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Appraisal
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7 steps to appraisal
Appraisal and PDPs
Appraisal Process
Good Medical Practice
Introducing challenge into appraisal
Multi-Source Feedback (MSF)
PPDP – personal professional development plan
A framework for PPDP
Hallmarks of a good PPDP
PPDP – how it works in the wider context
PPDPs – reflective questions for practices
Practice professional development planning (PPDP)
Practice Professional Development Plans (PPDP)
Quick notes for appraisers
The appraisal interview – notes for the appraiser
What makes a good FORM 4?
What makes a good PDP?
Your Health
Your Probity
CBT
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CBT – downloadable resources
CBT microskills
CBT resources
Five areas assessment tool
Problem solving in CBT
Clinical Pictures
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ENT
The ear
The head
The sinuses
Using nose drops
GYNAECOLOGY
The female pelvis
MENTAL HEALTH
What matters most…
NEUROLOGY
Dermatomes – back
Dermatomes – front
The Pain Complex
OPHTHALMOLOGY
The eye
ORTHOPAEDICS
A joint
Bone mass
Foot & Ankle
Shoulder
RESPIRATORY
Lung function and smoking
Peak Flow – normal values
The lungs
Communication Skills
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ANALYSING THE CONSULTATION
Agenda-Led Outcome-Based Analysis (ALOBA)
Communication skills teaching
Consultation Satisfaction Questionnaire
Consultation Videotape Assessment by Cox
Explaining things
GP trainee patient-problem-management log
Illness behaviour questionnaire – why now?
Leicester Assessment Package for video consultation
Methods of analysing the consultation
Rules for discussing video consultations
Tips on joint consulting
Use of videotaped consultations in summative assessment of GP trainees
Video allergy
Video for consultation teaching & assessment
BALINT
Balint concepts
Balint’s “The Flash”
CALGARY CAMBRIDGE MODEL
A structure to the consultation
Calgary Cambridge – the communication process
The Calgary Cambridge framework
COMMUNICATION MICROSKILLS
Beginnings
Developing rapport
How to structure a consultation
Ideas, Concerns and Expectations
Little words that make a massive difference
Motivating People
Motivational Interviewing
Non-verbal communication
Open questions
Reassurance
Screening for other problems
Shared Decision Making
The doctor’s feelings in the consultation
Understanding the patient’s perspective (ICE)
VAK and accessing minimal cues
COMMUNICATION SKILLS THEORY
Are there problems in communication between doctors and patients?
Barriers to effective consultations
Building a supportive climate
Communication problems between doctors and patients
Evidence that rapport building skills make a difference
Evidence to support listening
Illness behaviour
Is there evidence that communication skills affect outcomes of care?
Maslow’s hierarchy of needs
Narrative Based Medicine
Narrative in medicine
Patient-centred consulting
Patient-centredness – Mead & Bower
Pattern recognition
Pattern recognition – more things
Research evidence on ending the consultation
The Cycle of Care
What are your zones of comfort, challenge and fear?
What is psychodynamic thinking?
Why patients come in – 10 questions to answer
Why teach communication skills?
CONSULTATION MODELS
Consultation Models & Theory
The BATHE model
The Biomedical Approach
The Consultation Sieve
The Disease-Illness Model (1984)
The Health Belief Model
PROBLEM BASED INTERVIEWING (PBI)
Intro to PBI
Teaching PBI
SPECIFIC SCENARIOS
Bereavement
Breaking bad news
Communication with children
Handling difficult patients
Heartsink patients
Manipulative patients 1
Manipulative patients 2
Patient dependency on the doctor
The Angry Patient
The Anxious Patient
The Dysfunctional Consultation
The Frequent Attender
Uncertainty
TELEPHONE CONSULTATIONS
Stages of the Telephone Consultation
Telephone triage
Telephone Triage Techniques
Computer in the Consultation
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How to use the computer in the consultation (Calgary Cambridge principles)
Using the computer during the consultation: a skills based approach – notes for trainers
Using the computer in the consulting room – some teaching ideas
DISCLAIMER
EBM, Audit & Statistics
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AUDIT
ABC of audit
Audit assessment form
Basics of Medical/Clinical Audit
Examples of clinical things to audit
Research/Audit
EVIDENCE BASED MEDICINE (EBM)
Appraisal of a study
Are the recommendations in this guideline valid?
