Archive | GP Training

Rural Medicine Café discusses Rural Health Research

Mayara Floss, founder of the Café

Readers might be familiar with the Rural Medicine Café, set up by budding rural GP Mayara Floss who is a medical student in Brazil.

Following the 2015 Rural WONCA Conference in Dubrovnik, she set up the virtual Café to create a relatively informal space in which rural medics from all over the world could come together for some conversation to discuss hot topics, and develop collaboration.  Mayara runs these sessions on Google Hangouts, which offers easy access and is fairly successful on most broadband connections.

So far an impressive range of topics have been discussed.  The most recent event took place on Saturday, and involved doctors and students from Brazil, the Caribbean, Halifax in Canada, Scotland and Kenya discussing ways in which research in rural health could be improved and facilitated.

An important outcome of each virtual Café is that the content can be watched later, on YouTube.  The relaxed nature of these sessions means that they can take a fair chunk of time to watch, but for rural health enthusiasts who want to catch up on the conversations, it represents an interesting resource from which to learn from practices across the world.  Where else can you engage so easily in sharing and discussing rural health issues with worldwide conferes?

For future events, take a look at the Café Facebook page.  The most recent Café (running to just over an hour) can be accessed at the following link:

https://youtu.be/SdP53qewijU?t=1s

Well done to Mayara for an impressive result to her initial ambitions to develop this project.  Do contact her via the Facebook page if would like to watch or take part in a future Café.  The next Café will discuss the WONCA Rural Medical Education Handbook on Saturday 4th February.

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RGPAS Scholarships – for students and GPs

2015logopngApplications are invited for a number of scholarships made available by The Rural GP Association of Scotland (RGPAS).  Funded by the RGPAS Educational Trust (which also receives any monies raised through RuralGP.com advertising) the scholarship scheme aims to:

  1. Encourage and enable Scottish students to experience a Rural GP elective in Scotland, and
  2. Support members of RGPAS (GPs and ST Trainees) to attend international conferences, in a bid to promote international collaboration, awareness of Scottish innovations in rural general practice, and to experience the benefits of seeing innovation from across the world.

Undergraduate Elective Scholarships

In 2017 there will be five student elective scholarships available, each to a value of £200.

  • This can be used to fund accommodation, travel or other associated costs. Receipts may be requested at the committee’s discretion.
  • The student must be doing their elective at a Scottish rural practice where at least one GP is a member of RGPAS. The student must be at least 20 miles away from their home address.
  • Electives may take place at any time of the year, and be for a minimum of 4 weeks.
  • The student must be an undergraduate medical student from a Scottish university.
  • The student should submit either a 500 word report or a video (of 3 minutes or more) about their experience within 2 months of the end of the elective. They may be asked to present at the next RGPAS conference too, if they are able.
  • Details of successfully awarded scholarships will be made available to RGPAS members, and also via the RuralGP.scot and RuralGP.com websites.

GP Travel Scholarships

In 2017 there will be four travel scholarships available. Nominally each of these will be worth £500, however some flexibility may be applied by the Committee to support applications which require more or less than this amount.

  • The applicant will be a member of RGPAS for at least 3 months prior to application. They will be a GP or a GP Trainee (at any stage of ST training) currently practising in Scotland.
  • RGPAS Committee members are eligible to apply.
  • The recipient should attend a conference in a country other than the UK. There will be a preference for activities that foster new relations with other country/world organisations such as WONCA or rural GP associations.
  • The money may be used for travel, accommodation or locum costs associated with attending a conference, event or experience in rural practice
  • The recipient should submit either a 500 word report or video (of 3 minutes or more) about their experience within 2 months of the end of the travel period. They may be asked to present at the next RGPAS conference too, if they are able.
  • Details of successfully awarded scholarships will be made available to RGPAS members, and also via the RuralGP.scot and RuralGP.com websites.

How to Apply

  • Please read the application pack – available from the link button below – and submit it as instructed.
  • Closing date: 6pm Friday 27th January 2017
  • The RGPAS committee will meet virtually, to discuss and judge the applications. Their decision will be final. They may decide not to award all available scholarships.

