Director of Registrar Education update
What’s new in registrar training at GP Synergy
Firstly, congratulations to our new registrars who recently joined the GP Synergy family. Some of you have continued working in your hospital terms, while others, ready to commence working in the community, have now started in their first GP term placement. Either way, this is surely an exciting time in your career pathway to becoming a GP and we warmly welcome you.
Below are two significant updates relevant to all registrars.
On 6 February 2020, GP Synergy launched its online RACGP Registrar Toolkit. An ACRRM Registrar Toolkit is currently under development and will be released shortly. In the interim, the RACGP toolkit is available to both RACGP and ACRRM registrars, as sections of the toolkit are relevant to all. The toolkit contains a wealth of information and important links to topics such as training requirements, registrar education, planning your learning and programmatic assessment.
To access the RACGP Registrar Toolkit, simply log into GPRime and you will find it on the top toolbar. We welcome your recommendations for additions and improvements via the ‘feedback’ button under the main menu in the toolkit.
I hope you have already read information about Programmatic Assessment (PA) sent to you in earlier communications. As we have outlined, GP Synergy is moving towards a more competency-based approach to assessment rather than a knowledge-based approach. This is in line with educational theory and with medical speciality training across Australia and internationally. PA is designed to optimise your learning and progression in training.
If you are entering your first GP term in 2020.1 you will be engaged in PA for your training. If you started your GP training in a prior cohort (i.e. you entered your first GP term prior to 2020.1) and are not engaged in PA, you will notice some changes to your assessment processes.
PA involves multiple assessments occurring throughout your GP training terms, carried out by multiple assessors and utilising different assessments that are fit for purpose i.e. each assessment has been chosen to assess specific competencies.
After each assessment, feedback is given to you as well as an opportunity for a reflective discussion on your performance. This enables individualised input into your self-directed learning. Information is also collated and reviewed at specified points in training to assess your progress.
All GP Synergy registrars can access information on PA in GPRime using the ‘Forms, Documents & Links’ tab, by typing ‘programmatic assessment’ and click ‘search’.
Please pay particular attention to the following documents:
- Programmatic Assessment for Registrars includes:
- Summary of assessment changes for registrars not engaged in programmatic assessment (i.e. registrars that commenced a GP term prior to 2020.1)
- Training requirements at a glance - guide for registrars (RACGP and ACRRM guides).
All registrars should familiarise themselves with the registrar toolkit and PA processes, and if you have any questions remember to speak to your medical educator, education coordinator or supervisor.
Dr Anna Sallos | Director of Registrar Education NSW & ACT
- Programmatic Assessment for Registrars includes:
We have been circulating information concerning the impact of COVID-19 on the training program. This includes FAQs and changes to our face to face education program.
Re-enrolment and term placement
Re-enrolment key points
- Re-enrolment for the 2020.2 term will be open online via GPRime2 from 31 March - 7 April.
- You are required to re-enrol, regardless of the term type you are entering in 2020.2 This includes if you are going on leave, into a hospital-based term or Extension Awaiting Fellowship, and if you are an ADF registrar.
- If you are seeking to enter a GP term in 2020.2 during the re-enrolment process you will be asked to rank your grouping preferences. After preferences have been reviewed, you will be notified of your allocated grouping by 5pm on 16 April.
- You will be able to apply to practices advertising training vacancies in your allocated grouping from 20 April.
Term placement webinars
These webinars will help you understand how the term placement process works including groupings in your area, Aboriginal health training posts in your area, how to apply for placements and things to consider when making an agreement with a practice.
Registrar support and subsidies
There are a number of supports and financial subsidies available for rural GP registrars, these range from relocation and emergency course subsidies to ongoing annual incentive payments.
Have you considered an Aboriginal health training post?
It’s hard to believe the gap that exists between the health of indigenous Aboriginal and Torres Strait Islander people and other Australians.
You can help close the gap by undertaking a placement in an Aboriginal Community Controlled Health Service (ACCHS) during your training.
There are many ACCHS facilities located within GP Synergy’s training footprint that are accredited to train GP Synergy registrars.
Registrars who have undertaken an Aboriginal health placement as part of their training say there are many reasons why they would recommend it to others.
Meet three registrars training in an Aboriginal community controlled health service
Applications for 2021 academic posts now open!
Academic post applications for 2021, for both RACGP and ACRRM registrars, close on 1 June 2020.
If you missed our recent webinar about academic posts head to GPRime and search 'Forms, Documents and Links' for 'webinars' and you'll find a recording.
Registrars’ prescribing of LARC - encouraging evidence of uptake of the most effective form of contraception
Evidence for practice – findings from the GP Synergy Research and Evaluation Unit
Long-acting reversible contraception (LARC) includes implants, hormonal intrauterine devices (IUDs), non- hormonal IUDs and medroxyprogesterone injectables. It is the most effective form of contraception, but is used in Australia less frequently than is desirable. Uptake of LARC prescribing by early-career general practitioners (including registrars) has important implications for community reproductive health. During her academic post in 2018, Dr Rachel Turner (now a medical educator with GP Synergy) worked with our NSW & ACT Research and Evaluation Unit to investigate Australian GP registrars’ LARC prescribing.
In the first phase of her project Rachel and the team conducted a cross-sectional analysis of 2010-2017 data from the Registrar Clinical Encounters in Training (ReCEnT) study. The good news is that prevalence of LARC prescribing by Australian GP registrars is higher than has been estimated previously in established GPs. A number of factors were associated with prescribing LARC, including the registrar having postgraduate qualifications in reproductive health. LARC prescribing practice also differs according to rurality and relative socioeconomic disadvantage of the registrar’s practice location.
*Turner R, Tapley A, Sweeney S, Davey A, Holliday E, van Driel M, Henderson K, Ball J, Morgan S, Spike N, Fitzgerald K, Magin P. Prevalence and associations of prescribing of Long Acting Reversible Contraception by GP Registrars: a secondary analysis of ReCEnT data. 2020. BMJ Sexual & Reproductive Health.
2020 rural doctor refresher conference - now digital
The NSW Rural Doctors Network and the Rural Doctors Association (NSW) 2020 Refresher Conference will now be delivered online, over one day - Saturday 28 March. It's free to attend.
Everyone deserves the right to a healthy future and the opportunities this affords. However, many of Australia’s First Peoples are denied the same access to healthcare that other Australians take for granted. National Close the Gap Day is a day of action to pledge support for achieving health equality by 2030.
Make sure you receive emails from us!
Don’t forget to check your spam folders for emails from GP Synergy, particularly survey evaluations and research requests.
2020.1 key training dates
Stay on top of the key training dates for the 2020.1 term.
RACGP fellowship assessments
Key information for exam enrolment and exam dates can be found on the RACGP website.
ACRRM fellowship assessments
Key information for assessment support program dates can be found on the ACRRM website.