RCSI/Dublin North East General Practice Training Scheme

25 October 2017
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Email: rcsivts@rcsi.ie
Tel: 01 4022302


Director: Dr Emma Nelson
Tutor team: Dr Niamh Moran, Dr Mary Lynch, Dr Brendan Lawless, Dr Jennifer Meer
Programme Administrator: Ms Marian Earle, email: marian.earle@hse.ie
Address: Mercers Medical Centre, Lower Stephen Street, Dublin 2
Directions: See a map of the area

Mission, Vision and Ethos

Our mission is to train doctors to become clinically competent general practitioners who will serve the healthcare needs of the people of Ireland. The GP trainee is mentored and encouraged to engage in personal and professional development throughout the training period. Thereby, hopefully, instilling a passion and enthusiasm for general practice. 

Our vision is, through excellence in GP training, to train fulfilled, self aware and motivated GPs who are knowledgeable, skilled and prepared for independent practice. These GPs will provide holistic care to the individual, and provide safe, competent evidence-based care. Our trainees will be committed to meaningful long term careers in Irish general practice. Graduates of the programme will be respected as colleagues capable of caring for all patients including our own friends and family. They will also be advocates for their patients in the ever changing healthcare and economic environment. 

The scheme has been training GPs for 26 years and has been through many changes, including expansion of numbers, but retains its trainee-centred ethos. The programme directing team has extensive experience in small group teaching and General Practice education.

Structure

The first year is spent in hospital posts, followed by six months in general practice, a further year in hospital posts, six months back in general practice and finally a full year in a different training practice.

Hospital posts are now all of 4 months duration.

This is one of the few programmes with an early GP placement and the only one with a six month early GP placement.

The MICGP exam will normally be completed by the end of year 3 with the final year devoted to developing special interests and skills and preparing for life-long learning and independent practice.

We hope to expand our intake number from 9 to 12 for 2018.

Current Hospital Posts

  • Paediatrics (Temple Street or Tallaght)
  • Emergency Medicine (St James's or JCMH, Blanchardstown)
  • Obstetrics & Gynaecology (Our Lady of Lourdes Hospital Drogheda or Coombe Women's Hospital)
  • Psychiatry (Tallaght or St Vincent's Fairview)
  • General Medicine/Care of the Elderly (JCMH, Blanchardstown or Drogheda )
  • Option of Palliative Care, Oncology/Palliative care or Rehabilitative Medicine (Our Lady's Hospice, Harold's Cross, St Luke's Hospital or National Rehabilitation Centre, Dun Laoghaire)

At present there are 20 training practices involved in training on the scheme. Trainers have regular educational workshops throughout the year.

Current Trainers

  • Dr Ian Bothwell (Arklow)
  • Dr Kilian McGrogan (Dublin 2)
  • Dr David Gibney (Ballymun)
  • Dr Judith Kavanagh (Dublin 2)
  • Dr Richard Ennis (Drumcondra)
  • Dr George Roberts (Beaumont)
  • Dr Mary Carmel Burke (Glasnevin)
  • Dr Neasa McDonagh (Ballymun)
  • Dr Conor Maguire (Glencairn, D18)
  • Dr Niall Moore (Swords)
  • Dr Michael Collins (Kildare town)
  • Dr Craig Bishop (Kilcoole, Co. Wicklow)
  • Dr Kieran Harkin (Inchicore)
  • Dr Richard Aboud (Beaumont)
  • Dr Lia Egan (Greystones)
  • Dr Kieran Fulcher (Dunboyne)
  • Dr John Murphy (Clondalkin)
  • Dr Mary Behan, Dublin 9
  • Dr Sarah Carthy, Dublin 4
  • Dr Sarah Riney, Dublin 11

There is a steering committee which oversees the management of the scheme. Trainees are invited to be represented by 3 trainees at each meeting.

Learning Opportunities

  • Hospital-based learning: experiential learning, one to one mentoring and working on a multidisciplinary team
  • Practice-based learning: experiential learning, one to one mentoring and teaching and working with the primary care team
  • Small group work on the day release course including shared experience, case-based learning, discussion, role play, feedback etc
  • Self-directed learning on a personal level and in small groups
  • Individual reviews and learning needs analyses
  • Use of a learning portfolio and reflective exercises
  • Each group has a nominated educational supervisor/mentor

Scheme Teaching Programme (Day Release Course)

Teaching takes place on Wednesdays in the Mercer Medical Centre.

When based in hospitals, trainees attend in the afternoon only.

Those in general practice attend teaching for the full day.

This provides a forum to pool experiences in teaching posts over the preceding week and to explore a scheduled topic or issue in a focused way.

The teaching format is workshop style in small groups. The model of learning values the input of the learner equal to that of the teacher, rather than the more traditional methods of 'teacher expert/student novice'. Hence, the style of learning in the workshops is interactive and experiential.

We aim to create conditions in which trainees will learn with enthusiasm and enjoyment and regularly use role-play, video work, arts media such as painting and film and discussion as aids to learning.

The format of the workshops is small group work, with each year acting as an independent group with a facilitator

The focus is not only on the content of each group session but also the group process, i.e., exploring and learning from the interactions and dynamics between individuals in a group setting. The formation of an honest and supportive group is integral to this and this is facilitated and encouraged from the beginning of first year.

Special attention is paid to subjects and issues that are not easily accessible through the work experience provided on the programme. The workshops focus on the learning needs of the trainees themselves with an emphasis on personal and professional development.

The module on Consultation skills is a particularly important part of the curriculum, with a focus on trainees' own videotaped consultations, using the Calgary-Cambridge model of communication skills. Analysis of these video tapes and teaching of these skills is undertaken in a safe small group environment.

The Personal Development module runs throughout the four years. The overall aim of the programme is to enhance the participants' level of self-awareness, thereby improving the quality of their work as general practitioners when dealing with patients. Participants are encouraged within a safe group environment to explore their own experiences and development and to use this as a platform for awareness and understanding of others. A module on Professionalism compliments this.

In Year 2, the trainees will learn the tools required to do a clinical audit while in general practice. This will arm them with the skills required to maintain their lifelong competence as registered practitioners in accordance with Part 2 of the Medical Practitioners Act.

In Year 4, the trainee will complete a quality initiative in their appointed practice and will do a special interest project, involving more in depth study or skills acquisition in a particular area of interest.

The programme directors facilitate most of the workshops. However, external resource persons and experts are occasionally invited to facilitate a particular workshop. Occasionally, a visit is arranged to a specialist centre or institution of interest. Some workshops are led by the trainees, according to their own learning needs.

Extra Activities

In the autumn of each academic year, all trainees and teaching staff partake in a 2-day residential workshop away. This comprises workshops and group activities and helps to introduce new trainees to the scheme and to each other.

We have a twice-yearly social outing, arranged by trainees in December and June.