Director of Registrar Education update
Firstly, a warm welcome to our new registrars soon to join the GP Synergy family in 2021. Welcome! Over the next several weeks new registrars will meet (if not already have met) a Medical Educator (ME) to help 'induct' them into GP Synergy. This important process is where MEs will discuss:
- how GP Synergy’s training program works
- the options within training pathways
- how best to start planning learning and prepare for a GP term placement and
- answer any questions.
In this report I will focus on important educational resources GP Synergy provides, a brief word on the registrar education program as well as where to find more information on programmatic assessment.
Many useful resources can be accessed through the GPRime Quick Links and Subscriptions tab, including the Australian Medicines Handbook, ACRMM online learning, Health Pathways linked, Learning Activities Packages (LAPs) and Therapeutic Guidelines (including the token registration for eTG complete).
Online modules include:
- Immunisation and MBS Billing (new in 2020). These have been specifically designed for all GP registrars to complete prior to their first GP term. Both currently scheduled for updates.
- Research Skills (must be completed by end of training term 2 or prior to exam eligibility, whichever is sooner).
- Working in an Aboriginal Community Controlled Health Services (ACCHS) course.
In 2019 Support GPT released a new module on Radiology and updated the Multimorbidity module. By the end of 2020 four new Support GPT modules will be released: Workcover, Dealing with Uncertainty, Drug and Alcohol Addiction Medicine, and S8 Prescribing and Chronic Pain Management.
Don't forget the ACRRM Registrar Toolkit and RACGP Registrar Toolkit both released earlier this year. Links to your pathway toolkit is available on GPRime.
Registrar education program
Since March 2020 GP Synergy moved the face to face out-of-practice registrar education program to utilising remote methodologies. The registrar education program continues to focus on topics not easily learnt through texts (such as communication skills, adolescent health and chronic diseases), as well as create opportunities for registrars to practice their clinical reasoning skills. As we move closer to 2021, GP Synergy will closely monitor the ongoing risk posed by the COVID-19 pandemic to registrars, staff and presenters for workshops to ensure the best options are adopted for the safe ongoing delivery of the program.
Programmatic Assessment (PA)
It is important all registrars know how they are assessed whilst in GP training. If you have not already reviewed the PA landing page in GPRime I encourage you to do so! Here you will find FAQs, a summary for registrars and checklists:
- what the assessments are called
- when the assessments are due
- how the assessments are accessed on GPRime
- where the assessment reports are kept or found.
The interactive PA wheel you will find in the PA FAQs document- provides links that will take you to the specific assessment component’s landing page in GPRime.
For further information on any information included in this report or on any educational or training issue one of your best resources includes your education coordinator (for administrative enquiries) and your ME (particularly for educational and assessment enquiries). Their contact details are provided in your GPRime portfolio.
Dr Anna Sallos | Director of Registrar Education
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.
September 10 is R U OK? Day
R U OK? Day is our national day of action to remind Australians that every day is the day to ask, “Are you OK?” if someone in your world is struggling with life’s ups and downs.
Remote CTV update
82% of the required remote CTVs for 2020.1 were completed by the end of August. While CTVs will be completed remotely until the end of 2020.2, we will be returning to the original scheduling model.
RACGP AGPT 2021 final intake
Do you know a doctor interested in GP training in 2021?
The final intake for training with RACGP through the AGPT program is open until 21 September.
2020 Rural video competition
Help inspire the next generation of rural GPs, and vie for one of the great prizes in our rural video competition!
We're extending the deadline for entries to 25 October!
Key dates for registrars going into a GP term in 2021.1
Tues 29 Sept – 2021.1 Registrar re-enrolment opens
Tues 6 Oct – 2021.1 Registrar re-enrolment closes
Wed 14 Oct – Registrars going into a GP term in 2021.1 notified of grouping allocation
Mon 19 Oct – 2021.1 term placement lists open for application
Meet a registrar training in Aboriginal health
Previously based in Sydney, Dr Hugh Stump is living and training in Orange at an Aboriginal community controlled health service.
He chose to work there to further his experience in Aboriginal health and gain greater confidence in managing complex chronic health conditions. He is loving the complexity of the medicine, and how it pushes him to broaden his scope of practice in order to help provide a better service.
ReCEnT reflections – procedural skills insights
Part two of the COVID-19 ReCEnT reflections explores the changes in the number of procedures registrars were performing in 2020.1.
As exposure to many procedures has dropped, we have developed a handy resource available on GPRime for registrars and supervisors to learn these skills using online resources – visit Procedural skills log resources for COVID-19 support.
GP registrars’ management of urinary tract infection
Evidence from the GP Synergy NSW & ACT Research and Evaluation Unit – each month we present findings from our work that may be of interest to registrars and their supervisors.
Symptomatic urinary tract infection (UTI) is a common general practice presentation.
Antibiotics are the standard of care for UTIs but, as with any antibiotic use, antimicrobial resistance is a concern. Appropriate antibiotic stewardship in this situation includes: courses of antibiotics for no longer than needed; avoiding antibiotics if there is no UTI (involving decisions regarding empirical treatment versus waiting for pathology confirmation), and “getting the antibiotic right” first time.
So, in an analysis of data from the Registrar Clinical Encounters in Training (ReCEnT) project, we aimed to describe registrars’ management choices made in prescribing antibiotics for UTI.
In our analyses, 1,333 registrars diagnosed 2,850 new UTIs during 189 736 consultations (1.5% of consultations; 95% CI, 1.4-1.6). Antibiotics were prescribed at 86% (95% CI, 84.7-87.2) of these index consultations. Antibiotic choice in most cases followed Australian eTG recommendations. Urine microscopy and culture were requested at the index consultation less than recommended by guidelines in men, 69.2% (95% CI, 62.6-75.1), and children, 80.8% (95% CI, 76.4-84.6). Adults were significantly more likely to be treated with antibiotics at the index consultation than children under 16.
Our interpretation of these findings is that Australian GP registrars’ choice of antibiotic for UTIs is consistent with guideline recommendations. Interpretation of the findings regarding investigation in children and men, and antibiotic prescribing in children, is more complex. These findings may be influenced by the single-consultation ‘snapshot’ nature of ReCEnT data collection. It is plausible that they may reflect registrars’ diagnostic uncertainty in the often-difficult clinical scenarios of possible UTIs in men and children - with consequent appropriate attention to antibiotic stewardship by deferring antibiotic prescription. This requires more research, focused on registrars, UTIs, and patient demographics.
Davey A, Tapley A, Mulquiney K, van Driel M, Fielding A, Holliday E, Ball J, Spike N, FitzGerald K, Magin P. Management of Urinary Tract Infection by early-career general practitioners in Australia. Journal of Evaluation in Clinical Practice (published online 25/12/19) DOI: 10.1111/jep.13340
If you would like to discuss this analysis or the paper, contact Parker Magin.
2020.2 key training dates
Stay on top of the key training dates for the 2021.1 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.