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North Dublin City GP Training Scheme

24 September 2020
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North Dublin City GP Training Scheme

Email: northdublincitygp@ucd.ie 
Website: www.ndcgp.ie
Tel: 01 7164505
Address: Catherine McAuley Centre, Nelson Street, Dublin 7

 

Vision

That every person and community has access to a professional, quality and holistic general practitioner service that will allow them maximise their health irrespective of background and economic status.

Mission

To form professional and high quality general practitioners whose passion is to maximise patient and community health in a holistic manner and whose own health is maximised through the ability to self-care.

To produce/be general practitioners who are committed to making a difference to the health of patients and communities in areas of deprivation, and marginalised groups.

Social Inclusion

We actively promote a socially inclusive society where all people feel valued, their differences are respected, and their basic needs are met so they can live in dignity. We do this through a strong social medicine curriculum, providing training experience in GP service provision in areas of disadvantage and placements in services dealing with vulnerable groups e.g. drug users, homeless people, new communities and the travelling community. This video outlines the effect of these placements.

Health Equity

With the HSE and University of Limerick we have co-founded the Partnership for Health Equity. The Partnership aims contribute to making health equity a reality through research and education which will influence health care policy and practice. Specifically we wish to contribute to the development of accessible and appropriate primary care services for people whose lives are affected by deprivation.

We have developed a network of health and social care professionals , academics and policy makers keen to make a health equity in Ireland a Reality. To Join this network and receive regular updates sign up on www.healthequity.ie or email primarycare @healthequity.ie.

Advocacy

We believe the evidence base that health is socially determined. To address the early death and illness burden in our patients our training programme advocates with vigour on behalf of those patients affected by social inequality.

Commitment to excellence

We recognise the importance of basing our clinical decisions about our patients on the best available current evidence. We value learning as a process that we engage with throughout our medical career. We have a holistic educational philosophy that promotes developing clinical skills and knowledge, effective communication skills, and personal and professional development.

Respect and honesty

We respect and esteem ourselves, our patients and our colleagues. This involves taking feelings, needs, thoughts, ideas, wishes and preferences into consideration. It means taking all of these seriously and giving them worth and value.

Accountability and responsibility

We can be relied upon to do our utmost on behalf of our patients and to fulfill our promises. We are industrious and work hard on behalf of our patients. We fulfill our responsibilities fully to our patients, staff and colleagues.

For more detail on The North Dublin City GP Training Programme see www.healthequity.ie/education-ndcgp.

Programme Directing Team

Dr Austin O'Carroll MICGP

Dr Austin O Carroll, with Dr Ming Rawat, founded the North Dublin City GP Training Programme which is the first programme internationally that trains GPs to work in communities affected by deprivation or marginalisation. He founded Safetynet in 2007 and has been the medical director of Safetynet since 2007. The focus of his career has been on improving access for communities affected by marginalisation or deprivation and quality primary healthcare. He initiated several projects with Safetynet including the Mobile Health Unit Service for rough sleepers. He is a founding member with Dr Kieran Harkin of GMQ services, which provides 12 clinics for homeless people in hostels/drop-in centers. He has run the Mountjoy Street Family Practice since 1997 which has been providing 6 clinics to homeless people since 2005. 

He co-founded the Partnership for Health Equity between the HSE National Office for Social Inclusion, NDCGP, ICGP and University of Limerick. He is presently establishing for Safetynet, 'Curam Healthnet' - a new social enterprise that creates new GP practices in areas of deprivation. The first practice is in Summerhill, Dublin 1. 

He completed a doctorate in ethnographic research into the health service usage behaviours of homeless people and has been involved in several research projects addressing access to primary care. He was a co-founding member of Northdoc. 

He received the Fiona Bradley Award, the Time & Tide Award for his work with migrants, the Healthcare Professional of the Year Award 2015 and was awarded honorary membership of the RCPI.

Dr Ming Rawat MICGP

Dr Ming Rawat is a UCD graduate (1994) and an RCSI vocationally trained GP.

She has been involved in part time sessional general practice on the northside of Dublin for 12 years, enjoying different assistantships and gathering diverse experience of general practice on the north side of Dublin. She has been a part time salaried associate in Sutton since 2009.

Since 2000, Ming has been involved in medical education as secretary of the Corrigan Faculty, followed by CME tutoring for 4 years for the Corrigan North County Dublin Faculty. She was involved as an assistant programme director and clinical tutor on the RCSI scheme for 3 years.

Ming's medical education interest was formalised with the ICGP/Queens University Postgraduate Certificate in Medical Education. Her special interests are dermatology, communication skills and professionalism with particular interest in self-care.

Ming is a trained yoga teacher and a qualified Mindfulness Based Stress Reduction (MBSR) instructor. She currently leads the scheme's MBSR course for trainees.