RGPAS is keen to ensure that this investment in future GPs as well as the development of its existing members, will help to generate innovation, collaboration and inspiration across Scottish rural general practice.  We look forward to receiving applications!

Download application form
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#RGPAS16 a major success

Last week, over eighty students, trainees, new and more experienced GPs from across Scotland and beyond, met at the annual conference of RGPAS.  An action-packed programme provided a wide variety of clinical and non-clinical topics, and there were plenty of opportunities to meet and discuss rural practice.  Rural GP-ing in Scotland is a simulating place to be!

rgpas16_-1

Scroll to the bottom of the page for more conference photos…

ruralgpscot_2016-oct-24

But we had some GPs from further afield too!

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Rural GPs from across Scotland came for the conference…

Kicking off the programme, we heard from Dr Helen Brandstorp of the National Centre for Rural Medicine in Tromso, Norway.  Helen provided a good backdrop to the fact that “we’re all in this together” – the challenges and delights of rural practice are prevalent in Norway in similar levels to Scotland.  The ground is fertile for further collaboration with international confreres and we hope to see ongoing links with our Norwegian counterparts in rural medicine.

The rest of the conference featured a rich variety of clinical and non-clinical topics of relevance to rural practice.  We were lucky to have an excellent range of engaging and entertaining speakers.  From updates in emergency medicine, to humanitarian and MSF work, to developing rural LGBT-friendly health services, to IT Reprovisioning, to research tips, to rural surgery, to featured student presentations… there was plenty going on, and the conference dinner provided plenty of opportunity to make further connections and allow the conversations to flow, along with a bit of traditional music too.

We were delighted to host a good number of students, trainees and new doctors… in particular there were nineteen heavily-subsidised student places – and they didn’t disappoint in their contributions of innovative ideas throughout the conference.

Instead of listing all the speakers here, the programme remains available – and we were delighted that over 200 #rgpas16 tweets were exchanged in the course of the conference.  We’ve collated these with Storify, and you can view the Storify timeline here.

Here’s a few of the twitter highlights:

The conference rounded off on the Saturday with a visit to the Bristow Coastguard helicopter base at Inverness Airport, where Winchman Paramedic Duncan Tripp and his colleagues treated student and experienced GPs to a tour round the facilities, including one of their £26 million Sikorsky search and rescue helicopters.

Thanks to all those who presented, and to all others who contributed to the conference planning.  The event proved to be fun, engaging and relevant to rural practice.  We hope to do the same next year – provisionally booked at the Craigmonie Hotel again on 2nd-4th November 2017.  Meantime, at RGPAS we are keen to stimulate and encourage further work in Scottish rural practice.  A new committee was formed, and I am delighted to take the helm of an able and enthusiastic team.  It’s going to be an exciting year!

Here’s some photos of the event…

 

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Longitudinal Clerkship: Studying Medicine in rural Scotland

Scotland’s first ‘Longitudinal Integrated Clerkship’

In September, seven medical students from the University of Dundee embarked on a totally new adventure – immersing themselves in either the Highlands or Dumfriesshire for their entire 4th Year.

Studying between Dingwall GP and Raigmore Hospital, I hope to provide regular updates throughout our 10-month journey on Scotland’s first ‘Longitudinal Integrated Clerkship’.

A unique insight into primary care…

Four weeks into the new programme and things are well under way…3 days a week in General Practice, meeting patients through parallel consultations is an ideal way to develop clinical, consultation and practical skills. Being located in the practice setting for almost a year provides a unique insight into primary care delivery and our patient population: From visiting patients in their home environment, seeing a pregnant woman from booking to delivery, following the developing neonate & supporting a palliative patient from diagnosis to death. These are some of the many experiences we are already immersed in, that could only really be achieved through a longitudinal placement.

…Seeing the whole picture

From week two I was encountering some patients for the 2nd or 3rd time for review, or in secondary care for admission/referral/further investigations, right to the point of discharge and follow up…seeing the whole picture. There is great satisfaction that comes with being involved in the patient pathway as a whole and building on patient relationships over weeks or months – where they really appreciate seeing a familiar face throughout their journey.

