Regional Head of Education update
I am passionate about training quality GPs who will have a positive impact on the health of their local community. It is a joy to see your progress through training, developing these skills. In these final weeks of 2019, I encourage you to reflect on your personal learning journey this year. Look at your achievements, your areas of growth, the challenges you have faced. It is also an opportunity to thank those involved in your training, as it takes a large and dedicated team to train quality GPs.
Within the Central, Eastern and South Western Sydney subregion we are training 354 registrars, including 10 who are part of the Australian Defence Force, five who are Aboriginal and Torres Strait Islander and two undertaking an academic post which involves primary care research. This year 66 registrars completed their training and achieved fellowship – congratulations! General practice is in strong hands for the future. I wish you many prosperous years ahead.
In our region we have 532 accredited supervisors and 290 general practice and community extended skills practices, including one Aboriginal community controlled health service. As an apprenticeship model of training, much of your learning occurs in general practice, seeing patients, seeking your supervisor’s assistance, observing their role modelling and learning how each practice is managed. I encourage you to provide feedback to your supervisors and practice managers about the support and teaching you have received. I also encourage you to ask your supervisor for constructive feedback on your progress that you can include in your learning plan for next year.
As Medical Educators (MEs) we support registrars throughout your training path and are involved in coordinating and teaching at registrar educational release workshops as well as clinical teaching visits. I particularly value the dedication and enthusiasm of the wonderful ME team. During the year, a few staff have left the team to pursue other ventures and we have welcomed new staff. I’d like to thank the outgoing staff for their contribution to medical education and warmly welcome the new members to the team.
Thank you to all the registrars who have taken the time to evaluate our workshop program. We value your feedback and make changes for future workshops based on your responses. It is worth remembering that there is a lot more to becoming a good GP than being able to pass exams. In the coming years, assessment in training will broaden beyond exams to look at the bigger picture of competence as a GP. In the meantime, look to continually improve in every aspect of the role.
It takes a large team to deliver registrar training and I’d like to extend a large thank you to our Education Coordinator Tia Dickson, the events team, the accreditation team, the registrar and supervisor liaison officers and all operational staff plus the clinical teaching visitors.
I look forward to working with all our stakeholders and building on the strengths of our region in 2020. We hope the changes to the recent placement process have been valuable and look forward to the introduction of the composite pathway next year.
On behalf of all the Central, Eastern and South Western Sydney team, we wish you a very Merry Christmas and safe and happy holidays. Take time to rest, recharge and care for yourself.
Dr Marisa Magiros | Regional Head of Education Central, Eastern & South Western Sydney
2020.1 Medicare provider number deadline changed
Deadline for 2020.1 Medicare paperwork now 6 December:
The deadline to submit an application for Medicare provider numbers for the 2020.1 term is Friday 6 December not Friday 13 December as previously advised. Please ensure you have submitted the signed AGPT paperwork for a placement to GP Synergy by 6 December 2019, and any Medicare initial provider number applications and other Medicare paperwork to Medicare by 6 December 2019 to avoid MPN processing delays.
Medicare provider number check:
Once you have received your Medicare provider number, you must check your letter to confirm you have been issued with a provider number with full billing rights before you commence billing patients. Registrars with refer and request rights will only be able to refer patients and request investigations, until a provider number with full billing rights is received.
2020.1 term dates:
3 February 2020 – 2 August 2020
Launch of the Learning Activities Packages!
The Learning Activities Packages (LAPs) are a set of learning activities you can complete to:
- help prepare you for your first GP term
- progress through GP training in your subsequent GP terms.
The learning activities are accessible through GPRime’s Quick Links and Subscriptions tab. Some learning activities are compulsory, such as the Pre-GP Term Assessment and the Procedural Skills Log, others are not but are highly recommended (e.g. PBS and Medicare online modules).
All RACGP and ACRRM registrars should review the LAPs as they will assist in addressing and identifying your learning needs as well as developing competency in clinical practice.
Where do registrars go for in-consultation information, advice and assistance?
Evidence for practice – findings from the GP Synergy Research and Evaluation Unit
Answering clinical questions arising from patient care improves care and increases patient safety. It is also a rich source of learning for registrars. Some questions need to be answered immediately – within the consultation that prompts the clinical question. Registrars seek in-consultation information and assistance in 21% of consultations, for 15% of all problems/diagnoses managed, and from multiple sources. The most common sources of information/assistance are the supervisor (or their delegate) in 45% of instances, and electronic sources (42%). Specialists (5.8%), other health professionals (3.9%) and hardcopy sources (9.7%) are much less common (note that more than one source can be used for a single question and more than one question can be generated per consultation).
Information is sought in 9.9% of instances for diagnosis, in 61.3% for management, and in 28.8% for both diagnosis and management. The most common systems for which information is sought are skin (16.0%), musculoskeletal (10.8%) and respiratory (10.7%).
The proportion of problems/diagnoses for which Term 1 registrars seek information or assistance is 21%; in Term 2 13%; in Term 3 11%; and in Term 4 8.6%.
Human information sources (rather than, mainly electronic, non-human sources) seem to be preferentially sought for more complex problems, even by these registrars who have trained in the ‘internet era’.
Magin P, Morgan S, Wearne S, Tapley A, Henderson K, Oldmeadow C, Ball J, Scott J, Spike N, McArthur L, van Driel M. General practitioners’ in-consultation information-seeking: associations with human, paper and electronic sources. 2015. Family Practice 32 (5): 525-532. doi:10.1093/fampra/cmv047.
For further information contact Professor Parker Magin, Director, NSW & ACT Research and Evaluation Unit: firstname.lastname@example.org
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.