Dr Neasa McDonagh, MICGP, MRCPI

Dr McDonagh is a UCD graduate of 1992 and a graduate of the North Eastern Regional GP Training Scheme of 1997.

She has been working as a GP since then and has been practising in Ballymun since 2003. Neasa worked in undergraduate teaching in the RCSI from 2001 to 2003 and then became assistant programme director for the RCSI GP scheme from 2003 to 2005.

She is a trainer for the RCSI GP scheme and also takes students from the undergraduate and graduate entry programs in the RCSI.

Dr Cathy Cullen MICGP

Following graduation from UCD in 1989, Cathy trained as a GP on the Dublin Vocational Training Scheme.

After working as a sessional GP in Springfield, Tallaght, for five years, she moved to Goatstown in 1999 as a part-time salaried associate, where she stayed for 18 years. She has been a keen spokesperson for the value of committed part-time general practitioners, regardless of their gender.

In 2017 she moved to Safetynet Primary Care where she now works as a GP both in the Roma Clinic in Tallaght, and the Inclusion Health hub in Summerhill. Safetynet provides primary care to the most marginalised of society including migrant, refugees and homeless patients.

Cathy has been actively involved in small group learning since completing vocational training and was a group leader for 5 years until becoming a CME tutor in the Merrion Faculty, a post she continued for 15 years. She was involved in organising and delivering the education of small groups of up to 90 GPs annually throughout this time. Cathy, an accredited Balint leader, also runs a Balint course for our programme trainees in their final year of training. She is still a CME group leader, and runs a post scheme graduate group as well as one in her own faculty.

In her role of co-ordinator of the arts in medicine on the North Dublin City GP Training Programme, Cathy has been actively developing an arts timetable for trainees.

Fiona O'Reilly PhD, MSc Community Health, RGN RSCN

Fiona has spent the last three decades working in the health care arena both nationally and internationally. Initially, starting out as a nurse, Fiona moved into different roles within and outside health systems but always with a focus on health in the context of deprivation. Fiona's work involved health care delivery, design, management, review and evaluation. Initially, her professional focus was health and nutrition in the developing world context. Fiona established and managed programmes in war torn countries (e.g. Sudan, Somalia, and Ethiopia) and conducted evaluations in Afghanistan, Zambia and Kenya.

Realising the effect of social deprivation on health is not simply a third world phenomenon, Fiona turned her focus to research in the context of deprivation in Dublin. Fiona has conducted research with Dr O'Carroll, the RCSI and the Dept. of Anthropology in NUI Maynooth. Her PhD thesis "Reality or Rhetoric, Community Involvement in Primary Care in North Inner City Dublin" allowed her to critically review primary care in the context of urban deprivation.

Fiona is a founding director of the Emergency Nutrition Network - now a sustainable charity which facilitates learning through experience in the area of food and nutrition in developing countries (www.ennonline.net). Fiona previously worked as director for the Agency for Personnel Services Overseas (APSO) Humanitarian Assistance Training Programme and has taught on a number of MSc training programmes (TCD, UCD, RCSI). Fiona also works as an independent education and research consultant. She recently concluded a 3 year research study in Malawi exploring gender vulnerability to HIV. Fiona is a Senior Research Fellow in Social Inclusion, at the Partnership for Health Equity (www.healthequity.ie/about-us). She recently led the research study leading to the 'Homelessness: An Unhealthy State' report (www.healthequity.ie/our-work).

Dr Louise Malone

Dr Louise Malone is a principal GP working in Dublin 12. She attained her medical degree from UCD in 2004 and spent a number of years in varied clinical roles culminating with vocational GP training through the DML UCD GP training scheme. She graduated from GP training in 2014 and entered the specialist register. She holds the MICGP qualification as well as a number of postgraduate diplomas in the areas of psychiatry, obstetrics and gynaecology, medicine for the elderly and dermatology. She joined the NDCGP programme directing team in December 2014. She has pursued an interest in medical education throughout her career having graduated with distinction from the Masters in Medical Education in Queens university Belfast in 2011. She is also a clinical tutor for the Royal College of Surgeons in Ireland. In this role she co-ordinates, supervises and delivers teaching to RCSI undergraduate and graduate entry students within her practice in Dublin 12.

Louise is a partner in practice in Crumlin where she serves a mixed population and offers a number of clinical special interest areas including women's health, long acting reversible contraception, paediatrics and dermatology. 

She is a busy mum of four and enjoys all aspects of her career and balancing this with homelife. She enjoys the autonomy of running a small business and promotes this aspect of the Irish primary care model in her educational role. 

Dr Lisa Lawless

Lisa is a graduate of UCD school of Medicine. She is a member of the Irish College of General Practitioners and The Irish Student Health Association. She holds post graduate qualifications from The Royal College of Obstetrics and Gynaecology and The Irish College of Psychiatrists. Lisa currently works as a GP in the College Health Service at Trinity College providing a wide range of general practice services to both staff and students. She is a Director and clinical committee member at Aware. Before returning to College to study Medicine Lisa lectured in Clinical Physiology at The University of Ulster. She has maintained a passion for teaching and is delighted to combine her interests in teaching and general practice as part of the team at the North Dublin City GP Training
Scheme.

