Archive | Training

BASICS Scotland Paediatric Tele-education Course Starts 29th January 2018

BASICS Scotland would like to announce the dates for the next Paediatric Tele-education Course, presented by Karyn Webster. This 9 week course will start on Monday the 29th January and run for 9 weeks with an additional 6 weeks of post-course giving you enough time to catch up on any recordings you have missed!

Tele-education by BASICS Scotland is an online learning resource ideal for remote and rural practitioners eager to reinforce and develop their skills in pre-hospital emergency care. The benefit of Tele-education is that participants can take part without having to leave their home or place of work. The course is delivered entirely over the web, with weekly 1-hour live sessions in a video conferencing format which participants can attend or view the recordings later at a time more convenient for them!

Topics on this course include:

  • Child with Fever & Meningitis
  • Head Injury
  • Seizures
  • Allergy & Anaphylaxis
  • Asthma
  • LRTI
  • Epiglottitis & Croup
  • Gastroenteritis & Dehydration
  • Pain Relief

If you are interested in taking part in this course or would like more information head over to the BASICS Scotland website and complete an application form today!

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Event: Safety & Sustainability in Rural Surgery

The Royal College of Physicians and Surgeons of Glasgow is pleased to announce a provisional programme for the Safety and Sustainability in Rural General Surgery Conference on 30 November and the morning of 1 December 2017. This conference will bring together many of Scotland’s current surgical trainees with a long-established network of remote and rural surgeons, the Viking Surgeons’ Club, in an exciting and unique event.

The conference will explore the current reality of Scottish rural surgical service provision, discuss the international remote healthcare experience, and offer updates into the management of surgical subspecialty emergencies in a rural context. We welcome delegates from around the world who have an interest in rural healthcare and the challenges therein.

Title: Safety and Sustainability in Rural General Surgery: The Viking Surgeons’ Conference 2017

Date: November 30 and December 1 2017

Venue: The Royal College of Physicians and Surgeons of Glasgow, 232 – 242 St Vincent Street, Glasgow, G2 5RJ

Book online: https://rcpsg.ac.uk/events/vikings

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The Belford: an example of great quality rural healthcare

Dr Patrick Byrne, consultant at the Belford Hospital in Fort William, was involved in hosting a visit from a delegation from the Philipines.  This article featured in Lochaber Life Magazine earlier this month.  It has been reproduced here with the kind permission of Iain Ferguson of the Write Image (picture credits to Iain too).

PHILIPPINE VISITORS TO BELFORD

Dr Patrick Byrne

The Belford Hospital continues to punch above its weight on the national and international stage, welcoming a delegation from the Philippines a few weeks ago.  The visit was part of a week-long study tour to the UK by Presidents and delegates from the Philippine Royal Colleges of Physicians, Surgeons, Paediatricians and Obstetricians and Gynaecologists, alongside officials from the Philippine Ministry of Health.

Teaching & training for most healthcare providers in the Philippines tends to be concentrated in the largest hospitals in cities, ignoring the district and rural locations.  This is in contrast to the UK where every hospital has a role to play and sometimes the best experiences and training is to be found in the smallest facilities, where one-to-one supervision from consultant teachers is often the norm, not the exception.  The purpose of their study tour was to learn from UK practices, specifically how supporting and investing in rural hospitals leads to a more efficient healthcare system across the region, and the country.

Led by the immediate Past President of the Royal College of Surgeons, Mr Ian Ritchie (who has family ties to Corpach), the delegates specifically requested to see an example of good training in a small hospital of approximately 100 beds.  Mr Ritchie replied, “I can bring you to a 34-bed hospital where training and patient care is not just good, but excellent”.  The importance of this visit, was underlined by the presence of the most senior NHSH personnel – Prof Elaine Mead (Chief Executive Officer), Mrs Gill McVicar MBE (Director of Operations) and Dr Emma Watson (Director of Medical Education).

Each, in turn, reiterated the importance of consultant-led services and training at Belford Hospital, both now and going forward. However, it was Miss Alison Bradley, a former Belford trainee, now a senior surgical registrar in Glasgow, who captivated and inspired everybody, proving that rurality is no impediment to ambition; quite the opposite, in fact, as she explained the details of her PhD research into pancreatic cancer.

