AUGUST 2013 - New Zealand Doctor

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RNZCGP Review of the delivery of general practice vocational training August <strong>2013</strong>Option 7: Workshop/seminar programmePoints for consultation1. That the syllabus currently being delivered via seminars and workshops is still required to be deliveredalthough some will now be presented using online channels.2. Other educational events should be investigated for delivery of the curriculum.3. The College implements the small group learning cluster models of workshop/seminar delivery.4. The College determines the feasibility of the virtual learning cluster delivery method.5. If the workshop programme is to be delivered using a cluster model, then registrar placements shouldalso be undertaken using a cluster method.Seminars and workshops play an important part in the current GP training delivery model.The current seminar programme provides opportunity for peer group development, case-basedlearning, video review, communication skills practice, reflection on learning and topic specificlearning. Currently practice teachers base their education mainly around case-based learning andrely on the seminar programme to deliver the specifics of a topic that needs to be dealt with in thegeneral practice setting. The seminar programme helps to convert hospital-based knowledge of atopic into the community setting.Seminars and workshops are also provided outside the training programme through a variety ofconferences and conventions throughout the year, including the College’s Conference for GeneralPractice. Agreement was unanimous that whatever configuration of the seminar and workshopcomponent of training was used, training should continue in all 11 regions.Four options are outlined below using the assumption that registrars in all three years could have thesame method of workshop delivery, and may attend the same workshops. A questionnaire for GPEPregistrars, MEs and other affected parties clearly showed that weekly training rather than blockcourses was preferred.Option 7.1 (status quo): Regional seminar programmeThis is a continuation of the current regional seminar delivery programme with GPEP Year 1seminars and workshops continuing in 11 regions, with each region delivering four regionalworkshops, with one day smaller groups meeting as required to meet the number of educationhours in each year group. Otago would continue to deliver their seminars in monthly block courses.Seminars and workshops are held during business hours.GPEP Years 2 and 3 would continue using small groups. Some groups would meet in person andhave between six and 12 registrars, while others use internet video conferencing, with five to eightmembers per group.36
RNZCGP Review of the delivery of general practice vocational training August <strong>2013</strong>Option 7.2: Modified regional seminar programmeThis is a continuation of the current regional seminar delivery programme with two changes:Removal of GPEP Year 1 large group sessionThe four two-day regional seminars would be retained (i.e. orientation, communications and mockexaminations), but the weekly workshops would be reduced to a half-day per week (or one day perfortnight) focusing on small group learning.This change would reduce the number of seminar hours by approximately 45% but costs would notreduce by a similar magnitude and additional expenditure would be required to develop alternativedelivery mechanisms for speaker content.Increase small group sizeIncreasing the number of registrars in each small group workshop to between five and 10 is an optiondepending on the number of registrars within a region. There would be an educational trade off byhaving larger groups, especially for GPEP Year 1 registrars as the small group is an essential part ofthe entry to general practice and allows for more intensive learning and engagement from individuals.Groups could be combined to form larger GPEP Year 2 and 3 groups and this would ensure aseamless move between the years of GPEP training.Option 7.3: Hub seminar programmeProgramme delivery could occur in four hub locations (Auckland, Waikato, Wellington andChristchurch) through block courses interspersed with regular small group learning.The mix of block courses and small course work would vary across the years of the programme,although it would be possible for GPEP registrars from different years to attend in part, or in full, thesame block course depending on the course content.Block courses would provide a mix of communication and clinical skill workshops, ethics andprofessionalism. Small group learning would allow reflection of practice learning, role plays, casenote reviews, etc. Costs for travel and accommodation would need to be factored in if this optionwere taken.Option 7.4: Clustered small learning groupsCreating small learning groups around a geographic location is an option using clusters of betweensix and 12 registrars.Small group teaching would be provided to the clustered registrars on a regular basis by anindependent ME or in-practice teacher, the rotation of teachers providing registrars with a pool ofmentors, rather than one.As more registrars joined the GPEP programme more clusters would be created. For those registrarsin geographically isolated locations, virtual clusters could be created.While the large majority of teaching for this model would be completed in small groups, the four twodayregional seminars would be retained.37
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AUGUST 2013 - New Zealand Doctor

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