1. Specialising within GP
Dr Anjaly Mirchandani
MBChB MRCS MRCGP
Salaried Gp
Specialty Doctor in Palliative Medicine

2. My timeline Graduated University of Bristol 2001
Basic and High Surgical Training Rotations
Decision to switch to GP training
Careers advice
Mentoring
- lifestyle, generalist interest in medicine, more holistic care
feeling deskilled in aspects of care that i liked eg communication, variety, greater control over working hours, flexibility, autonomy,
practical skills, teaching
Access careers advice and mentoring from local deanery

3. GP Specialty training Last hospital post in Palliative Medicine
Inpatient unit
Community team
Day Centre
Clicked with specialty…
MDT, supportive, time, holistic care, complements GP, develop advance communication skills, confidence with difficult conversations, complex symptoms, medication
worked with specialty doctor so became aware of role

4. GP ST3 Palliative care locum shifts
European Certificate in Essential Palliative Care
Right place right time - position opened up. Maintained interest, further qualification

5. POst CCT 5 Session salaried GP 5 Session equivalent Specialty Doctor
Inpatient Unit
Middle grade on call rota
Day centre - OPA and medical reviews
Education/Service Development

6. development of other interests
Medical Education
GP tutor Imperial College
Trainer Difficult Conversations
Palliative Care teaching to GP’s and allied Health Professionals
MSc Medical Education in progress

7. Minor Surgery and Joint Injection - accredited
Event Medicine
Coach/Mentor - Imperial Lead Provider Scheme

8. pathway Open minded Opportunity Networking Development of role
Accreditation
openminded to different specialties, own interests.
‘fall in’
right place at the right time

9. Benefits Pursue specialist interest in wide variety of specialties
Personal satisfaction and development - increase in competence and certainty in specific area
Vary working week
Different working environment and professional relationships
Share knowledge with colleagues in practice
Opportunities for teaching and training
Opportunities for service development

10. disadvantages
Time commitments - competencies, setting up service, appraisal, personal development, timetable
Variable income
Medico-legal
Know your limitations
currently no extra fee to MDO
Clarity and cost effectiveness of role

11. Useful links
A Career Companion to Becoming a GP: Developing and Shaping Your Career by Patrick Hutt, Sophie Park
London Postgraduate Medical and Dental Education Coaching Service
Imperial Lead Provider Coaching and Mentoring Scheme

12. any questions?