Mr Ritchie said, “It was very clear to all who visited that numbers of beds is not an indicator of good training, it is that key relationship between a trainer and a trainee which, in Fort William, you all demonstrate to a very high degree.  The high point was certainly the Belford.”  In her letter of thanks, on behalf of the College of Paediatrics, Dr Cynthia Daniel echoed this, adding “I am certain with you and the rest who share the same passion for training and service, Belford Hospital should be safe for the next 150 years and beyond”.

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Reflections on an LIC in Lochaber

Lewis Mundell, student of Dundee University, recently completed a Longitudinal Integrated Clerkship in Fort William as part of his medical school training.  This article featured in Lochaber Life Magazine earlier this month.  It has been reproduced here with the kind permission of Iain Ferguson of the Write Image (picture credits to Iain too).

Training to be a Doctor in Lochaber

Lewis Mundell, LIC Student

I have spent almost a year in the Lochaber community, training as part of a project undertaken in partnership between the University of Dundee and Tweeddale Medical Practice. This is a trial project and a first in the UK. The purpose: to improve the teaching of medical students.

Other Medical Students in Dundee mainly spend their time in hospital in the form of four-week placements in different medical wards. The project I have been doing under the supervision and guidance of Dr Jim Douglas is focused on learning in the community where 90% of healthcare takes place. A focus is spent on patients, to learn from them rather than tutorials or textbooks.

Although the majority of my time has been spent in Tweeddale, 40% of my time has been spent in Raigmore and the Belford Hospital as well as working with Physiotherapists, District Nurses and Pharmacists. By being in the community, I have gained a better perspective of health care, understanding the challenges patients face when the GP simply says ‘visit the Physiotherapist’.

The most unique part of this year has been the ‘Patient Journey’. This has allowed me to follow people through their health care experience from ‘cradle to grave’. I have followed mothers through pregnancy; seen children cope with infections; learned from teens struggling with depression; saw life-saving surgery; watched a patient fight cancer and the hardest part – the privilege of being present at the end of life. Each of these experiences has been humbling and I will never forget the people involved.

Many medical ‘experts’ have said ‘how can a student learn everything he needs to know without being trained in a city, in a ‘centre of excellence’? I would argue that a community like Lochaber is a centre of excellence as it is a centre of people, all actively engaged in training a medical student. In comparison to cities, where community is reduced, Lochaber can recognise its own need for doctors and other health care professionals and therefore its need to train these professionals locally.

Once again I would like to thank you all for allowing me to join your community. I have learned so much! I will definitely consider returning to this area for future training and possibly long-term employment when I’m qualified. It is impossible to list the many people who have helped me, but a special thanks goes to Dr Jim Douglas and all the staff at Tweeddale, Dr Amy Macaskill and the CMHT, Theresa Mackay and the Midwifery Team, Belford Staff, Jaquai Parfitt, Staff at Raigmore, Fleming & Fleming, Lloyds Pharmacy, Macmillan Cancer team and not least the Scottish Ambulance Service.

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Students present Bright Ideas for Rural Practice

This year, the Rural GP Association of Scotland has once again run its student conference scholarship programme.  This is a significant investment for RGPAS, which uses money raised into its Educational Trust fund to support these scholarships.  The scholarships offer heavily-subsidised tickets to enable undergraduate students in the UK to attend and participate in the annual RGPAS conference.

To apply, students were asked to submit a 60 second sound or video clip explaining their Bright Idea for Rural Practice.  We are delighted to feature the winning entries below.

A number of these will be selected for PechaKucha-style presentation at our conference in November.  You can read more about the scholarships here, and also a great write-up of last year’s conference by one of the scholarship holders then, Catherine Lawrence from Hull & York Medical School.

There is still time to sign up to the conference, which takes place from 2-4 November 2017 in Inverness.  £130 for GPs or £65 for trainees gets you two-and-a-half days of quality CPD, along with a conference dinner (and wine).  It’s a great way to catch up with like-minded colleagues, and hear updates on clinical and non-clinical topics that are relevant to rural practice in Scotland.