Dr Mark Murphy

 

Mark graduated from UCD in 2005 and worked in adult medicine in Ireland and New Zealand. He completed his GP Training in 2013 on the Sligo Specialist Training Programme in General Practice. He is a GP in Eldon Family Practice in Dublin 8, which was a new-practice-set-up with several colleagues, catering for a multi-ethnic urban population.

Mark has worked in undergraduate education, as a Lecturer for seven years with RCSI. Mark also completed a part-time structured PhD (the SPHERE programme) in Health Services Research in 2019, his research interest being the implementation of evidence-based guidelines in practice. Clinically, Mark is interested in generalism, the management of mental health symptoms, complex multimorbidity and evidence-based medicine/ shared decision making. Mark was on the board of the Irish College of General Practitioners (ICGP) and was College's Chair of Communications for three years. Mark sits on the Health Committee of the Irish Medical Council, which supports sick doctors to maintain registration, and is on the GP Committee of the Irish Medical Organisation.

Mark is interested in music, cooking, sea-swims and mountain-biking with his dog in the mountains.

Training posts

1st year: Paediatrics (Temple Street, Crumlin, Tallaght & Mullingar Regional). A&E (Mater & Beaumont) Medicine: Respiratory (Mater and Mullingar Regional), Medicine for the Elderly (Mater), Endocrinology (Mater)

2nd year: Psychiatry (St. Vincent's Fairview, Beaumont & Mater). Obs/Gynae (Holles St, Rotunda & Mullingar Regional) and either Palliative Care (St. Francis' Hospice Raheny/Blanchardstown), (St. Luke's, Rathgar), or Infectious Diseases (Mater & St. James)

3rd & 4th year: Trainees spend 3rd year in general practice and in 4th year change to a second general practice. All practices are in socially deprived areas of Dublin.

During 3rd and 4th year as part of their training curriculum, trainees complete the following courses during release day: Methadone Level 1, Contraception Cert, Immediate Care(Cardiac/Trauma),Cervical Check Cert.

As part of the training scheme's self-care module, trainees participate in a Mindfulness Based Stress Reduction Course (MBSR) and a Balint Group.

In 3rd year, trainees complete a four month rotation for a half day per week in a dermatology post (Blanchardstown/Mater). This is considered 6 days prescribed study leave during 3rd year.

In 4th year, trainees will spend one day per week in a special interest post in the areas of addiction, homelessness and minority groups.. Each trainee will spend four months in 2 of these areas. Trainees will also have the opportunity to do a self-defined 4 month rotation, subject to criteria.

 

Note: As part of their out of hours work in 3rd and 4th year, trainees are encouraged to work on the well-established Outreach Bus which provides healthcare services to hard-to-reach groups in Dublin's inner city. Currently, the bus works in association with Dublin Simon, Chrysalis and Safetynet.

Day release education

The day release programme takes place once a week on Thursdays (half day during hospital rotations /full day during release and during the GP attachments). Education is learner-focused and uses problem-based learning approaches in a small group educational setting.

We provide a modular delivery of the curriculum based mostly on the ICGP curriculum with some interesting additions including Health Promotion and Personal Development. The modules run over the 4 years of training building competence according to experience and engage reflective and group learning techniques.

Reflectivity is increasingly recognised as a core clinical competency that is required for us to move beyond the traditional limited view of doctors as simple scientists to the more exciting concept that medicine requires the involvement of our human, rational and emotional selves.

Our professional development module emphasises the importance of professional ethical conduct; the essential elements for providing quality care (including the evaluation using audit of quality); and the skills and values that promote effective inter-professional relationships. We maximise each student's ability to communicate effectively by using the Calgary Cambridge Communication Skills.

The programme has a specific interest in developing a passion among trainees for working in areas of deprivation. The Social Medicine curriculum includes modules on health inequalities, providing healthcare in areas of deprivation, barriers to healthcare, healthcare for hard-to-reach groups such as homeless people and travellers, and lastly health policy and change management. This programme equips trainees to work effectively in areas of deprivation and also to implement positive change at both practice and policy levels to improve healthcare in these areas.

The programme is heavily involved in research particularly into issues concerning health equity. It is involved in a research partnership with the University of Limerick. All trainees will be trained in the basics of research and will conduct an audit in third year and special interest post research in 4th year. All those who wish to go further with research will be encouraged, supported and facilitated.

We strongly advocate self-care among trainees as well as personal and professional development. 

We incorporate an arts and humanities approach in our teaching. This involves the use of film, drama, art, literature and poetry in our teaching. There is also a vibrant arts and social committee active on the programme.

Location of training practices

Click here for the location of training practices.