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Patient Capacity

Professor Kasey Boehmer

Kasey Boehmer leads work around Treatment Burden and Capacity Theory at the Mayo Clinic, supporting a shift away from deficit models of care. She works with Victor Montori who leads work around Minimally Disruptive Medicine in collaboration with Carl May, Anne Rogers and Frances Mair.

The workshop aims to:

  1. Distinguish communicative from protocol-driven approaches to chronic care.
  2. Understand conceptual foundations for discussing chronic conditions.
  3. Gain experience in using the ICAN Discussion Aid and consider how it applies to individual and team practice for the future.

SHERPA & Clinical decision making tool

Dr Edmund Jack and Dr Neil Maskrey

Patients with multimorbidity have worse health outcomes and struggle with a fragmented health system. They’re often left without a clear understanding of their health. Practitioners recognise many of this difficulties too – how to provide person centred care, balance the need for quality and quantity of life and to do this across in the complex and uncertain setting of multimorbidity. The NICE guidelines on multimorbidity sets out goals for the care of those with multimorbidity but little in the way of practical guidance. The SHERPA (Sharing Evidence Routine for a Person Centred Plan of Action) model was developed to address these issues.


Our objectives for workshops participants are to be able to:

  1. Describe the SHERPA models 3 step approach
  2. Apply it to some example cases and consider how it could work for their practise.
  3. Give feedback to help refine and develop the model.

 

 

PORTFOLIO VERSUS ACADEMIC CAREERS IN MEDICAL EDUCATION – WHAT ARE THE OPTIONS?


Dr Peter Yeates (Clinical Lecturer in Medical Education, Keele University), Dr Rebecca Farrington (Senior lecturer in Community Based Medical Education at Manchester Medical School), Dr Rebecca Baron (Associate Director GP for HEE (North West)) Dr Adam Firth (GP trainer and ST3 teaching lead), Geraldine Murphy (GPST4) and Emma Morris (GPST1)

This workshop will provide a panel of experts involved in Medical Education research and delivery. We aim to answer your questions on how to get involved in teaching and training at an Undergraduate and Postgraduate level and how pursue an academic career in Medical Education.

Peter Yeates started his academic career as a teaching fellow in 2005 in Northumberland, just after membership exams. He then moved to Manchester to take up an ACF in medical education and started speciality training. He was supported by departmental funding to do a PhD between 2009-12, and then in 2013 obtained an NIHR-matched clinical lectureship during which he completed his training as a respiratory physician and did early post-doctoral work. He moved to Keele University in 2015, working half time clinically and half time as a lecturer in medical education research. In March 2018 he was awarded an NIHR clinician scientist award which he is using to develop a programme of research around examiners’ judgements in OSCEs.

Rebecca Farrington works as a clinical lecturer and deputy lead for Community Based Medical Education at the University of Manchester.  Rebecca also works as a GPwSI in Asylum Seeker Mental Health, a role that also involves providing specialist training to GP surgeries.  Finally, Rebecca works as a salaried GP for one session per week. Rebecca received the Teaching Excellence Award from the University of Manchester in 2017.  She is on the national board for the DIMAH group (Diversity in Medicine and Health).

Rebecca Baron has been Associate Dean for General Practice since 2003 in Health Education England.  She qualified from Manchester University in 1984 and worked as GP partner in Stockport for 28 years. She has been a GP Educator, a trainer and Clinical Governance Lead for Stockport. She has run a Masters level leadership course for GPs in the North West for over 20 years, and her key interests are how we can use the evidence from leadership and resilience training to support ourselves, our teams and the work we do as doctors.

Adam Firth is a previous Manchester ACF who is now a GP trainer and Primary Care Medical Educator running the ST3 teaching programme in Stockport. He has experience of organising, writing and delivering postgraduate teaching to align with the RCGP curriculum.  He also maintains an academic interest working on NICE Guideline Committees to help get research into practice.   

The workshop will be facilitated by Geraldine Murphy and Emma Hughes who are both current GP ACFs in Medical Education

Quality Improvement in General Practice – an optional extra , or crucial to survival?

Dr Joanna Bircher RCGP QI lead

Joanna is a GP in Greater Manchester. She is Clinical Director to the RCGP/Greater Manchester GP Excellence Programme, Clinical lead for Quality Improvement at Tameside and Glossop CCG, a Generation Q Fellow of the Health Foundation and a board member of AQuA (Advancing Quality Alliance). She has a Masters degree in Leadership for Quality Improvement from Ashridge Business School and is co-author of the RCGP Guide to Quality Improvement. Her particular interest is in making established QI methodology relevant and accessible for Primary Care.

