1. THE REGISTRAR YEAR SURVIVAL GUIDE NICOLA HILLS

3. TODAYS AIMS Getting Started Getting Started Organising the year Organising the year MRCGP / SA MRCGP / SA Important paperwork / PMETB Important paperwork / PMETB Top tips Top tips

4. Getting started All already underway! All already underway! ? Memorised everyone’s names yet ? Memorised everyone’s names yet Mastering EMIS etc Mastering EMIS etc Where/how/when to refer or get advice Where/how/when to refer or get advice Map of local area Map of local area

5. Missing being an SHO? Most Wednesdays on day release Most Wednesdays on day release Half day (study/shopping) Half day (study/shopping) No bleeps No bleeps No evenings/nights/weekends! Hurray! No evenings/nights/weekends! Hurray!

6. Organising the year Goes very fast! Goes very fast! Lots to cram in as well as learn how to be a GP Lots to cram in as well as learn how to be a GP Develop own way of being organised eg diary/PDA Develop own way of being organised eg diary/PDA Regularly update portfolio folder/PDP Regularly update portfolio folder/PDP

7. Summative Assessment MCQ MCQ Video – can be single route with MRCP Video – can be single route with MRCP Trainers Report Trainers Report Audit Audit Apply by sending form – www.nosa.org.uk website Apply by sending form – www.nosa.org.uk website

8. MCQ 6 th Dec, 7 th Feb & 2nd May 6 th Dec, 7 th Feb & 2nd May 3 hours long 3 hours long Can resit 5 times! Can resit 5 times! Automatically pass if pass MRCGP MCQ Automatically pass if pass MRCGP MCQ Free! Free!

9. Quite random Quite random Don’t revise first time round Don’t revise first time round Cover dull areas eg employment law, sick notes, DVLA Cover dull areas eg employment law, sick notes, DVLA Inc ENT/ophth/derm Inc ENT/ophth/derm Don’t read too deeply into questions Don’t read too deeply into questions

10. Video Bit complicated Bit complicated Can just submit SA video or ‘single route’ Can just submit SA video or ‘single route’ Quite loose criteria for SA route, see www.nosa.org.uk Quite loose criteria for SA route, see www.nosa.org.ukwww.nosa.org.uk Needs to be 2hrs long, min 8 consultations, none >20mins long Needs to be 2hrs long, min 8 consultations, none >20mins long

11. Single route video Workbook on RCGP website Workbook on RCGP website Send to deanery, if fail MRCGP will be assessed for summative Send to deanery, if fail MRCGP will be assessed for summative 7 consultations 7 consultations 14 criteria (10 pass and 4 merit), need to fulfil each pass criteria in minimum of 4/7 14 criteria (10 pass and 4 merit), need to fulfil each pass criteria in minimum of 4/7 Each consultation stopped at 15 mins Each consultation stopped at 15 mins

12. Must inc a child <10 yrs and psych/social case Must inc a child <10 yrs and psych/social case Need consent forms and log book Need consent forms and log book Only send log book with video Only send log book with video Deadline for either route 27 th April. Deadline for either route 27 th April.

13. Tips re videoing Start early, even if just so you can laugh at them at the end of the year Start early, even if just so you can laugh at them at the end of the year Watch with trainer for advice or to make him/her laugh Watch with trainer for advice or to make him/her laugh Will become more natural Will become more natural Key questions on a post-it out of shot Key questions on a post-it out of shot

14. Check sound quality Check sound quality Date and time needs to be visible Date and time needs to be visible Can do on DVD, best to have video back-up Can do on DVD, best to have video back-up Make sure patients not exposed in shot (behind curtain/lens cap) Make sure patients not exposed in shot (behind curtain/lens cap)

15. Audit Get started asap! Get started asap! Need time to make changes and re-audit Need time to make changes and re-audit Simple ideas are best eg relate to QOF/guideline Simple ideas are best eg relate to QOF/guideline Ask trainer/colleagues for ideas and with help to so searches Ask trainer/colleagues for ideas and with help to so searches Hot topics book Hot topics book

16. Michael’s guide on website very helpful Michael’s guide on website very helpful 8 criteria proforma 8 criteria proforma Max 3000 words Max 3000 words Type double spaced Type double spaced Anonymised Anonymised Send 3 copies and keep one Send 3 copies and keep one

17. Trainer’s report Should be sent booklet Should be sent booklet Key competencies to be checked off by trainer Key competencies to be checked off by trainer Do anytime as you go along Do anytime as you go along Submit 6/52 before end with VTR1 form to deanery Submit 6/52 before end with VTR1 form to deanery

19. MRCGP MCQ, Written paper, Oral and video MCQ, Written paper, Oral and video £310 per module £310 per module Closing date for application – 2 nd Feb 2007 Closing date for application – 2 nd Feb 2007 MCQ/written – 2 nd May 2007 MCQ/written – 2 nd May 2007 Oral – 21 st - 30 th June Oral – 21 st - 30 th June

20. See syllabus on college website See syllabus on college website All past written papers on site too – invaluable All past written papers on site too – invaluable Also examiners comments (if done badly before, may be back!) Also examiners comments (if done badly before, may be back!)

