton- about a five mile radius. We see several thousand holidaymakers each
year in surgeries on the holiday camps run by locums- we see very few
holidaymakers ourselves.
The atmosphere in the practice is less formal than many.
Partners and staff are on christian name terms.
<<<What We Can
Teach You in FIley- one of your potential trainers relaxing
List size
Approx 8700
Dispensing
To quarter of our patients plus all the
temporary residents
Training
Dr Garnett and Dr Nunn are both trainers, Dr
Shepherd is a potential candidate
Computer system
Vamp VISION. We are proceeding to full
paperless use
Minor Surgery
Full quota of procedures per quarter
CHS
Three partners registered.
Maternity Services
All partners provide ante- and
post-natal care.
Domino deliveries available through maternity unit at
Scarborough
Cytology/Imms
Achieving maximum target payments
Nurse Run Clinics
Diabetes, Asthma,
IHD, New Patient Medicals,
Well
Person, Over 75 Checks, Stop Smoking
Outside Appointments
Dr Nunn - Lifeboat Medical Officer;
Dr Garnett – Chairman NYCRs PCT. North Yorkshire LMC
member
Clinics held at the Surgery
Consultant Psychiatrist and
SHO - weekly
Consultant Obstetrician - AN clinic - fortnightly
Consultant Psychologist - weekly
Dietitian - fortnightly
Medical Research Council Member of the GP Framework
past
twelve years. 1998- just completed Thrombosis Prevention five year trial. 1999-
starting SMAC (Allergen avoidance in Asthma) Trial
Travel Vaccination -
We are a registered Yellow Fever Centre.
Premises
The practice moved to the current purpose built premises in
1989. These were extended in 1995. The nine consulting rooms are individually
appointed and the corridors overlook a pleasant courtyard garden. The doctors
have their little den into which we retreat to look through the mail, gossip,
etc. There is a library with a put-you-up couch, video and television.
The treatment room is well equipped for minor surgery with
equipment including radiosurgery unit, electric cautery, liquid nitrogen and
defibrillator.
The non-clinical areas include a doctors’ lounge and a
library which is used for meetings and tutorial sessions.
Surgery Times
We do morning surgery 9-11 approx., followed by a period of
paperwork / debrief. Tutorials tend to be over lunch. There is often a gap in
the day for study / audit / go to the gym / a run / whatever you please until
evening surgery at 4 till 6ish. Baby vaccination clinics happen one afternoon,
as well as visiting consultants in Psych and Obstetrics.
On Call Commitment
You are expected to join us for experience at the Co-Op. By
day (till 6.30pm) the GPR is on call with back up approx 1
in 5.
Local Secondary Care Provision
Our local District General Hospital is located at
Scarborough. The consultants from Scarborough also work at Bridlington District
Hospital.
For a formal statement of what
you can claim, click here- "The Red Book".
We offer training very much focused
on the educational and experience needs of the individual General
Practice Registrar (GPR). In the Yorkshire
Deanery, General Practice runs are
usually for 6 months at a time.
Increasingly, we take on two rather than one GPRs
at a time. Each Registrar has his or her own consultation room, complete
with computer terminal.
We use a standard BMA model
contract, and local educational contract.
In our initial 1- 2 week
period, we offer experience with all the members of the PHCT, as well as
"sit in" surgeries with all of the partners. During that run in
period, we offer computer orientation, and decide on an initial Tutorial
programme for the first month or so. There is often a residential overnight
orientation course at this stage.
The GPR usually starts their
own surgeries after a couple of weeks, usually booking at between 15 - 20
minutes per patient initially. After three months, we would aim to get most
"2nd time" Registrars to be consulting at about 10 minutes per
patient, in order that they might become ready for the "real world" of
General Practice when they leave us.
Tutorials are usually 2 per
week, one with the GPRs own allocated Trainer, and one with another of member of
the team. Some advance preparation & reading is necessary for most
Tutorials; as we tend to do surgeries 9-11 ish, 4-6pm, there is clearly ample
free study time for this, as well as preparing for the strictures of Summative
Assessment.
The Consultation is the nub of
General Practice. We frequently video Consultations on the practice's digital
video camera for discussion of consultation skills- perhaps once or twice a
month.
On call (with the back up of a
partner), is approximately 1 in 5 by weekday till 7pm (and Saturday till 12 lunch), when Scarborough Co-Op takes
over. The GPR is expected to experience the Co-Op shifts till 11pm and weekends
with a similar frequency to a partner- about once a fortnight in the evenings.
Training is offered in use of
the Practice's VAMP Vision (click here)
computer system, which it is mandatory to use. FOrtunately, it does seem
to be the best system to use, despite the dominant position in terms of local
sales of it's inferior rival system. We are (laughably) described as paper free,
ie all notes, results and finally in 2003, letters, are in electronic format. We also offer tuition in the use
of the Internet in GP, in house Audit Processes (it is necessary for a GPR to
keep up to date with what Mrs. Mary Norris is doing day to day) and standard Word
Processor (Word), Spreadsheet (Excel), Presentation (PowerPoint)
Email and Time Management (Outlook) tools.
Portfolio based learning is
mandatory, so use of some form of GPR, be it hard copy or electronic, is
necessary. It will help you link into appraisal, Higher Professional Development
and ultimately Revalidation.
Participation in the four
elements of Summative Assessment is mandatory
*
multiple choice questionnaire
*
consultation skills (simulated surgery or video)
*
Project
*
Trainer's Report
We encourage all GPRs to
consider sitting the MRCGP (although neither of us consider that continuing
paying the subs offers us value for money).
At the end of the day, the aim
of The Filey Surgery is to ENJOY YOURSELF AND TO LOOK FORWARD TO COMING TO WORK
EACH DAY. If you don't do that, we've failed!
For further general
information on living in the area, click here.
For
some samples of planning for Tutorials, click here-
though Tutorials would be very much based on what YOU want to do, and areas we
agree YOU might need to look at, not what's been done with a hundred GPRs before
you.
The sort of people who we
think might fit in well at the surgery: -
(and we’d emphasise that sex
& disability aren’t relevant to this in any way- it’s all about
yer attitude of mind, not yer body)
The sort of people who might
fit in less well:
Summary
We offer
-
Dedicated training from a range of partners
-
Pleasant practice area- good recreational opportunities- little traffic
hassle
-
Experience of Co-op work
-
Diverse experience
-
An educational programme tailored to suit your needs
-
A relaxed informal atmosphere
-
Pleasant premises with the Registrar having their own room
