Deputy Director of Education and Training update
As another year is rushing to it end, it is time to reflect on registrar training in 2019 in the Hunter Manning and Central Coast (HMCC) and New England/North West (NE/NW) subregions. After many years of service to AGPT as a medical educator and 3.5 years as Regional Head of Education, Dr Tony Saltis decided that it was time to pursue other interests. It is a huge credit to Tony’s leadership and the commitment of all in the HMCC and NE/NW teams, that the program has continued to function well while we await the appointment of a new Regional Head of Education.
The region has a diverse range of registrars in both general and rural pathways, with a wide range of previous experience, working towards fellowship of RACGP and ACRRM. All are working towards the same goal of becoming competent GPs with the necessary skills to build a career and meet the needs of future communities.
GP Synergy medical educators and administration staff in your subregion are here to support you as you work towards your goals. We appreciate your honest, specific, timely and respectful feedback in workshop evaluations, surveys or individually about how we can do this better. Remember that time spent chasing registrars for overdue requirements is time that we cannot spend more constructively for your benefit. AGPT training is primarily workplace based and most learning occurs in your practices. Take time to reflect on your own learning needs, seek and give respectful feedback and draw on the experience of your supervisors.
Our registrars also have a diverse range of non-medical skills. It was a pleasure at the RMA19 conference to see HMCC rural registrar Marion Dover, skillfully leading the carrot supporters in the Great Debate ‘Juicy carrots or big sticks – what works for the bush’. While some activities may need to be ‘parked’ for a short time during exam preparation, it is important for GPs to have other interests and connection with their communities. After all, the ability to have a life outside of work is what attracted many of you to general practice!
I wish you all the best for the festive season and 2020.
Dr Anne Eastwood | Deputy Director of Education and Training NSW & ACT
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.