Well done to all our scholarship winners.  We look forward to meeting you in Inverness!

Rohan Bald (Glasgow): Tackling Loneliness

Emma Bean (Glasgow 5th Year): Drones

Josephine Bellhouse (Glasgow): Improving Use of Communication Technology

Katherine Cox (Glasgow 4th Year): Developing Videoconferencing Peer Support

David Gibson (Glasgow): Awareness of Rural Medicine as a Career

Haiyang Hu (Glasgow): Access to Mental Health Services

Saskia Loysen (Glasgow): Increasing the use of Telemedicine (and pyjama bottoms)

Eloise Miller (Glasgow): Develop Rural Medicine Intercalated Degrees

Danielle Parsons (Aberdeen 4th Year): a Rural Medical School for Scotland

Gregor Stark (Glasgow 5th Year): Rural Research Consortium

Rosslyn Waite (Dundee): Improving Connectivity

Hannah Webb (Glasgow 2nd Year): Access to Sexual Health Services

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RGPAS Conference Student Scholarships 2017

 

Twitter hashtag: #RGPAS17

Student workshop at RGPAS16

Things are heating up for this year’s RGPAS 2017 conference, to be held in Inverness on 2-4 November.  A full programme is planned, spanning a range of topics relevant to rural general practice.  Click here for the latest conference programme.

We are pleased to announce that following the success of student scholarships being offered for the last 3 years, we will once again be offering RGPAS Conference Student Scholarships.

Year on year we aim to build on feedback, including a session specifically for students and trainees which is being led by the current NES GP Rural Fellows – should be a great session.

Never have I been to a conference so friendly, so relaxed, and so full of life.

Read more in student Catherine Lawrence’s conference review

What’s on offer?

Student scholarships are available for a greatly reduced rate: £10 (reduced from £130) for the full programme – including the conference dinner with wine too!  We will also provide accommodation (bed & breakfast) for Thursday and Friday nights – shared twin room, same gender – of up to ten students who register for the event.

The cost of this is being funded from the RGPAS Educational Fund.  Income for this fund includes the proceeds of the donations made for advertising on RuralGP.com, our conference sponsors and other activities that RGPAS carries out to fundraise over the year.

Who’s eligible to apply?

You must be an undergraduate medical student at a UK university (intercalated, international and mature students welcome to apply).  We are keen to hear from any students who have an interest in general or rural practice.

How do I apply?

We want to hear your ideas!  We ask all scholarship applicants to record 60 seconds of audio or video, outlining your bright idea for the future of rural practice.  Is there a technological innovation that you think is untapped?  How do we use new clinical approaches to improve the care of our patients?  How do we improve the working lives of rural GPs and their colleagues?

 

 

Email us at hello@ruralgp.scot with the subject “Students #RGPAS17” along with your submission (a file, or even better a link to a Dropbox/YouTube/Vimeo movie, or Soundcloud audio) and the following details about yourself:

  • Your name
  • Your university
  • Contact address & mobile
  • If you require accommodation, and confirmation of whether this is required for both nights
  • Confirmation that you intend to attend the conference from Thursday lunchtime to Saturday lunchtime
  • Title of your submission
  • “I consent to my presentation being made available on RuralGP.com, RuralGP.scot and affiliated websites/social media”.

Closing date for applications is 15th September.  Successful applicants will be notified by the end of September at latest.  Those successful applicants will then be invited to register and make £10 payment using our online booking facility to secure their place.

Present your vision

We will be featuring a special session on the Friday afternoon of the conference, aimed to bring together students’ visions for the future of rural practice.  From those students who have received a scholarship, we will select several to present a short powerpoint presentation – of 20 slides each advancing after 20 seconds.  This format is often called ‘Pecha Kucha’ and there is a wealth of advice and tips on the internet about how to make a good Pecha Kucha presentation.

