General Practice footprint in the new MD. Lena Sanci. General Practice & Primary Health Care Academic Centre. September 2012

Transcription

1 Gnral Practic footprint in th nw MD Lna Sanci Sptmbr 2012 Gnral Practic & Primary Halth Car Acadmic Cntr

2 GP & PHC Acadmic Cntr Dpartmnt of Gnral Sunhin Primary Car Rarch Unit Primary Car Taching Ntwork (clinical placmnt) 252 practic (88 rural; 164 urban) 56 community ba taching it (North Wt)

3 Ovrviw of GP in th nw MD Viion & aim 1 t yar & 2 nd yar placmnt 3 rd yar GP block trm 4 th yar cholarly lctiv/ tranition to practic Extndd Rural Cohort (MU+UoM in rural N Vic) Primary Car Community Ba Studnt ld clinic - REACH

4 Viion: Gnral Practic dfinition Gnral Practic i proviion of: Primary, continuing, comprhniv, whol patint mdical car TO individual, famili and thir communiti

5 GP trm - gnralit kill for all diciplin Knowldg & kill ynthi acro diciplin

6 Univrity of Mlbourn Graduat Attribut Slf Socity Knowldg Studnt Sytm of Halth car Patint Mdical profion

7 Star of Gnral Practic - RACGP

8 Building a nw curriculum Curriculum adviory group Curriculum working group GP-ld rarch informing taching What ha workd wll bfor RACGP curriculum National Halth Prioriti BEACH data

9 Ovrviw of GP in th nw MD Viion & aim 1 t yar & 2 nd yar placmnt 3 rd yar GP block trm 4 th yar cholarly lctiv/ tranition to practic Extndd Rural Cohort (MU+UoM in rural N Vic) Primary Car Community Ba Studnt ld clinic - REACH

10 Continuum of GP xpour in th MD Yar 1 Foundation of Biomdical Scinc Principl of Clinical Practic 1 ½ day Yar 2 Principl of Clinical Practic 2 4 day Yar 3 Principl of Clinical Practic 3 6 wk Scholarly Slctiv 1 Yar 4 Scholarly Slctiv 2 Tranition to Practic potntial potntial Pha 1 Pha 2 Pha 3 Pha 4

11 Continuum of GP xpour in th MD Yar 2-4 day during Ambulatory car trm Clinical foundation Mdicin Ambulatory Car/ED Surgry/ Anathtic I n t r i o n S t u d n t c o n f r n c Ambulatory Car/ED Surgry/ED/ Anathtic Mdicin I n t r i o n Surgry/ Anathtic Mdicin Ambulatory Car/ED I n t r i o n

12 Continuum of GP xpour in th MD Yar 3 6 wk pciality rotation Womn Halth Childrn & Adolcnt Halth I n t r i o n Childrn & Adolcnt Halth Womn Halth I n t r i o n S tu d nt c o nf r n c GP Mntal Halth Griatric/ rhab Griatric/ rhab GP Mntal Halth Mntal Halth Griatric/ rhab GP

13 Ovrviw of GP in th nw MD Viion & aim 1 t yar & 2 nd yar placmnt 3 rd yar GP block trm 4 th yar cholarly lctiv/ tranition to practic Extndd Rural Cohort (MU+UoM in rural N Vic) Primary Car Community Ba Studnt ld clinic - REACH

14 CRESCENT rgion outr NW Mlbourn Northrn clinical chool Wtrn clinical chool

15 Workhop Rult 10 workhop, 101 Participant Conumr Hopital Staff Community Halth Sctor GP Practic Managr Halth Managr Halth Providr Mdical Studnt

16 Workhop Rult - Purpo Gain th communiti viw on: -CRESCENT viion and ovrviw -Balancing community and hopital bad training -Iu and barrir to th CRESCENT modl

17 Larning Contxt: hopital & community ba

18 Potntial bnfit for tudnt & community Studnt Bradth of training in community car alongid acut Bcom intgral mmbr of primary car tam Intrdiciplinary ducation Community Futur workforc traind to mt thir nd Rturn of cohort to work in community Linkag btwn taching it

19 Rquirmnt for it to work Spac for tudnt to clrk patint Suprviion and fdback to tudnt Acc to a rang & numbr of patint Profionally appropriat mntorhip Activ intgration of tudnt into halth car tam Opportuniti for multidiciplinary work Continuity of tudnt attndanc ovr tim Suprvior training & ongoing monitoring

20 PCCB pilot Aim: Tt faibility of th modl and com up with an implmntation handbook Mthod: Participatory action rarch clinical chool, practic, tudnt, patint 3 clinical it ca tudi 5 tudnt pair ovr 6 wk

21 Rult - implication for implmntation Fotr authntic rlationhip rward; qual valu on hopital & PCCB; coordination rol PM, DGP, Clinical chool; communication; whol of clinic approach Enur a quality larning xprinc curriculum alignmnt placmnt tructur brifing training individuali tudnt larning QA

22 Gnral practic in th MD: Primary Car Community Ba (PCCB) Modl Scond yar (firt clinical yar) 1 day pr wk- 36 wk in hom practic = primary car ba Third yar (cond clinical yar) 6 wk GP trm 1 day pr wk in hom practic during all othr trm Enhancd gnral practic lctiv Fourth Yar (optional) Alumni of th practic

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24 Community Ba Primary car Community Ba (CHC, GP clinic) Mntor for ach tudnt Innovativ ducation opportuniti High quality Hopital clinical chool (Northrn or Wtrn) Rich, in-dpth cohort xprinc

25 Indicator of quality Taching and clinical practic accrditation GP uprvior qualification: FRACGP, FACRRM Commitmnt to intr-profional ducation Participation in uprvior training and quality auranc Multidiciplinary tting or focu

26 Community Conultation Workhop Pha 10 Ky informant intrviw (Octobr 2009 Dcmbr 2009) CRESCENT C & GP Linkag Stratgy Working Group Mt monthly 28 Stakholdr Group Idntifid Community Conultation Workhop x 10 (January 2010 April 2010) Workhop: Tapd, Trancribd, Analyd Faibility Rport (Compltion by nd of May 2010)

27 Community Bad Education Program Logic Quality graduat + v tudnt xprinc Quality larning tting Rourcd & upportd

28 Kolb Larning Styl in curriculum dign Q4. Synthi & xtnion Q1. Pronal maning IF? WHY? HOW? Q3. Practical application Armtrong t al Acadmic Md 2005 WHAT? Q2. acquiition nw Knowldg