THE REGISTRAR YEAR THE REGISTRAR YEAR SURVIVAL GUIDESURVIVAL GUIDE

NICOLA HILLSNICOLA HILLS

TODAYS AIMSTODAYS AIMS

Getting StartedGetting Started Organising the yearOrganising the year MRCGP / SAMRCGP / SA Important paperwork / PMETBImportant paperwork / PMETB Top tipsTop tips

Getting startedGetting started

All already underway!All already underway! ? Memorised everyone’s names ? Memorised everyone’s names

yetyet Mastering EMIS etcMastering EMIS etc Where/how/when to refer or get Where/how/when to refer or get

adviceadvice Map of local areaMap of local area

Missing being an SHO?Missing being an SHO?

Most Wednesdays on day Most Wednesdays on day releaserelease

Half day (study/shopping)Half day (study/shopping)

No bleepsNo bleeps No evenings/nights/weekends! No evenings/nights/weekends!

Hurray!Hurray!

Organising the yearOrganising the year

Goes very fast!Goes very fast! Lots to cram in as well as learn Lots to cram in as well as learn

how to be a GPhow to be a GP Develop own way of being Develop own way of being

organised eg diary/PDAorganised eg diary/PDA Regularly update portfolio Regularly update portfolio

folder/PDPfolder/PDP

Summative AssessmentSummative Assessment

MCQMCQ Video – can be single route with Video – can be single route with

MRCPMRCP Trainers ReportTrainers Report AuditAudit

Apply by sending form – Apply by sending form – www.nosa.org.uk websitewww.nosa.org.uk website

MCQMCQ

66thth Dec, 7 Dec, 7thth Feb & 2nd May Feb & 2nd May 3 hours long3 hours long Can resit 5 times!Can resit 5 times! Automatically pass if pass Automatically pass if pass

MRCGP MCQMRCGP MCQ Free!Free!

Quite randomQuite random Don’t revise first time roundDon’t revise first time round Cover dull areas eg employment Cover dull areas eg employment

law, sick notes, DVLAlaw, sick notes, DVLA Inc ENT/ophth/dermInc ENT/ophth/derm

Don’t read too deeply into Don’t read too deeply into questionsquestions

VideoVideo

Bit complicatedBit complicated Can just submit SA video or Can just submit SA video or

‘single route’‘single route’ Quite loose criteria for SA route, Quite loose criteria for SA route,

see see www.nosa.org.ukwww.nosa.org.uk Needs to be 2hrs long, min 8 Needs to be 2hrs long, min 8

consultations, none >20mins consultations, none >20mins longlong

Single route videoSingle route video

Workbook on RCGP websiteWorkbook on RCGP website Send to deanery, if fail MRCGP Send to deanery, if fail MRCGP

will be assessed for summativewill be assessed for summative 7 consultations7 consultations 14 criteria (10 pass and 4 merit), 14 criteria (10 pass and 4 merit),

need to fulfil each pass criteria need to fulfil each pass criteria in minimum of 4/7in minimum of 4/7

Each consultation stopped at 15 Each consultation stopped at 15 minsmins

Must inc a child <10 yrs and Must inc a child <10 yrs and psych/social casepsych/social case

Need consent forms and log Need consent forms and log bookbook

Only send log book with videoOnly send log book with video Deadline for either route 27Deadline for either route 27thth

April.April.

Tips re videoingTips re videoing

Start early, even if just so you Start early, even if just so you can laugh at them at the end of can laugh at them at the end of the yearthe year

Watch with trainer for advice or Watch with trainer for advice or to make him/her laughto make him/her laugh

Will become more naturalWill become more natural Key questions on a post-it out of Key questions on a post-it out of

shotshot

Check sound qualityCheck sound quality Date and time needs to be Date and time needs to be

visiblevisible Can do on DVD, best to have Can do on DVD, best to have

video back-upvideo back-up Make sure patients not exposed Make sure patients not exposed

in shot (behind curtain/lens cap)in shot (behind curtain/lens cap)

AuditAudit

Get started asap!Get started asap! Need time to make changes and Need time to make changes and

re-auditre-audit Simple ideas are best eg relate Simple ideas are best eg relate

to QOF/guidelineto QOF/guideline Ask trainer/colleagues for ideas Ask trainer/colleagues for ideas

and with help to so searchesand with help to so searches Hot topics book Hot topics book

Michael’s guide on website very Michael’s guide on website very helpfulhelpful

8 criteria proforma8 criteria proforma Max 3000 wordsMax 3000 words Type double spacedType double spaced AnonymisedAnonymised Send 3 copies and keep oneSend 3 copies and keep one

Trainer’s reportTrainer’s report

Should be sent bookletShould be sent booklet Key competencies to be Key competencies to be

checked off by trainerchecked off by trainer Do anytime as you go alongDo anytime as you go along Submit 6/52 before end with Submit 6/52 before end with

VTR1 form to deaneryVTR1 form to deanery

MRCGPMRCGP

MCQ, Written paper, Oral and MCQ, Written paper, Oral and videovideo

£310 per module£310 per module Closing date for application – 2Closing date for application – 2ndnd

Feb 2007Feb 2007 MCQ/written – 2MCQ/written – 2ndnd May 2007 May 2007 Oral – 21Oral – 21stst - 30 - 30thth June June

See syllabus on college websiteSee syllabus on college website All past written papers on site All past written papers on site

too – invaluabletoo – invaluable Also examiners comments (if Also examiners comments (if

done badly before, may be done badly before, may be back!)back!)