The format allows us to feature a number of short, snappy presentations of just over 6 minutes each, and give students and trainees a podium to share their views on the future of rural practice.  Slides can include text, but the more photos the better!  We will let you know if your ideas have been selected for presentation very soon after the deadline, and you can download a template powerpoint file here.

Any questions?  Email hello@ruralgp.scot

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Rural GPs Scotland (RGPAS) Conference 2017 – registration open

Realising Realistic Rural Medicine

Twitter hashtag: #RGPAS17

Click to visit www.RuralGP.scot

The annual RGPAS (Rural GP’s Association of Scotland) conference will be held on Thursday 2nd to Saturday 4th November 2017, at the Craigmonie Hotel in Inverness.

Once again, we hope to welcome both new and experienced rural health professionals, and we have a stimulating programme lined up to cover a wide spectrum of topics which are relevant to rural general practice in Scotland.  You can view information, statistics and feedback from previous conferences here.

This year, conference registrations should be made online.  Until September 1st, registration will be restricted for current RGPAS members.  After September 1st, registration will be open to all.

The cost of conference registration is £130, which includes catering (including Thursday lunch for RGPAS members attending the morning event), the conference dinner and wine on the Thursday evening.  There are no single-day tickets and we hope that this is seen as excellent value for a 2.5-3 day conference.

Trainees can register for £65 (half price), and students who are successful in achieving a student scholarship will be asked to pay a nominal £10 registration fee.

Accommodation should be booked directly with the Craigmonie Hotel (01463 231 649) – unless you wish to stay elsewhere – and special rates are available on mentioning that you are attending the RGPAS conference.

Click here for RGPAS 2017 Online Registration

Never have I been to a conference so friendly, so relaxed, and so full of life.


Programme

Thursday 2nd November 2017

This year, an RGPAS Members-Only meeting will be held on Thursday morning, to which all RGPAS members are invited.  Lunch will be served to attending members after this session, following which the main conference will open.

0930 Registration for RGPAS morning

1000 RGPAS members update :: Dr David Hogg (Chair, RGPAS)

1030 The Scottish Rural Medicine Collaborative :: Ralph Roberts (Chair, SRMC)

1100 The New GP Contract :: Dr Andrew Buist (Deputy Chair, BMA Scottish GP Committee)

1130 Open Discussion

1230 Lunch (provided to members attending above session)

Lunch for non-members can be organised with the Craigmonie Hotel by prior arrangement – please contact them directly.

1300 Main Conference Registration

1330 Main Conference Welcome & welcome to students :: Dr David Hogg & Dr Catherine Todd

GPs don’t do OOH any more do we? (Session Chair: Kate Dawson)

1345 BASICS Scotland Update :: Dr Ben Price (Assistant Medical Director, BASICS Scotland)

1415 NHS24: Challenges and Opportunities :: Dr Anna Lamont (Associate Medical Director, NHS 24) and Billy Togneri (Clinical Service Manager, NHS24)

1445 Sponsors’ Spot 10 mins each for Eden Medical, Head Medical and Novacor

1515 Coffee Break

1530 ScotSTAR: Update on Service Development :: Dr Drew Inglis (Associate Medical Director, ScotSTAR)

1600 The SAR helicopter service in Scotland: what has changed? :: Duncan Tripp (Winchman Paramedic, Bristow Search & Rescue)

1630 Open Discussion

1700 Rural LGBTQ+ :: Dr Thom O’Neill (Paediatric Clinical Research Fellow, Edinburgh) including update on latest RGPAS work

1740 The Echo Project :: Dr Jeremy Keen (Consultant in Palliative Medicine, The Highland Hospice)

1800 Finish

Dinner is included in the registration fee for all delegates. Dress is smart casual. Some limited tickets are available for partners or colleagues who wish to join us. Details soon.

1930 Conference Dinner at the Craigmonie Hotel

After Dinner Speaker: Tom Morton “The Rural Doctor’s Wife (!)”


