AUGUST 2013 - New Zealand Doctor

More documents

Recommendations

Info

RNZCGP Review of the delivery of general practice vocational training August 2013OptionsOption 1: Number and spread of training hoursPoints for consultation1. That the total number of educational hours does not decrease as it would put the programme more outof step than it is currently compared to other vocational training.2. That increased hours of education be delivered within the current financial constraints.3. That a more even spread of formal teaching hours between the programme years be implemented.These hours may be delivered in a different format than currently.4. The total number of hours will take into account self-directed learning (or directed self-learning), withthe exception that allowance will be made for this learning to occur during work hours.Formal teaching hours for the New Zealand GP training programme are well below those of otherinternational programmes. Additionally the programme has a disproportionate number of hoursoccurring within the first year of training with considerably less formal training in the second andthird years. This does not match any other programme in general practice globally or within the NewZealand medical training environment.ProgrammeTotal formalteaching hoursAve. annualformal teachinghoursFormal teaching hours make up ofNZ GP 406Includes CMEin GPEP Years2 and 3, ACLScourse etc.135 Year 1: 7.5 hours/week, (1.5 hrs/wkwith teacher, 40 x 6 hour seminars andtwo 4hr IPVs)Year 2 & 3: 35mins/week (8 hrs IPV,32 hours learning)Australia GP 719 240 1 st 6 months: 9 hours/week2 nd 6 months: 7.5 hours/weekYear 2: 7 hours/week (after their firstvocational year at PGY2 in the hospital)Canada GP 442+ 220+ Years 1 & 2: 4-6 hours/week over 48weeks, varies according to rotation.Netherlands GP 672 225 Years 1 & 3: 6 hours/weekYear 2: 6 hours/monthNZ Psychiatry 1920 380 Years 1, 2 & 3: 12 hours/week for 48weeksYears 3 & 4: 4 hours/week for 48 weeksNZ Physician 1152+hours 192 Minimum educational time for any RMOaccording to MECA22
RNZCGP Review of the delivery of general practice vocational training August 2013A question proposed in a survey undertaken for the project asked if the programme’s training hourswere adequate and if they should be more evenly spread across the three years.ResponseGroupAre hours adequate?Too much Too little Just rightDon’tknow80/10/10(current)How should traininghours be spread?50/30/20 EvenlyGPEP1 0 1 36 0 9 23 5GPEP2 1 11 32 0 12 25 7MEs 0 1 37 0 18 22 3Others 0 8 19 9 11 15 10TOTAL 1 21 124 9 49 85 25While the total formal teaching hours for the New Zealand GP training programme are below those ofother programmes, teachers, educators, registrars and Fellows of the College appear to be comfortablewith the current level. However, an increase in these hours would provide the opportunity to delivermore training to younger registrars, ensure completion to Fellowship, and increase generalist training in‘top of scope’ skills, thereby enabling more provision of secondary care in general practice.While the total number of formal teaching hours maybe adequate, the spread of these hours isinconsistent with the spread of hours within other programmes, and does not appear to be meetingthe needs of registrars. The questionnaire results, outlined above, would indicate desire from thosesurveyed to have training hours more evenly spread across the years of the GPEP programme.Spread Of Educational HoursThe current educational delivery model has a focus towards GPEP Year 1, with 80% of trainingoccurring in this year. The main driver for this has been funding as the majority of funding is taggedto GPEP Year 1 with minimal funding in GPEP Years 2 and 3.The TDR recommends that there should be a rebalancing of education across all three years of theprogramme. This would mean a significant change in the delivery of the programme from the existing80:10:10 model, where registrars receive 80% of their training in Year 1 and 10% in each of Years 2and 3, to a proposed model of 50:30:20. The proposal recognises both the requirement for educationthroughout all years of training, as well as skills development and increased self-directed learningover time.With a proposed 50% of education delivery occurring in Years 2 and 3, when the registrars are nolonger College employees, there is a significantly reduced ability to ensure that registrars are able toaccess the education they require unless there is also a change to the model of employment.It is proposed that the total number of education hours delivered equal 480 hours across three years,compared with the current 406 hours, including continuing medical education (CME) and advancedcardiac life support (ACLS) in GPEP Years 2 and 3.The proposition is that training hours are spread across the three years in a 50:30:20 ratio (currently80:10:10) and that the hours are spread between the educational components (see pages 13-16):• Immersion training: 30%• Small group seminars: 50%• Online education: 15%• Workplace assessments: 5%23
Page 1: The Royal New ZealandCollege of Gen
Page 6 and 7: RNZCGP Review of the delivery of ge
Page 22: RNZCGP Review of the delivery of ge

AUGUST 2013 - New Zealand Doctor

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?