Each Hospital Post is designed, not only to contribute to the hospital’s service provision, but also to meet the learning needs of doctors training to be General Practitioners.
MANDATORY ROTATIONS (ESSENTIAL HOSPITAL TERMS)
All registrars in their hospital time (during PGY1 and onwards) must have at least 10 weeks of experience in each of the following mandatory rotations:
• General Medicine or a rotation that offers broad medical experience – such as geriatric medicine
• General Surgery or a term that covers the principles of basic surgical care
• Accident and Emergency
The training requirements during hospital terms are aimed to help registrars understand GP training and assist their transition into community general practice. The registrar’s training is facilitated by a QRME GP-Hospital liaison officer (HLO).
GP-Hospital Liaison Officer – Assist with career planning and ease your transition from hospital to General Practice.
There are 5 requirements of training during the hospital year (or prior to commencing General Practice):
1. Satisfactory term assessments (to be submitted to QRME).
2. Consideration of 3 General Practice training questions to discuss with HLO (For registrars doing hospital year in 2012):
a. What is your philosophy of GP? What do your hospital colleagues and specialists think of GP’s?
b. What are the major differences between ACRRM and RACGP during training?
c. Outline your ideal training plan for completion of your fellowship. (e.g. which college, what job and where etc to meet training requirements)
3. Completion of 2 online training modules and 2 surveys:
a. PBS module (2 hours to complete) http://www.medicareaustralia.gov.au/provider/business/education/index.jsp
b. Medicare module (3 hours to complete)
c. Learning style questionnaire (16 short multi-choice questions ~15 minutes to complete)
d. Indigenous health survey (30 minutes to complete)
4. Attendance at 3 meeting with Hospital liaison Officer throughout the year to discuss your training and the 3 General Practice training questions. (For registrars doing hospital year in 2012)
5. Pre-reading for Education release 1 workshop. (6 hours).
Rural Generalist Pathway – Scholarship Holders & Qld Health Rural Generalists
Each year QRME has registrars in the program who are currently on a scholarship or bonded with Queensland Health. When applying to enter QRME these doctors are invited to inform us of their program needs and
requirements to help us to facilitate their placements appropriately.
Australian Defence Force Registrars (ADF)
ADF Registrars are required to meet the same general training requirements as other registrars enrolled in the training program. Certain aspects of the ADF training are undertaken in a combination of military posts after they have completed a period of full-time civilian GP training. QRME has medical educators with both military and civilian practice experience who understand ADF and GPET requirements to mentor QRME ADF registrars through the GPET program accommodating ADF training requirements.
From 2011, QRME is funded solely for Rural Pathway training positions the only exception is ADF Registrars who can elect either Rural or General Pathway.
First Year in General Practice (GPT 1 and GPT 2)
During the first year GP Registrars commence work and training in a General Practice setting. A list of accredited practices can be found on this website under the Practices Menu.
Registrars are employed in the Practice in accordance with the “National Minimum Terms & Conditions for Basic & Advanced GP Terms” .
Educational activities during this time include:
1. Formulating a learning plan.
Starting off in the field of general practice can be overwhelming. The learning plan is the document that sets out the learning, clinical experiences and assessment which you will undertake to develop knowledge and skills in the areas that meet your needs. It is like sorting out your travel itinerary. The learning plan is facilitated by your GP supervisor and approved by your Training Adviser.
The development of the learning plan can be guided by a range of headings such as:
• What I need/want to learn;
• My learning strategies; and
• How I will know I have succeeded.
For the first few weeks in general practice the learning plan may look like this:
• Complete GP Start module 1-3 and KCA by date/month/year
• Be comfortable with management of anaphylaxis in general practice
• Download wall chart
• Do on-line allergy module www.allergy.org.au
• Simulated scenario with practice nurse and supervisor during teaching session on date/month/year
You are required to have a current learning plan which needs to be updated and reviewed at least every 3 months.
This learning plan is to be entered onto GPRime.
2. Attending educational release workshops.
Education Release Workshops
Registrars are required to undertake 125 hours of educational activity outside the practice setting during their General Practice Training. QRME runs 3×4 day workshops, 2 of which are run in your first year, with the remaining six days to be arranged by Registrars themselves. GP Registrars are expected to consult QRME as to the appropriateness of educational activities to fulfil requirements of their chosen college.
Small Group Learning
4 Small Group Learning 1 day sessions will be held with peers in your area and a Medical Educator on a range of clinical topics.
Teleconferences will be held occasionally on e.g. RPL, Medicare Education.
Rural Medicine Advance Divisional Continuing Medical Education Activities
Many Divisions of General Practice run educational activities at which Registrars would be more than welcome.
Second Year in General Practice
Second year GP experience can be undertaken for either a period of six months, or for twelve months. If a Registrar elects a six month period of GP training, then a further six months as an Extended Skill must also be undertaken.
This phase of training is in preparation for independent general practice. The Registrar will be in an accredited general practice and will have a supervisor who is available at all times on site or by phone.
Extended Skills Posts
Extended skills posts will be organized on an individual basis. QRME has considerable scope for training within the hospitals and universities in Southern Queensland. We do not feel limited by this geographic region and will develop linkages with other training institutions. We can provide training in Aboriginal Health, Academic General Practice, Adolescent Health, Alcohol and Drug related Problems, Anaesthetics, Paediatrics, Psychiatry, Emergency Medicine, ENT, Family Planning, Geriatrics, Obstetrics, Occupational Health, Ophthalmology, Palliative Care, Rehabilitation, STDs, Sports Medicine and Women’s Health.
Advanced Rural Skills Posts
QRME has the capacity to deliver posts in:
• Aboriginal Health
• Aboriginal Health
• Adult Internal Medicine
• Emergency Medicine
• Mental Health
• Obstetrics (RANZCOG)
• General Surgery
• Medical Education
• Expeditionary Medicine
• Population Health
• Skin Cancer Medicine
• Palliative Care
• Orthopaedic Surgery