Are the results of this diagnostic study valid?
Are the results of this economic analysis valid?
Are the results of this harm study valid?
Are the results of this single study valid?
Are the results of this systematic review valid?
Critical Reading
Hierarchy of evidence
Is this evidence about prognosis valid?
Medline searching
Methodological filter grid
Methodological filters
The 4 elements of well-built clinical questions
MEDICAL STATISTICS
Numbers Needed to Treat (NNT) calculator
Statistical terms
Screening Criteria for a Medical Screening Programme
The Educational Prescription
Educational Theory
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ADULT LEARNING
Adult learners
Adult learning and course design
Cognitive Psychology in Education
The Inner Apprentice
The Performance Management Model
EDUCATIONAL METHODS
2 minute teaching
Microteaching
On making sense of ideas
Random Case Analysis – notes for trainers
Random Case Analysis – type of questions
Skill acquisition
Task-based learning
Tasks for teaching
Tasks for teaching
Teaching skills
Teaching: philosophies, principles and practices
The Disney Method
Using VAK representational systems in teaching
FUNDAMENTAL EDUCATIONAL THEORY
Attributes of a good teacher
Bloom’s taxonomy of learning domains
Developing Aims and Objectives
General Guidance for Teaching
Miller’s pyramid & prism
Models of Teaching
Principles of adult learning – Knowles
The 3d Curriculum Model
The Johari Window
The Learning Cycle
The Learning Cycle
The Learning Cycle – revisiting
LEARNING ENVIRONMENTS
Learning Environments
The inner curriculum & Maslow
The Learning Organisation
PBL – Problem Based Learning
A starter bibliography about PBL
Maastricht 7-step sequence for PBL
PBL – advantages and disadvantages
PBL – guidance on producing trigger material
PBL example scenario
Ethics
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Brief overview of basic ethics
Confidentiality
Duties of a Doctor
Ethics tutorial
Medical Ethics – principles
Molyneux’s ethical decision making model
Rings of uncertainty
Tavistock principles – ethics and health care
Feedback
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Action pack for giving and receiving feedback
Feedback for learning
Feedback Proforma (for teaching)
Feedback resources
Giving & Receiving feedback
Giving feedback
Giving feedback on consultation performance
Non-judgmental feedback
Pendleton’s rules
Rich Bregazzi on feedback
Tips for giving feedback more effectively
GP Training
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A view of general practice from 1923
CLINICAL TOOLS
Depression Attitude Questionnaire
Social readjustment scale
CURRICULUM
EURACT GP core competencies
GP Curriculum History
North Northumberland Rating Scale
The Core Curriculum
GP TRAINEE
After GP training – getting a job
Reading list for GP trainees
GP TRAINER
Before the trainee starts
Formative Assessment
GP trainee training plan
GP Trainer development
How good are you at doing Random Case Analysis
Ideas and possibilities for education in training practices
Objectives of training
Possible issues with new GP trainees who have no experience of general practice in the NHS
RUNS and TENS
Sheffield Assessment Instrument for (referral) Letters (SAIL)
Some Reading for GP training
Staff Trainee Assessment Rating (STAR)
Trainer-trainee relationships
Training tools
Writing a reference
Mentoring scheme for GP trainees
TPD resources – misc
Why half day release? (HDR)
Group Games
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A quick fun task
Blind circle
Blind run
Bring an object
Caboose
Collage
Complexity
Doctors and patients
Feeling circle
Introductions
Laughter club
People machine
Snakes and Ladders
The chair
What’s your feeling squiggle?
Where am I?
You really did it this time, Mabel!
Groups
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Goldfish bowl technique
Groups and Teams
Guidelines for facilitating case discussions
Heron’s modes and dimensions
Six thinking hats
Small Groups – theory
HOME
I.T. Systems
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InPS VISION
InPS Vision
Laboratory forms in Vision
Macros in Vision
MACROS
01 Macros for Speed in System 6000
02 Macros for Speed
02b Macros for Speed
03 Why Are They Useful?
03b Why Are They Useful?
04 Some Examples
04b Some Examples
05 PPT Slide
06 What Software Do I Need?
06b What Software Do I Need?