Friday 3rd November

0815 Breakfast Mentoring Session (Students/New Doctors)

0900 Rural Emergency Medicine Update :: Dr Luke Regan (Emergency Physician, Raigmore Hospital)

0930 Remote Practice: Is it really reward without risk? Do patients sue rural doctors? :: Dr Gordon McDavid (Medicolegal Adviser, Medical Protection Society)

1000 Realising Rural Realistic Medicine in Remote Practice :: Dr Kath Jones (Clinical Director, NHS Highland North & West)

1030 Coffee

Unfortunately Dr Hal Maxwell is no longer able to attend the conference, and our EMRS colleagues have had to pull out of the programme due to work pressures, therefore the programme for Friday and Saturday mornings has been rejigged, with further changes to follow. Delegates will be updated with further details once available.

1100 Realistic Research:Why Every Rural GP Should Consider Research :: Prof Phil Wilson (Director, Centre for Rural Health, Inverness)

Parallel Session

  • 1145 Realistic Work/Life: Managing the chaos of family life and Rural GPing- finding your village :: Dr Alida MacGregor (Rural GP, Kyles Medical Centre, Tighnabruaich)
  • 1145 Realistic Collaboration: The Echo Project :: Dr Catherine Todd (GP, The Highland Hospice)

1230 Lunch

1330 Pecha Kucha Sessions

  • The PILL project :: Dr Richard Weekes (Rural GP, Ullapool & Additional Member, RGPAS Committee)
  • Scholarship Presentation: Rural WONCA Conference & Clinical Courage :: Dr David Hogg (Rural GP, Isle of Arran)
  • GURRMS Annual Student Conference :: Josephine Bellhouse (Medical Student & Secretary, Glasgow University Remote & Rural Medicine Society)
  • Scholarship Presentation: Journey to Mexico :: Dr Mark Aquilina (Rural GP, Lochgoilhead & Shetland)
  • Selected Student Scholarship presentations

1430 Coffee

1500 AGM – all welcome – agenda items to Dr Susan Bowie (Secretary) by 24th October

1730 Finish

1930 Dinner in Inverness (Shapla Restaurant – TBC)


Saturday 4th November

0930 Looking Forward

(Updated: 22/10/17) In replacement of the EMRS clinical update session, we are delighted to run a session dedicated to GP mentoring, dealing with the stresses of practice, and steps to developing a peer-support or co-mentoring network within RGPAS.  We will also be exploring other ‘next steps’ for RGPAS too.  Full details about this session will be released very soon.

  • Workshop: Challenges of Practice: Building Support Networks :: Dr Susan Bowie (Rural GP, Shetland) and Dr Kate Dawson (Rural GP, Benbecula)
  • How can we help you? :: Aly Dickson (Trustee, The Sandpiper Trust)
  • Next Steps :: David Hogg (Chair, RGPAS)

0930 Visit to Bristow Search & Rescue Helicopter Base, Dalcross, Inverness Airport

Transport leaves Craigmonie Hotel sharp at 0930.  This session is aimed at students and trainees, however if rural GPs wish to attend this, we will endeavour to meet demand for this.

1230 Conference Close

If you wish to book lunch directly with the hotel, please contact reception staff.

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Aberdeen Uni showcases pilot Rural GP exposure for first year students

Aberdeen University Medical School have just released this video to report on a project which enabled first year medical students to experience rural general practice.  A new initiative by the University, made possible by a donation from Mr Joe Officer, saw 14 first year medical students taken on a two day adventure to Cairngorm national park and the surrounding area, to speak to those working in rural practices and to see first-hand the benefits of living and working in the countryside.

It’s increasingly recognised that career advice is essential for the earlier stages of medical school.  Role modelling and creating career aspirations early on can be hugely helpful to students who are thinking about their future career options.  As exposure to rural general practice tends only to be available in the later stages of medical school, this project highlights some of the reactions of students who were given the opportunity to learn more about Rural GP earlier on in their careers.

It’s pretty eye opening just how much can be done in a rural setting when you have a purpose built GP hospital

Kudos to Aberdeen University for recording the experience in such a vibrant and professional manner, and to the students for giving such articulated reflections and comments through the video too.  Maybe this is something that could be rolled out on a wider level?