As Health professionals we are being challenged to do more with less. For most of us, our clinical training alone does not equip us for this task. We need to find ways to improve systems and processes so that they achieve high quality outcomes for patients as efficiently as possible. Quality Improvement skills and tools provide a way of diagnosing system problems, planning an alternate way of doing things, and generating the evidence to determine which ways are most efficient.  We will describe The RCGP Quality Improvement Framework for general practice, and illustrate some of the tools from the framework with real examples of their use from the frontline.  

National primary care research collaborative for academic trainees and early career researchers

Professor Debbie Sharp and Dr Polly Duncan

Debbie Sharp is professor of primary care research and Polly Duncan is an In-Practice Fellow at the University of Bristol.

The workshop is an exciting opportunity to share ideas for setting up a National primary care research collaborative for early career researchers in primary care. Highly successful trainee research collaboratives have been established in surgery and anaesthetics and provide an opportunity for trainees to take part in well-designed large-scale research projects. This new model for primary care research has enormous potential, particularly for research into hard to reach groups, such as older housebound patients who are difficult to identify within Clinical Practice Research Datalink data.

Getting the most out of your ACF: using your ACF to accelerate your clinical academic career. 

NIHR Academy: Dr Nicola Melody, Dr Helen Harris-Joseph, Ailsa Donnelly and Dr James Fenton

This workshop will bust myths around your ACF, give tips and advice on how to get the most out of your ACF and give you some ideas on preparing for the next step; that all important PhD fellowship application. 

THE DOCTOR V THE MACHINE


Professor Niels Peek

Data Science and Artificial intelligence (AI) are becoming increasingly effective, and are increasingly being used, to guide decision-making in healthcare. But there are many controversies around the role that data and technology should play, and whether their disruptive nature is actually beneficial for the NHS. We will present a number of controversial statements on Data Science and AI and discuss their underlying rationale. 

SYSTEMS THINKING FOR EVERYDAY WORK


Drs Duncan McNab and Sarah Luty 

‘Systems thinking’ is often recommended to support quality and safety activities but a shared understanding of this concept and purposeful guidance on its application are limited. Healthcare systems have been described as complex where interactions are difficult to understand, and conditions are unpredictable and change rapidly. Despite this complexity, simple, linear approaches are often adopted when attempting to explore, analyse and improve systems.

This workshop introduces key principles that support a way of thinking about performance in complex systems that encourages an exploration of how people adjust performance to cope with unpredicted and rapidly changing condition.


The aims of this workshop are to:

  • Describe why a ‘systems approach’ is needed to understand performance in healthcare
  • Introduce a framework that can be used to analyse everyday work in complex systems
  • Apply this framework using a short video scenario
  • Discuss the potential application of the framework to study everyday work

Duncan McNab and Sarah Luty are Associate Advisers at NHS Education for Scotland. Tom Blakeman is Clinical Senior Lecturer at The University of Manchester as well as RCGP Clinical Champion for Acute Kidney Injury (AKI). A ‘systems approach’ offers the potential to address key challenges facing the NHS. Through the lens of AKI, this workshop will introduce principles adapted from air navigation to inform improvement and safety work in general practice and across the interfaces of care.

AN OPPORTUNITY TO EXPERIENCE A BALINT GROUP CASE DISCUSSION AND TO DISCUSS THE PROCESS

Dr Simon Henshall and Dr Jeani Lingam

This experiential workshop will create a space to think about the impact of the doctor-patient relationship in the consulting room. There will be a space to think about the importance of reflective practice in our work as doctors as a source of support for ourselves and also as a tool to deepening our understanding of our work with our patients. 

Simon is a GP working in central Manchester at the Robert Darbishire Practice. He is involved in GP education and co-leads Balint groups for GP trainees in the Salford and Trafford training scheme. He has been a member of a Balint group for 10 years and co-leads a Balint group in south Manchester. When he asked himself ‘Why do you turn up at your Balint group on a cold, wet Manchester evening after a long day at work?’, the answer had, at its heart, the human connection between doctors and patients that took him into medicine.

Jeani Lingam is a Consultant Medical Psychotherapist and Psychoanalytic Psychotherapist. She works in private practice in Leeds and also as an NHS Consultant for Bradford District Care Foundation Trust where she is the Psychotherapy tutor for medical trainees on the Psychiatry training programme. She is an accredited Balint group leader with the Balint Society UK and runs a variety of regular Balint groups for medical staff of all grades, including FY and GP trainees. She is also a training therapist, clinical supervisor and tutor on the D58 Tavistock Psychotherapy course in Leeds.