09 Macro Express
10 Macro Express Slide
10b Macro Express
11 Macro Express
11b Macro Express
12 Macro Express
12b Macro Express
13 PPT Slide
14 Macros Express Demonstration
15 Macros Express Demonstration
15b Macros Express Demonstration
16 Macros Express Demonstration
16b Macros Express Demonstration
17 Macro Express
17b Macro Express
18 Macros for Speed
19 Macros Express Demonstration
19b Macros Express Demonstration
20 Where Can I Find Out More?
20b Where Can I Find Out More?
21 Macros for Speed
Can I Use Them With My Clinical System?
Can I Use Them With My Clinical System?
Cut-out Template for Function Keys
Cut-out Template for Function Keys
Katie Law’s poems
Macros for Speed in System 6000
Ready-made macros
Read Codes
S6000 ARCHIVE
Macros: make your computer do the work!
Synergy macro keys using Macro Express
System 6000 archive
System 6000 macros
System 6000 Sophies and templates
Tips
System 6000: hints and tips for clinicians
System 6000: hints and tips for hooks
System 6000: hints and tips for reports
System 6000: hints and tips for sophies
System 6000: hints and tips index
System 6000: miscellaneous hints and tips
SYNERGY ARCHIVE
Issues for clinical records
Moving to Synergy
Synergy
iSoft Synergy index
Starting out with iSOFT Synergy (and other computing issues)
Synergy downloads index
Synergy Sophies
Synergy word templates
Synergy: general use
Tips
Clinic
Adding to the popup menu
Creating an email button in clinician
Creating templates
Definition of current medication
eBNF from a R mouse click
Editing dates of observations
Imperial heights and weights
Launching a report using a “filter” key
Synergy hints and tips: clinician
Misc
Examples of hooks
How to bypass the preview option for single patient reports
Sending a fax by email
Synergy hints and tips: miscellaneous index
Torex Synergy dosage codes
Torex Synergy: hints and tips for hooks
Reports
“Patients + notes” reports
4 or more repeat prescriptions
A folder in report manager deleted in error
An activity report
BP reports
Drill back from a spreadsheet
How to schedule a report to run regularly
Looking for unlinked drugs
More than x repeat prescriptions
PMA report
Relative dates and date ranges
Reporting on drugs
Synergy hints and tips: reports index
What’s the difference between the patient id and the internal patient id?
Sophies
BP entry in Sophies
Branching logic in Sophies
Calculating PEFR in Sophies
Manipulating date strings
Synergy hints and tips: Sophies index
Using 5-byte Read codes
Synergy Coding
Cervical smears
Child health: developmental assessment
Child health: immunisations
Coding procedures
Contraception
ECG recording
Hormone replacement therapy
Housebound patients
IT security
Maternity and pregnancy
Minor surgery
Other samples and procedures
Referral letters
Screening
Smoking
Summarising records
Vaccinations and immunisations
Synergy Files
Moving to Synergy
Moving to Synergy
outline.htm
Leadership
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7 HABITS OF HIGHLY EFFECTIVE PEOPLE
1 Be proactive
2 Begin with an end in mind
3 Put first things first
4 Think win-win
5 Seek first to understand… then be understood
6 Synergise
7 Sharpen the saw
Notes on the 7 habits of highly effective people
CHANGE MANAGEMENT
Brainstorming
Change questions
Domainal mapping
Force Field Analysis
How people respond to change
Impact grids
Ishikawa fish analysis
Pareto analysis
Polarity
Role-play
Sit-out
SWOT analysis
Synetics
LEADERSHIP SKILLS
Empathy
Hard skill-based questions for would be leaders
Influencing
Leadership challenges
Leadership skills for success
Life coaching exercise
Making decisions
Medical Leadership Competency Framework
Negotiating skills
Negotiation models
Prioritising – the priorities quadrant
Ten characteristics of the servant leader
LEADERSHIP THEORY & MODELS
Belbin
Five facets of you
Leadership and Teamwork Workshop
Leadership Styles
Management vs Leadership
The Risk Thermostat
Looking After Ourselves
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Assertiveness
Assertiveness – overview
Body language in assertiveness
Confrontation
Constructive criticism
Criticism
Negative enquiry
Saying no
The 4 Characters – Aggressive, Passive, Indirectly aggressive & Assertive
The Broken Record
Verbal behaviour in assertiveness
Attitudes, Values and Beliefs (AVB)
Mindfulness
10 ways to make better decisions