Study groupStudy group

Essential to passing MRCGPEssential to passing MRCGP MRCGP is as much technique as MRCGP is as much technique as

knowledgeknowledge Meet weekly, start ? JanuaryMeet weekly, start ? January Practice written paper questionsPractice written paper questions Then oral questionsThen oral questions

Wine + food + gossip = distinctionsWine + food + gossip = distinctions

Out of hoursOut of hours

Need minimum 72 hrs over the Need minimum 72 hrs over the yearyear

Start asap as often only 3-5 hr Start asap as often only 3-5 hr shiftsshifts

Hassle trainer to get shiftsHassle trainer to get shifts Should be supervisedShould be supervised Mix of base/visiting doctorMix of base/visiting doctor Can be supervised by other drsCan be supervised by other drs

Log book availableLog book available Only need to submit a form Only need to submit a form

signed by trainer deeming you signed by trainer deeming you competentcompetent

Form from deanery website, can Form from deanery website, can send with trainer’s report/VTR1 send with trainer’s report/VTR1 forms to deaneryforms to deanery

Worth making note of Worth making note of interesting/referred patients to f-interesting/referred patients to f-up what happenedup what happened

Try different bases/shiftsTry different bases/shifts Good future source of income!Good future source of income!

PaperworkPaperwork

Tedious but essentialTedious but essential Send VTR2 (SHO posts) forms Send VTR2 (SHO posts) forms

off asap to deanery then to off asap to deanery then to certification unit of RCGP with certification unit of RCGP with £350£350

Will then become associate Will then become associate member of college (free BJGP)member of college (free BJGP)

Nearer end of year need to Nearer end of year need to register with PMETB, apply for register with PMETB, apply for CCT, send VTR1 form and CCT, send VTR1 form and £500! Bargain…..£500! Bargain…..

All very complicated, see All very complicated, see college summary and contact college summary and contact listlist

Top TipsTop Tips

Keep up to date folder/PDP, try and Keep up to date folder/PDP, try and do weekly as will not remember what do weekly as will not remember what you’ve done, trust me!you’ve done, trust me!

Record details of tutorials, Record details of tutorials, educational meetings, day release educational meetings, day release sessionssessions

Reflect on meetings/courses Reflect on meetings/courses attended – what learnt? Still to attended – what learnt? Still to learn?learn?

www.gpnotebook.co.ukwww.gpnotebook.co.uk

CoursesCourses

MRCGP revision course – really MRCGP revision course – really helpful re techniquehelpful re technique

Hot topics – 1 person per study Hot topics – 1 person per study group, then photocopy excellent group, then photocopy excellent handbookshandbooks

Minor ops - ? That helpfulMinor ops - ? That helpful DRCOG/FFP if interested/female…..DRCOG/FFP if interested/female…..

Funding limited, so chose wiselyFunding limited, so chose wisely

ReadingReading

BMJ – worth flicking through BMJ – worth flicking through regularly, make note of regularly, make note of interesting/relevant studiesinteresting/relevant studies

BJGP – read if you have no BJGP – read if you have no hobbies/friendshobbies/friends

Doctor/Pulse/GP – fun, easy to Doctor/Pulse/GP – fun, easy to read, job advertsread, job adverts

BMJ careers – should be getting BMJ careers – should be getting GP versionGP version

BooksBooks

Pastest – MRCGP MCQ revision book – Peter EllisPastest – MRCGP MCQ revision book – Peter Ellis Pastest – Practice papers for the MRCGP written Pastest – Practice papers for the MRCGP written

exam – Rob Danielsexam – Rob Daniels Get through the MRCGP MCQ – Una CoalesGet through the MRCGP MCQ – Una Coales Get through the MRCGP oral/video modules – Una Get through the MRCGP oral/video modules – Una

CoalesCoales MasterPass EMQ for the MRCGP paper 2 – Hayley MasterPass EMQ for the MRCGP paper 2 – Hayley

DawsonDawson Critical Reading for the MRCGP 2e – E StaceyCritical Reading for the MRCGP 2e – E Stacey Medical statistics made easy – Michael HarrisMedical statistics made easy – Michael Harris Concepts and answers for the MRCGP oral exam – Concepts and answers for the MRCGP oral exam –

P NaidooP Naidoo

And when it’s all over….And when it’s all over….

Celebrate exam success!Celebrate exam success! Consider career Consider career

options….locum, assistant, options….locum, assistant, partnership, popstar……partnership, popstar……

Remember full-time = 4 Remember full-time = 4 days/weekdays/week

You can negotiate a salary!You can negotiate a salary!

Suggestion for the Automated Switchboard of a Psychiatric Hospital. Suggestion for the Automated Switchboard of a Psychiatric Hospital.

Thank you for calling.Thank you for calling.

If you are obsessive-compulsive, press  '1'  repeatedly.If you are obsessive-compulsive, press  '1'  repeatedly.

If you are co-dependent, ask someone else to press  '2'.If you are co-dependent, ask someone else to press  '2'.

If you have multiple personalities, press  '3', '4', '5'  and  '6'.If you have multiple personalities, press  '3', '4', '5'  and  '6'.

If you are paranoid, we know who you are and what you want;  just stay If you are paranoid, we know who you are and what you want;  just stay on the line and we will trace the call.on the line and we will trace the call.

If you are schizophrenic, listen carefully and a voice will tell you which If you are schizophrenic, listen carefully and a voice will tell you which number to press.number to press.

If you are depressed, it doesn't matter which number you press, we won't If you are depressed, it doesn't matter which number you press, we won't answer your call anyway.answer your call anyway.

( If you are a GP, forget about referring a patient because there aren't any ( If you are a GP, forget about referring a patient because there aren't any beds. ) beds. )

That’s all folks…………………That’s all folks…………………

ANY QUESTIONS?....ANY QUESTIONS?....