Regional Head of Education update
Another year is drawing to a close. Is it just me, or does time actually accelerate as you get older? This year has rushed by, but I feel that we have achieved so much.
Our registrar education program is evolving. We take registrar feedback and use it to improve the delivery of the sessions every year. In 2019, we have used small group workshops as a vehicle to deliver teaching on several topics, including communication skills, paediatrics and chronic disease. In total, we deliver 18 days of education to the GPT1 and 2 registrars, and one day to each of GPT3 and 4.
The feedback that you as registrars give us determines what will happen in the future. We take all of your feedback seriously. We appreciate the comments that you write on the feedback forms about the education sessions, and we alter the next years and sometimes even the next term’s education program based on that feedback. Your feedback is also valuable in helping us know what is happening in the practices. While the majority of practices and supervisors are wonderful, occasionally there is a glitch and teaching is missed, or too many patients are being seen. If we are not aware of this, we cannot help. Please use your feedback forms, and your medical educators to feed problems back to us. It is also good to hear positive comments about practices, and for you to let them know that you appreciate their time and effort.
The tutorials for hospital-based registrars that we used to run have been replaced with webinars. The South Eastern NSW subregion was responsible for two of these webinars this year, and I had such fun doing them! We based them on the ‘Stump the Chumps’ format from the IM Reasoning Podcast. Cameron Warren, our Registrar Medical Educator, tried to ‘Stump’ Medical Educator Elise Perger and I with two tricky cases he had seen in his clinical practice. Luckily for us, we managed to reason our way through the case and come up with a diagnosis on both occasions. I know that I go on and on about diagnostic frameworks, but I believe that it was those that saved the day!
As the year draws to a close, I would like to thank all of the staff that have contributed to making the training program such a great success this year. I would like to thank the Medical Educators who have worked so hard this year. Thank you to the Practice Liaison Support Officer, Education Coordinator, events team and all the other staff in the Wollongong Office.
Stay safe over the Christmas and New Year period, have a joyous festive season, and we will see you in 2020.
Dr Allison Miller | Regional Head of Education South Eastern NSW
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.