Avoid burnout
Don’t sweat the small stuff… and it’s all small stuff
Full catastrophe living
Guilt versus shame
Just for today
Rules for being human
Sanskrit salutation to the dawn
Values
What you see isn’t always what you get
Self-deception
Manchester Rating Scales
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00a Introduction & History
00b At a Glance Guide
00c Index
01 MRS – History taking: General
02 MRS – History taking: Special Skills
03 MRS – Physical examination 1: General observation
04 MRS – Physical examination 2: Considerateness
05 MRS – Physical examination 3: General approach
06 MRS – Problem definition 1: “Hypothesis formation”
07 MRS – Problem definition 2: “hypothesis testing” (the diagnostic process)
08 MRS – Problem definition 3: Coping with complexity
09 MRS – Problem definition 4: Practicality
10 MRS – Management 1: Coping with uncertainty
11 MRS – Management 2: Using community resources
12 MRS – Management 3: Prescribing (a) Technical
13 MRS – Medical Records
14 MRS – Emergency care 1: Initial assessment
15 MRS – Emergency care 2: Management
16 MRS – Professionalism 1: Availability
17 MRS – Professionalism 2: Involvement
18 MRS – Professionalism 4: Working with colleagues
19 MRS – Personal development
Appendix A – Professionalism: communication
Appendix B – Physical examination
Appendix C – Management: referral
Appendix D – management: prescribing
Appendix E – Medical records
Appendix F – Emergency care
Mentoring
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Caplan’s crisis model
Developmental interviewing
Developmental cycle
Educational aspects of mentoring
Egan’s skilled helper model
Elements of a good action plan: SMART + support
Ethical issues
Giving constructive feedback
Guidelines for co-tutors
Issues during mentoring
Listening
Paired listening and group listening
Reading list on mentoring in GP
The positive benefits of mentoring
What a mentor should NOT do
MRCGP
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COT to Calgary Cambridge
Directly Observed Procedural Skills (DOPS)
e-Portfolio
e-Portfolio resources
MRCGP – definitions, process, and exams
MRCGP – glossary of terms
Preparing for the Educational Supervisors Report
Quality of the ESR
Teaching for the CSA
What makes a good learning log entry?
NLP
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About neuro linguistic programming (NLP)
An overview of NLP
Building rapport in NLP
Dealing with difficult people using NLP
New behaviour generator
NLP – rules for being human
NLP ‘quotes’
NLP in the consulting room
NLP Outcomes
NLP Representational systems
Operating principles
Resource Anchoring
Some NLP treatment paradigms
The ‘Meta-model’
Personality & Learning
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Emotional intelligence
Learning Styles – an introduction
Learning styles – application
Learning styles – more
Learning Styles – resources
MBTI – Myers Briggs Type Inventory
MBTI notes
Multiple Intelligences
post
Practice Management
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7 questions for practice development
Critical incidents & Significant events
Culture & Diversity
Culture in the Workplace
Dealing with the Media
Equality and Diversity – definitions
How all organisations work
How to Handle Complaints
Motivating colleagues in the workplace
Teamwork
Time management
Top tips for managing your new practice manager
Prescribing & Therapeutics
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Compliance and concordance
Controlled drugs
Medication Reviews
Prescribing Principles
Reflection
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Being a Reflective GP
Creative writing
The developmental cycle
The process of reflective learning
SITEMAP
Test Yourself
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Alcoholic Mum
CHD
4 year old
4 year old (answers)
neonate scenario
neonate scenario (answers)
CHILD DEVELOPMENT
andrew and speech
andrew and speech (answers)
charlotte and walking
charlotte and walking (answers)
jason and speech
jason and speech (answers)
richard and tantrums
richard and tantrums (answers)
Child Protection
CLINGY CHILD
clingy child – version 1
clingy child – version 2
clingy child – version 3
clingy child – version 4
CRYING BABY
crying baby scenario 1
crying baby scenario 2
crying baby scenario 3
crying baby scenario 4
DOMESTIC VIOLENCE
Domestic Violence 1