Integrate with the community

Outside of medicine, the L.C provides a great opportunity to integrate with the community through volunteering with schools, youth organisations & third sector groups. Being in the one location for almost a year creates time to explore the abundant social, sporting and leisure freedoms that rural Scotland has to offer.

 

 

 

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RGPAS Scholarships – for students and GPs

2015logopngApplications are invited for a number of scholarships made available by The Rural GP Association of Scotland (RGPAS).  Funded by the RGPAS Educational Trust (which also receives any monies raised through RuralGP.com advertising) the scholarship scheme aims to:

  1. Encourage and enable Scottish students to experience a Rural GP elective in Scotland, and
  2. Support members of RGPAS (GPs and ST Trainees) to attend international conferences, in a bid to promote international collaboration, awareness of Scottish innovations in rural general practice, and to experience the benefits of seeing innovation from across the world.

In April 2016 we awarded three scholarships:

  • James McHugh of Glasgow University, for his student elective on the Isle of Arran
  • James Durbar of Manchester/St Andrews University, for his student elective on Benbecula
  • Dr David Hogg, Rural GP on the Isle of Arran, to attend a rural research symposium being held at Tromso University in Norway, in September

Student (Undergraduate) Scholarships

In 2016 there are three remaining scholarships available, each to a value of £200.

  • This can be used to fund accommodation, travel or other associated costs. Receipts may be requested at the committee’s discretion.
  • The student must be doing their elective at a Scottish rural practice where at least one GP is a member of RGPAS. The student must be at least 20 miles away from their home address.
  • Electives may take place at any time of the year, and be for a minimum of 4 weeks.
  • The student must be an undergraduate medical student from a Scottish university.
  • The student should submit either a 500 word report or a video (of 3 minutes or more) about their experience within 2 months of the end of the elective. They may be asked to present at the next RGPAS conference too, if they are able.
  • Details of successfully awarded scholarships will be made available to RGPAS members, and also via the RuralGP.scot and RuralGP.com websites.

GP Travel Scholarships

In 2016 there are three remaining travel scholarships available. Nominally each of these will be worth £500, however some flexibility may be applied to support applications which require more or less than this amount.

  • The applicant will be a member of RGPAS for at least 3 months prior to application. They will be a GP or a GP Trainee (at any stage of ST training) currently practising in Scotland.
  • RGPAS Committee members are eligible to apply.
  • The recipient should attend a conference in a country other than the UK. There will be a preference for activities that foster new relations with other country/world organisations such as WONCA or rural GP associations.
  • The money may be used for travel, accommodation or locum costs associated with attending a conference, event or experience in rural practice
  • The recipient should submit either a 500 word report or video (of 3 minutes or more) about their experience within 2 months of the end of the travel period. They may be asked to present at the next RGPAS conference too, if they are able.
  • Details of successfully awarded scholarships will be made available to RGPAS members, and also via the RuralGP.scot and RuralGP.com websites.

How to Apply

  • Please read the application pack – available from the link button below – and submit it as instructed.
  • Closing date: Sunday 19th June 2016.
  • The RGPAS committee will meet virtually, to discuss and judge the applications. Their decision will be final. They may decide not to award all available scholarships.

RGPAS is keen to ensure that this investment in future GPs as well as the development of its existing members, will help to generate innovation, collaboration and inspiration across Scottish rural general practice.  We look forward to receiving applications!

Download an Application Pack
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Second round of Scottish Rural GP Fellowships 2016 – recruiting now

NES Logo 2005Applications are now being invited for the second round of the GP Rural Fellowship Scheme, overseen by NHS Education for Scotland.

The Fellowships offer a fantastic opportunity to build skills and experience in rural general practice, whilst experiencing the challenges and opportunities first-hand – during a well-supported year which includes nine weeks of study leave and a generous study budget.

The Fellowships are located across rural Scotland, from Dumfries & Galloway, to the Shetland Isles, including islands such as Islay, Arran, Skye and the Uists.