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Elective Report: Isle of Arran 2017

Hannah & Louise

Hannah Kennedy and Louise Black are two third year medical students at Glasgow University, who have just completed a 4 week elective in rural GP on the Isle of Arran.  They kindly agreed to have their elective report published on RuralGP.com…

Our time was split between the five practices that make up the Arran Medical Group, as well as the small community hospital in Lamlash. This allowed us to experience a wide range of rural clinical practice in both primary and secondary care settings. We attended GP surgeries led by various doctors, many of whom also have interests in other specialties, including dermatology and gynaecology. We also had the opportunity to sit in on nurse-led clinics. This meant that we were able to see a range of clinical presentations, as well as practice history taking and clinical examinations. Going on home visits also allowed us to get a flavour of the island community.

Time spent at the Arran War Memorial Hospital was divided between the A&E, the four inpatient wards and outpatient clinics. Taking part in daily ward rounds and seeing patients on the ward provided an opportunity to practice clinical skills and examinations. The size of the hospital also meant that we could get to know patients and follow their care journeys through from admission to discharge. Attending a discharge planning meeting gave us a useful insight into the challenges involved with discharge and social care in a rural setting.

Emergency care on Arran was a highlight of the elective. Accident and Emergency consisted of one bed – a lot different to what we are used to! We got the chance to see patients as they arrived at A&E and fill out casualty cards, which was a first for both of us. This allowed us to practice presenting patient cases and form a list of differential diagnoses, which we found very useful. We also got to experience evenings and weekends on-call. During this time, we witnessed our first emergency helicopter transfer, which was very exciting. It was interesting to learn about the factors that contribute to the decision on whether or not to transfer a patient to the mainland, including weather and availability of transport.

Other things that were useful to observe were consultations at care homes, social work meetings and AMG team meetings, where topical issues were discussed in the group.

As well as experiencing a variety of clinical practice, we also had plenty of time to explore what the island has to offer. On our first day we were sent round the island on a treasure hunt, to get our bearings and see some of sights such as Brodick Castle and the ruins at Lochranza. Arran is a beautiful place with an endless number of walks; a few of which we enjoyed were the Machrie Moor Standing Stones, North Glen Sannox and Goatfell, the highest point on Arran! We also enjoyed spending sunny days at the beaches around the island and eating a lot of tasty Arran Dairies ice cream!

 

 

Doing our elective on Arran has given us a great insight into what rural medicine is like. The small, close-knit island community was something neither of us had experienced before. We noticed that this raises issues in medical practice, for example in terms of confidentiality, however, it means that doctors know their patients well and so there is a greater level of patient trust and care provision. Something that stood out for us was the enthusiasm of the AMG team to improve the healthcare for the people on Arran, despite the limited availability of resources on the island. We felt really welcomed by all members of the team during our time, which has added to our positive experience. Overall, an enjoyable and educational elective and an experience both of us have benefitted from.

For future students looking to organise a placement on the Isle of Arran, we have created a “Pros and Cons” list of the elective and “Top Tips” to help you prepare:

Pros Cons
Made to feel part of the AMG team Hospital can be quiet at times – but this can give you more time to explore or catch up on work in the library
Flexible timetable – have the opportunity to see and do things you want to Expense of travel and accommodation
Variety of experiences available within placement – from lifeboat and mountain rescue training to GP surgeries to specialist clinics Poor weather can sometimes limit outdoor activities
The opportunity to get involved with practical skills

 

Transport around the island can be tricky without a car – as buses don’t come frequently and practices are quite spread out
A lot of outdoor activities on offer on the island
The island is busy during the summer with many events held in each village – something else you could get involved in

Top Tips

  • Organise accommodation well in advance.
  • Be prepared for a more relaxed style of placement.
  • Grab the opportunity to get involved in placement as the AMG team are keen for you to make the most of it.
  • Walking boots, suncream and midge spray are essential!
  • If someone tells you a walk will be leisurely, do not believe them, you are in for a trek.
  • Try Arran Dairies ice cream.
  • Make the most of sunny days and time off by exploring.

We’d like to thank David Hogg for organising our elective and making it possible and the whole of the AMG team for looking after us.

All photos by Hannah & Louise.
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