North Dublin City GP Training Scheme

02 November 2017
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Email: northdublincitygp@ucd.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 and has worked there since then. She is a keen spokesperson for the value of committed part-time general practitioners, regardless of their gender.

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 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.

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 John Latham MICGP

John has been a GP in Dublin south inner city since 1984 and has an abiding interest in improving the GP services available for a deprived population. Homeless and hostel residents have always made up a significant percentage of his practice list. He works from a new primary care centre.

He began his experience in medical education as a CME tutor for 10 years during the 90s and he claims that he has learned much more than he has taught as an undergraduate GP tutor for TCD and the RCSI.

John has an interest in medical writing and is medical editor of Forum, the journal of the ICGP. He uses the opportunity to write a monthly column as a way to de-stress and maintain enthusiasm.

He has been very involved in the Methadone Protocol, having been a member of the working group which set up the Protocol in 1998; he is also involved in a drug free rehabilitation service at Tiglin in Co. Wicklow. Another of his specialist interests is structured care in general practice for patients with diabetes.

John joined the NDCGP Training Programme as an APD at the end of 2012.

Dr Louise Malone

Dr Louise Malone is a UCD graduate and completed vocational training with the HSE DML specialist training scheme. 

Louise has worked in a variety of practices in Wicklow and Dublin and is currently in practice as an assistant in the Crumlin area. Her clinical interests include paediatric dermatology and LARC. Having graduated with a Masters in Medical Education from Queens University Belfast in 2011, Louise has a particular special interest in medical education and has been involved in undergraduate teaching as a clinical skills tutor in UCD as well as practice based teaching in a number of teaching practices.

Louise takes a particular interest and active role in the NEGs branch of the ICGP and joined the NEGs steering group as the Dublin representative in 2013.

Dr Bridget Kiely

Dr Bridget Kiely began her career in medicine in infectious diseases and studied tropical medicine in Peru. After completing a Masters in Public Health in UCD, she switched to primary care in order to have a front line impact on health inequity. 

During her GP training in London, Bridget was chairperson of the London GP trainee committee and completed a Darzi Fellowship in Clinical Leadership, looking at ways to increase education opportunities in primary care. She worked in several practices in areas of deprivation in London, and volunteered in a Doctors of the World clinic serving vulnerable migrants. It was during that time that she developed her passion for universal access to quality primary healthcare for all. 

Bridget volunteered during the West African Ebola outbreak and subsequently worked on the post Ebola recovery plan in the Ministry of Health and Sanitation in Sierra Leone, supporting planning, evidence based policy and working with a wide range of stakeholders including the WHO and major donors to implement health system improvements to reduce maternal and child mortality. 

Currently, Bridget is the clinical lead for Safetynets Mobile Health and Screening Unit, with a remit to bring preventative health services to the most vulnerable groups and in particular newly arrived refugees under the Irish refugee protection programme. 

Bridget is the newest member of the NDCGP team and teaches audit and research methods, evidence based medicine and quality in healthcare. 

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 community service. Each trainee will spend four months in each of these areas. These posts are considered as programme-prescribed study leave. Trainees will have a maximum of a further 5 study leave days in 4th year.

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.