Many previous rural fellows have stayed in rural practice, and an article was recently published in the Journal of Rural & Remote Health – highlighting the strengths and successes of the programme which has been running for over ten years.

Rural Fellowship Facebook Page     Rural Fellowship – Official Information

Closing date for applications (2nd round): Tue 24th May 2016

Interviews will be held in Inverness on Friday 3rd June.  Fellowships (one year) commence in August 2016.

Why be a rural GP?

In January last year, the BBC Countryfile team visited Arran to see for themselves…

 

… and NHS Highland recently made this video of rural practice in Kintyre…

 

… and here’s a video just released (March 2016) featuring some of the current Fellows and others involved with the scheme…

Interested?  We want to hear from you…

All the Rural Fellowship sites will welcome you to chat on the phone or visit and tour round what’s on offer.  We can fix up a chat with current or previous rural fellows, and you can ask questions on our Facebook page.  There is a lot of information available from the websites mentioned already, but sometimes it’s easier to arrange a chat on the phone or Skype… all descriptors of the Fellowships (on the official fellowships page) have contact details where you can find out more.

Last year we interviewed some of those involved in running the Rural Fellowships.  Hear more from them about what they think the fellowships can offer recently qualified GPs…

Gill Clarke – Fellowships Co-ordinator

gillGill has been running the fellowship scheme now for three years.  I asked her about the opportunities available, and why she thinks the fellowship scheme is a good way to enable recently-qualified GPs to experience rural practice.

Gill is very happy to be contacted about any of the fellowship options.  gillian.clarke1@nhs.net


Angus MacTaggart – Islay Rural GP

angusAngus is one of two principals of Islay Medical Services, which now delivers primary health care across the island, as well as out of hours and hospital services.  He describes the attractions and challenges that he identifies with rural practice.

You can contact Angus at: Angus.mactaggart@nhs.net


Jonathan Hanson – Skye Rural Practitioner (Mackinnon Memorial Hospital)

jonathanJonathan has trained in a multitude of specialties, and has found his ‘perfect’ job requiring constant generalism.  He represents the growing number of ‘acute rural GPs’ who provide hospital-based services as well as out-of-hours GP cover.  With additional strings to his bow such as anaesthetics, the services provided in Broadford mean that patients can frequently be treated locally, instead of facing long journeys to secondary care.

The contact for the Skye Fellowships is now Melanie Meecham: melanie.meecham@nhs.net


Fiona Duff – Primary Care Manager for Caithness & Sutherland (NHS Highland)

fionaFiona oversees GP services to the North of Scotland, which covers a wide geographical area.  Two fellowships are available in this area.  In this interview, Fiona highlights why a move to Sutherland could be a great career move to aspiring rural GPs.

Apologies for the phone interference in this interview, hopefully it is not too distracting!  You can email Fiona at: fiona.duff@nhs.net


David Hogg – Arran Rural GP

headshot15David oversees the Arran Rural GP Fellowships along with Dr Greg Hamill.  Over half the Arran GP team have been Fellows in the past, and the Arran GP Fellowship offers a great mix of core GP, OOH and community hospital work.  Arran is the highest rated island destination in Scotland by TripAdvisor (4th in the UK) and has a great mix of outdoor activities and culture.

You can contact David: david.hogg@nhs.net

 

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Recruiting now for Scottish Rural GP Fellowships 2016

You can find out about the 2017 Rural Fellowships here.

NES Logo 2005Applications are now being invited for the GP Rural Fellowship Scheme, overseen by NHS Education for Scotland.

The Fellowships offer a fantastic opportunity to build skills and experience in rural general practice, whilst experiencing the challenges and opportunities first-hand – during a well-supported year which includes nine weeks of study leave and a generous study budget.

The Fellowships are located across rural Scotland, from Dumfries & Galloway, to the Shetland Isles, including islands such as Islay, Arran, Skye and the Uists.

Many previous rural fellows have stayed in rural practice, and an article was recently published in the Journal of Rural & Remote Health – highlighting the strengths and successes of the programme which has been running for over ten years.

Rural Fellowship Facebook Page     Rural Fellowship – Official Information

Closing date for applications: 7th April 2016

Fellowships (one year) commence in August 2016.