21. Study group Essential to passing MRCGP Essential to passing MRCGP MRCGP is as much technique as knowledge MRCGP is as much technique as knowledge Meet weekly, start ? January Meet weekly, start ? January Practice written paper questions Practice written paper questions Then oral questions Then oral questions Wine + food + gossip = distinctions Wine + food + gossip = distinctions

22. Out of hours Need minimum 72 hrs over the year Need minimum 72 hrs over the year Start asap as often only 3-5 hr shifts Start asap as often only 3-5 hr shifts Hassle trainer to get shifts Hassle trainer to get shifts Should be supervised Should be supervised Mix of base/visiting doctor Mix of base/visiting doctor Can be supervised by other drs Can be supervised by other drs

23. Log book available Log book available Only need to submit a form signed by trainer deeming you competent Only need to submit a form signed by trainer deeming you competent Form from deanery website, can send with trainer’s report/VTR1 forms to deanery Form from deanery website, can send with trainer’s report/VTR1 forms to deanery

24. Worth making note of interesting/referred patients to f- up what happened Worth making note of interesting/referred patients to f- up what happened Try different bases/shifts Try different bases/shifts Good future source of income! Good future source of income!

25. Paperwork Tedious but essential Tedious but essential Send VTR2 (SHO posts) forms off asap to deanery then to certification unit of RCGP with £350 Send VTR2 (SHO posts) forms off asap to deanery then to certification unit of RCGP with £350 Will then become associate member of college (free BJGP) Will then become associate member of college (free BJGP)

26. Nearer end of year need to register with PMETB, apply for CCT, send VTR1 form and £500! Bargain….. Nearer end of year need to register with PMETB, apply for CCT, send VTR1 form and £500! Bargain….. All very complicated, see college summary and contact list All very complicated, see college summary and contact list

27. Top Tips Keep up to date folder/PDP, try and do weekly as will not remember what you’ve done, trust me! Keep up to date folder/PDP, try and do weekly as will not remember what you’ve done, trust me! Record details of tutorials, educational meetings, day release sessions Record details of tutorials, educational meetings, day release sessions Reflect on meetings/courses attended – what learnt? Still to learn? Reflect on meetings/courses attended – what learnt? Still to learn? www.gpnotebook.co.uk www.gpnotebook.co.uk

28. Courses MRCGP revision course – really helpful re technique MRCGP revision course – really helpful re technique Hot topics – 1 person per study group, then photocopy excellent handbooks Hot topics – 1 person per study group, then photocopy excellent handbooks Minor ops - ? That helpful Minor ops - ? That helpful DRCOG/FFP if interested/female….. DRCOG/FFP if interested/female….. Funding limited, so chose wisely Funding limited, so chose wisely

29. Reading BMJ – worth flicking through regularly, make note of interesting/relevant studies BMJ – worth flicking through regularly, make note of interesting/relevant studies BJGP – read if you have no hobbies/friends BJGP – read if you have no hobbies/friends Doctor/Pulse/GP – fun, easy to read, job adverts Doctor/Pulse/GP – fun, easy to read, job adverts BMJ careers – should be getting GP version BMJ careers – should be getting GP version

30. Books Pastest – MRCGP MCQ revision book – Peter Ellis Pastest – MRCGP MCQ revision book – Peter Ellis Pastest – Practice papers for the MRCGP written exam – Rob Daniels Pastest – Practice papers for the MRCGP written exam – Rob Daniels Get through the MRCGP MCQ – Una Coales Get through the MRCGP MCQ – Una Coales Get through the MRCGP oral/video modules – Una Coales Get through the MRCGP oral/video modules – Una Coales MasterPass EMQ for the MRCGP paper 2 – Hayley Dawson MasterPass EMQ for the MRCGP paper 2 – Hayley Dawson Critical Reading for the MRCGP 2e – E Stacey Critical Reading for the MRCGP 2e – E Stacey Medical statistics made easy – Michael Harris Medical statistics made easy – Michael Harris Concepts and answers for the MRCGP oral exam – P Naidoo Concepts and answers for the MRCGP oral exam – P Naidoo

31. And when it’s all over…. Celebrate exam success! Celebrate exam success! Consider career options….locum, assistant, partnership, popstar…… Consider career options….locum, assistant, partnership, popstar…… Remember full-time = 4 days/week Remember full-time = 4 days/week You can negotiate a salary! You can negotiate a salary!

32. Suggestion for the Automated Switchboard of a Psychiatric Hospital. Thank you for calling. If you are obsessive-compulsive, press '1' repeatedly. If you are co-dependent, ask someone else to press '2'. If you have multiple personalities, press '3', '4', '5' and '6'. If you are paranoid, we know who you are and what you want; just stay on the line and we will trace the call. If you are schizophrenic, listen carefully and a voice will tell you which number to press. If you are depressed, it doesn't matter which number you press, we won't answer your call anyway. ( If you are a GP, forget about referring a patient because there aren't any beds. ) Suggestion for the Automated Switchboard of a Psychiatric Hospital. Thank you for calling. If you are obsessive-compulsive, press '1' repeatedly. If you are co-dependent, ask someone else to press '2'. If you have multiple personalities, press '3', '4', '5' and '6'. If you are paranoid, we know who you are and what you want; just stay on the line and we will trace the call. If you are schizophrenic, listen carefully and a voice will tell you which number to press. If you are depressed, it doesn't matter which number you press, we won't answer your call anyway. ( If you are a GP, forget about referring a patient because there aren't any beds. )

33. That’s all folks………………… ANY QUESTIONS?....