Welcome to the latest Clinical Teaching Visitor training update
As we start the year I am acutely aware that there have been a lot of challenges for many GPs who have been impacted by the bushfire emergencies in NSW and the ACT.
Please be aware of the following resources available that may assist:
- Community Trauma Toolkit, an excellent resource developed by the Australian National University from Commonwealth funding
- ACRRM Natural Disaster: Readiness and Recovery
- RACGP Disasters and Emergencies in Australia
- Australian Government's Disaster Assist
- GP Synergy Wellbeing and Support.
If your CTVs have been affected by the bushfire emergencies please contact the Education Coordination Administration Officers in your subregion for assistance.
Quite a lot has happened in the CTV world of GP Synergy over the past year.
As many of you already know Jo Bruce has moved on from GP Synergy. I want to take this opportunity to say a big thank you to Jo for all her hard work in the CTV visitor space over the last few years.
Jo continues with us as an external CTV visitor and is maintaining her involvement in medical education through Medcast and the RACGP.
CTV visitor education is now part of the Director of Supervisor Education portfolio and each subregion has a CTV medical educator with a special interest in CTVs working on enhancements, and CTV upskilling and training.
You can contact the CTV ME for your subregion as below:
- Central, Eastern & South Western Sydney – Dr Zenith Lal email@example.com
- Hunter, Manning & Central Coast – please contact Regional Head of Education Dr Chris Starling Chris_Starling@gpsynergy.com.au
- Murrumbidgee & ACT – Dr Komal Jaiswal Komalta_Jaiswal@gpsynergy.com.au
- Nepean, Western & Northern Sydney – please contact Regional Head of Education Dr Catherine Casey Catherine_Casey@gpsynergy.com.au
- New England/Northwest – Dr Donna Quinn Donna_Quinn@gpsynergy.com.au
- North Coast – Dr Rob Trigger Rob_Trigger@gpsynergy.com.au
- South Eastern NSW – Dr Richard Griffiths firstname.lastname@example.org
- Western NSW – Dr Jacqueline Heagney email@example.com
Programmatic assessment comes into being for registrars commencing in GPT1 in the 2020.1 term. The inclusion of Random Case Analysis with CTVs forms part of these overall changes (for more detail see below).
More information on programmatic assessment will be available on GPRime from the start of the 2020.1 term on 3 February 2020.
If you have any concerns about the registrar you observe at a CTV please make contact with the registrar’s medical educator as soon as possible.
The CTV feedback email address is firstname.lastname@example.org and can be used for any non-urgent feedback related to CTVs.
You can contact me directly on email@example.com with any comments, questions or concerns you have as a CTV visitor for GP Synergy.
Thank you for your commitment to CT visits and GP training.
I wish you all the best for year ahead.
Dr Sarah Gani | Director of Supervisor Education
What's coming in 2020?
Allocations are currently underway and you will soon receive an email with your allocated visits.
Please let the Education Coordination Administration Officer in your subregion know if you change your email address.
Random case analysis - changes to CTVs
CTV increased hourly rate
Following a review conducted at the end of 2019 the hourly payment rate for CTVs will increase commencing at the start of the 2020.1 term on 3 February 2020.
Please refer to the Clinical Teaching Visitor Payment Rates on GPRime for further details
Gathering information from supervisors is part of the RACGP vocational training standards. A more structured reflective interaction is planned for CTVs in 2020.2 and more information will be provided over the next few months.
GP Synergy leads research on the content and outcomes of CTVs
CTV frequently asked questions
What’s the best way to set up a CTV date and time?
Contact the registrar via email or phone to discuss possible dates and times before scheduling through GPRime.
How long do I wait for the registrar to respond to my proposed CTV?
Sometimes registrars are on leave or studying for exams so might not get back to you immediately about scheduling visits. A follow-up contact after a week would be reasonable. If you have any concerns or issues with scheduling contact the Education Coordination Administration Officer for your subregion.
I have emailed the registrar several times to set up a CTV but have not heard back from them – what do I do?
Contact your Education Coordination Administration Officer to discuss further options.
One of my CTVs is overdue – should I book it in for whenever I can?
Please contact your Education Coordination Administration Officer to discuss your options, they will be able to provide the registrars availability.
My CTV is a few hundred kilometres away from where I live. Who can assist me with my travel arrangements?
Please contact your Education Coordination Administration Officer as all extended travel must have pre-approval – please do not make any extended travel plans without discussing with them.
How do I know if the registrar needs MiniCEXs done in the visit I am doing?
You will know if your registrar is RACGP or ACRRM by the term details - all ACRRM terms have a PRR prefix. Only those CTV visitors trained in Mini-CEXs will be allocated to CTVs for ACRRM registrars.
Can I print out my CTV report?
There is no inbuilt function for in GPRime but you can use the print function in your internet browser - see below. You will need to change the GPRime page to patient or RCA (if applicable) to print out those sections.
Registrar reflection on the first CTV
I have had two CTVs so far, one per term at the same practice. I was very fortunate to have my term supervisors perform direct observation of my consults in the preceding weeks to help prepare me for CTVs. Although I found the practice and feedback during these sessions very useful, I must admit that they did very little to allay my nerves during my first CTV!
I found the prospect of an external observer assessing my fairly limited GP skillset (as a GPT1) somewhat daunting. I was pleasantly surprised, however, when I was met by a lovely CTV visitor who explained the process clearly, remained a 'fly on the wall' during my consults and gave detailed and specific feedback which also helped me gauge how I was performing in relation to my peers.
What I found particularly useful was the written report submitted on GPrime with links to resources to improve my knowledge and skills in a particular area of weakness (e.g. the appropriate use of testing and replacing Vitamin B12).
In retrospect, the feedback that I received during that very first CTV has been pivotal to my development as a registrar.
The first comment, regarding my time management, made me re-evaluate the structure of my consults to take a targeted history, perform a focused examination and spend more time developing rapport, communicating my assessment and negotiating a plan with the patient.
The second comment pertained to the importance of communicating a clear plan to the patient. It was suggested that a written plan (almost like a prescription) be given, particularly when the plan was complex or required multiple steps (e.g. eczema management).
Since the initial CTV, I have prioritised these aspects of my day-to-day practice and have found them to be some of the most useful pieces of practical advice that I have received so far. The communication between the CTV visitor and the supervisor following the visit is particularly helpful as it allows areas for improvement to be flagged and followed up by the supervisor.
Aditi Mahajan | GPT2 registrar