Why be a rural GP?

In January last year, the BBC Countryfile team visited Arran to see for themselves…

 

… and NHS Highland recently made this video of rural practice in Kintyre…

 

… and here’s a video just released (March 2016) featuring some of the current Fellows and others involved with the scheme…

Interested?  We want to hear from you…

All the Rural Fellowship sites will welcome you to chat on the phone or visit and tour round what’s on offer.  We can fix up a chat with current or previous rural fellows, and you can ask questions on our Facebook page.  There is a lot of information available from the websites mentioned already, but sometimes it’s easier to arrange a chat on the phone or Skype… all descriptors of the Fellowships (on the official fellowships page) have contact details where you can find out more.

Last year we interviewed some of those involved in running the Rural Fellowships.  Hear more from them about what they think the fellowships can offer recently qualified GPs…

Gill Clarke – Fellowships Co-ordinator

gillGill has been running the fellowship scheme now for three years.  I asked her about the opportunities available, and why she thinks the fellowship scheme is a good way to enable recently-qualified GPs to experience rural practice.

Gill is very happy to be contacted about any of the fellowship options.  gillian.clarke1@nhs.net


Angus MacTaggart – Islay Rural GP

angusAngus is one of two principals of Islay Medical Services, which now delivers primary health care across the island, as well as out of hours and hospital services.  He describes the attractions and challenges that he identifies with rural practice.

You can contact Angus at: Angus.mactaggart@nhs.net


Jonathan Hanson – Skye Rural Practitioner (Mackinnon Memorial Hospital)

jonathanJonathan has trained in a multitude of specialties, and has found his ‘perfect’ job requiring constant generalism.  He represents the growing number of ‘acute rural GPs’ who provide hospital-based services as well as out-of-hours GP cover.  With additional strings to his bow such as anaesthetics, the services provided in Broadford mean that patients can frequently be treated locally, instead of facing long journeys to secondary care.

The contact for the Skye Fellowships is now Melanie Meecham: melanie.meecham@nhs.net


Fiona Duff – Primary Care Manager for Caithness & Sutherland (NHS Highland)

fionaFiona oversees GP services to the North of Scotland, which covers a wide geographical area.  Two fellowships are available in this area.  In this interview, Fiona highlights why a move to Sutherland could be a great career move to aspiring rural GPs.

Apologies for the phone interference in this interview, hopefully it is not too distracting!  You can email Fiona at: fiona.duff@nhs.net


David Hogg – Arran Rural GP

headshot15David oversees the Arran Rural GP Fellowships along with Dr Greg Hamill.  Over half the Arran GP team have been Fellows in the past, and the Arran GP Fellowship offers a great mix of core GP, OOH and community hospital work.  Arran is the highest rated island destination in Scotland by TripAdvisor (4th in the UK) and has a great mix of outdoor activities and culture.

You can contact David: david.hogg@nhs.net

 

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RGPAS Launches Scholarships – for students and GPs

2015logopngThe Rural GP Association of Scotland (RGPAS) is pleased to launch a number of scholarships, and is inviting applications now.  Funded by the RGPAS Educational Trust, it was decided at the RGPAS AGM in November 2015 to setup a scholarship scheme to

  1. Encourage and enable Scottish students to experience a Rural GP elective in Scotland, and
  2. To support members of RGPAS (GPs and ST Trainees) to attend international conferences, in a bid to promote international collaboration, awareness of Scottish innovations in rural general practice, and to experience the benefits of seeing innovation from across the world.

Student (Undergraduate) Scholarships

In 2016 there will be five scholarships available, each to a value of £200.

  • This can be used to fund accommodation, travel or other associated costs. Receipts may be requested at the committee’s discretion.
  • The student must be doing their elective at a Scottish rural practice where at least one GP is a member of RGPAS. The student must be at least 20 miles away from their home address.
  • Electives may take place at any time of the year, and be for a minimum of 4 weeks.
  • The student must be an undergraduate medical student from a Scottish university.
  • The student should submit either a 500 word report or a video (of 3 minutes or more) about their experience within 2 months of the end of the elective. They may be asked to present at the next RGPAS conference too, if they are able.
  • Details of successfully awarded scholarships will be made available to RGPAS members, and also via the RuralGP.scot and RuralGP.com websites.