Domestic Violence 1 (answers)
Domestic Violence 2
Domestic Violence 2 (answers)
Domestic Violence 3
Domestic Violence 3 (answers)
Domestic Violence 4
Domestic Violence 4 (answers)
ETHICS
confidentiality
doctor mistake
drug reps
epilepsy
euthanasia
HIV patient for surgery
HIV patient wont tell partner
insurance reports
mum wants to see records
needlestick injury
nhs budgets
psa test
remove from medical notes
retrobulbar neuritis
HYPERTENSION
Hypertension 1
Hypertension 2
Hypertension 3
ISCHAEMIC HEART DISEASE
section 1
section 1 (answers)
section 2
section 2 (answers)
section 3
section 3 (answers)
section 7
LINDA’S DAD
section 1
section 2
section 3
section 4
section 5
section 6
Medical Complexity
PALLIATIVE CARE
section 1
section 2
section 3
section 4
section 5
section 6
section 7
section 8
section 9
PARKINSONS
Parkinsonism
Parkinsonism
section 1
section 1 (answers)
section 2
section 2 (answers)
SLEEP PROBLEMS
section 1
section 2
section 3
section 3 (answers)
SPEECH PROBLEMS
13 year old girl
18 month boy
3 year old boy
TELEPHONE TRIAGE
10 month baby miserable
19 year old sore throat
3 year old feverish
elderly with tia
infant earache & antibiotics
old lady feeling off
pv bleeding
visit grumpy boy
woman with chest infection
URTI
David – age 10
John – age 6
Mark B – age 23
Trainees in Difficulty
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Discipline in general practice
English language problems in GP Trainees
Identifying, preventing and tackling trainee problems
Learner difficulties, issues and problems
Learners, Students and Trainees in difficulty
Logical Levels
Logical Levels to make an educational diagnosis
Managing Trainees in difficulty
RDMP model – diagnosing the problem
Tackling Trainee difficulties
When trainees struggle – the aetiology of errors
Transactional Analysis
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Adult vs Parent protection
Building children
Conflict
Do and don’t messages in TA
Drivers
Feelings in TA
Keeping people & Karpman Drama Triangle
Knowing and doing
Life positions – I’m okay, you’re okay
Parent shrinkers
Parent-stoppers
Parent, Adult & Child ego states
Requirements for change
Staying OK
Stroking
TA structure
Take charge of your time
The internal dialogue and trackdown
The OK grid and assertiveness
Transactional analysis – intro
Using Transactional Analysis to handle a complaint
Working with your working style
Tutorial Theory
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Anatomy of a tutorial
Good one-to-one teaching sessions
Key steps to tutorials
Traditional and behavioural models of the tutorial
Tutorial assessment
What makes a good tutorial?
TUTORIALS – clinical
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Cardiovascular
Blood Pressure & Hypertension
Cholesterol*
Ischaemic Heart Disease (IHD)
Dermatology
Eczema
ENT
Hearing tests
Sore throats
URTI – Upper Respiratory Tract Infection
gout-calc
Gynaecology
Contraception
Hormone replacement therapy and the menopause*
Vaginal discharge
Miscellaneous Clinical Topics*
Neurology
3-minute Neurological Examination
Dizziness
Drugs in Parkinson’s disease
Headache
Ophthalmology
The red eye
Orthopaedics
Backpain
Paediatrics
Behavioural problems in children
Child Development & their Milestones
Child Protection
Faltering growth in children
Screening for congenital heart disease
Speech Development Milestones in Children, Stammering & When to refer
Psychiatry
Depression
Domestic violence
The Mental Health Act – summary of the sections
Respiratory
Interpreting Spirometry
Urology
haematuria
UTI in adults*
TUTORIALS – general areas of GP
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10 discriminators of the good General Practitioner
Attributes of a good GP
Diversity
Family case study
Fit note certification
Hallmarks of excellence
Patient and family maps
Social Readjustment Scale
The Coroner
Uncertainty, Complexity, Chaos & Risk
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Absolute Risk
Capability, complexity and chaos
Complexity – a glossary
Complexity & The Stacey matrix
Coping with uncertainty
Explaining risk in the consultation
Explaining risk in the consultation – tutorial plan
Relative Risk
Risk management
Risk management scenario
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Leadership skills for success
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