These schemes are currently combined for the
half day release but, as of 1 Aug 2006, the scheme will split again.
Basildon Scheme
The 3 year Vocational
Training Scheme for General Practice has been running in Basildon
since the early 1970s. The scheme has four 3 year and two 2 year vacancies each
year, starting on 1st August. In the first year six months is
spent in Paediatrics and six months in Obstetrics and Gynaecology follwoed by A&E and one of either general medicine or psychiatry. The third year comprises a year in a local training practice.
The Basildon half day release course caters for GP Registrar's
from the Oldchurch, Rush Green, and Basildon Hospitals. Historically
the scheme have met at Basildon Hospital for reasons of mutual
support and economy of resources. The size of the group varies
from 14-20 depending on appointments by local trainers.
The half day seminars
are held on Tuesday from 2-5pm, and sessions are formatted to
allow for maximum GP Registrar participation. The ‘Course
Organisers’ principle aim is to run a stimulating and interesting
course. Ideas from GP Registrars, Trainers and the Organisers
themselves are incorporated into curriculum planning.
The philosophy which underpins the organisation of the half-day
releases course can be summarised as follows:-
To provide a stimulating and interesting course, introducing
GP Registrars to real General Practice with all its diverse challenges.
To encourage the development of a lifelong questioning attitude
in medical life to keep General Practice as challenging and rewarding
as possible.
To introduce the concept of patient centred medicine operating
within a physical, social and psychological framework.
To help GP Registrar's consider their own attitudes and feelings
to prevent them acting as impediments to good care.
To give an initial insight into counseling skills and their application
to General Practice. How do we cope ourselves, define strategies
and then cope with patients who make us feel angry, hopeless,
helpless and frustrated?
To consider areas of the medical curriculum which have a major
impact on General Practice, e.g. Dermatology, Ophthalmology and
ENT and provide interesting learning material.
To provide support for individual GP Registrars, where appropriate,
individual educational counseling.
Above all we try to enjoy ourselves throughout the year
Romford Scheme
The hospital component of this scheme is based in Havering Hospital
Trust which comprises Harold Wood and Oldchurch Hospitals. The
Psychiatry posts are based at Warley Hospitals. There are two
combinations of four six month posts. These are:
Accident & Emergency, Obstetrics & Gynaecology, Paediatrics,
Psychiatry
Accident & Emergency, Obstetrics & Gynaecology, Geriatric
Medicine and Rheumatology, Psychiatry
In these posts there is a programme of departmental teaching
in which GP registrars participate. Sometimes it is not possible
due to rota requirements for doctors to attend the GP VTS half-day
scheme, in which case it is very important for them to attend
such departmental teaching. They are also encouraged to attend
the regional fast-track weeks, when they may take study leave.
The half-day course takes place on Tuesday afternoons at Basildon
Hospital and is combined with the Basildon scheme.
These sessions give the registrars time to meet with their colleagues
from other areas. The meetings follow the academic year of three
terms; there are therefore about 30 sessions in the year. There
is a rolling curriculum covering a wide range of GP oriented topics.
Many of the regular speakers are GPs; sometimes consultant colleagues
lead the sessions. There is input from non-medical experts, e.g.
counsellors, complementary practitioners. There is an emphasis
on adult learning, for example, using tasks and group learning,
and not replying solely on the traditional lecture format.
There are currently 8 training practices in Barking & Havering
providing 9 posts for GP registrars in their practice year. The
practices are of differing types, e.g. single-handed and group,
fundholding and non-fundholding.
The London Boroughs of Barking & Dagenham
and Havering have a plentiful supply of housing to rent or buy.
The Boroughs have many satisfactory schools. Communication by
rail and road to other parts of London and Essex, and access to
the motorway system are very straightforward. There are many opportunities
and facilities in the two Boroughs to leisure, sporting and cultural
activities.
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