Travel Scholarships

In 2016 there will be four travel scholarships available. Nominally each of these will be worth £500, however some flexibility may be applied to support applications which require more or less than this amount.

  • The applicant will be a member of RGPAS for at least 3 months prior to application. They will be a GP or a GP Trainee (at any stage of ST training) currently practising in Scotland.
  • RGPAS Committee members are eligible to apply.
  • The recipient should attend a conference in a country other than the UK. There will be a preference for activities that foster new relations with other country/world organisations such as WONCA or rural GP associations.
  • The money may be used for travel, accommodation or locum costs associated with attending a conference, event or experience in rural practice
  • The recipient should submit either a 500 word report or video (of 3 minutes or more) about their experience within 2 months of the end of the travel period. They may be asked to present at the next RGPAS conference too, if they are able.
  • Details of successfully awarded scholarships will be made available to RGPAS members, and also via the RuralGP.scot and RuralGP.com websites.

How to Apply

  • Please read the application pack – available from the link button below – and submit it as instructed.
  • Closing date: 30th March 2016. If any scholarships remain, they will be readvertised with a closing date of 14th June 2016 (TBC).
  • The RGPAS committee will meet virtually, to discuss and judge the applications. Their decision will be final. They may decide not to award all available scholarships.

RGPAS is keen to ensure that this investment in future GPs as well as the development of its existing members, will help to generate innovation, collaboration and inspiration across Scottish rural general practice.  We look forward to receiving applications!

Download an Application Pack
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Scotland OOH Care Report now out

IMG_1166

Rural OOH presents specific challenges

The widely anticipated report into safeguarding the future of Scottish out-of-hours care is now available.

Led by Prof Sir Lewis Ritchie, the report – commissioned by the Scottish Government – offers a comprehensive assessment of the challenges and opportunities into providing sustainable, quality out-of-hours care across Scotland.  The challenge of recruiting GPs (amongst other health professionals too), the rising demand from comorbidity and our ageing population, as well as rising expectations generally… make for a tricky landscape for which to design a strategy like this.

However, the opportunities in more co-ordinated working, building on the strengths of integrated teams and more effective (and efficient) approaches to unscheduled care – appear to be a cornerstone of the report, which was published yesterday.

In addition, it makes clear that the service needs to seize more benefits offered by technology – for example in remote assessment and co-ordination of service providers.  Technology cannot offer all the solutions, but we need to be better connected.  It is apt that another story ran yesterday about the scale of the lack of connectivity in rural parts of the UK – and that’s just on the roads.  The need for high-level pressure on connectivity providers is clear, if the recommendations of the OOH report are to be realised.

Another welcome observation is that OOH can be a stimulating area of practice, and a useful learning environment – for students, GP trainees and other practitioners wanting to increase their experience of unscheduled care.  There is also a hint towards the fact that current OOH centres often struggle to offer appropriate rest/catering facilities for their staff.

There is regular consideration throughout the report of the ways in which services have to consider local geography and other service provision.  It appears to be a great example of a rural-proofed document, that takes Scotland’s rural populations well into account in its recommendations.  There is a lot to digest, and of course the challenge will be in implementation.  However, as a major stepping stone towards a more sustainable OOH service, it appears to hit the mark.

The report is available in full here: http://www.gov.scot/Publications/2015/11/8463/downloads

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RGPAS – Conference 5th – 7th November 2015

newlogosquaretextThe Rural GP Association of Scotland (formerly RPAS) will be holding their annual conference on 5th – 7th November 2015, once again at the Craigmonie Hotel in Inverness.

Details about the programme will be issued soon.  One to put in the diary!  Following the successful introduction last year of offering a number of medical student scholarships, we will be doing the same again this year.

Watch this space… meantime, take a look at the new RGPAS website and Facebook pages.  And you can follow the RGPAS Twitter account @RuralGPScot.

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