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Innovative Training Posts/Out of Practice Experience

Opportunities for Out of Programme Experiences in Global Health

*Please note the formal application window for 2016 has closed. 2017 window dates are to be confirmed, but please use these dates as a guide for the 2017 window*

These exciting opportunities promote Global Health Perspectives and personal development including resilience, self-confidence and higher level of independent problem solving.

Timing: Just before commencing final year of specialty training in General Practice and subject to good progress through training.

 

Nepal

Taster of 2 month out of program experience (OOPE) for GP Registrars in Nepal. Programme is still being evolved as local factors have resulted in temporary suspension. The OOPE will be done at the end ST2 (before commencing final GP attachment).

The GP Registrar will be affiliated to a local Medical School and will be working alongside Clinical Supervisors, Dr Claire Stevens and Ian Ferrer in Community based clinics.

Funding for this is being sought.

 

 

 

South Africa

Twelve month out of program experience (OOPE) doing paid clinical work in South African Community Hospitals – primarily in Zulu communities. These well-established placements have been visited by UK educators and feedback from UK Trainees has been excellent.

The OOPE is done after ST2 (before commencing final GP attachment). The location and subsequent local pastoral supervision in South Africa is organised by Africa Health Placements Charity. There is excellent clinical induction and supervision.

Self- funded. Though some funding to attend Tropical Medicine Induction courses may be needed.

 

What to do next Applications and Eligibility

Stage 1—Expressions of interest
In the first stage we are seeking expressions of interest, after which we will hold an event to explore and discuss these Global Health Attachments. Please reply via email before Friday 8 April 2016 to heem.gp-programmes@nhs.net

Stage 2—Formal application

  1. Written (or emailed) approvals from both the Training Programme and your Educational supervisor confirming good to excellent progress through training, and ARCP reviews at ST1 and (expected) at ST2.
  2. Send OOP application form, which can be found on our website CV with a 300 word statement on how you envisage the OOP would enhance your personal and professional growth.
  3. Send the above via email with the subject GP ITP to heem.gp-programmes@nhs.net by no later than Friday 13 May 2016.
  4. Decisions / interviews etc. will be made within 2 weeks of the closing date.
  5. Any interim questions please email to pchahal@nhs.net.

"My year in South Africa was an incredible experience. Working in a setting where the resources were limited had its challenges, but you find great satisfaction in being able to make small changes that can have a big impact on patient care. Sometimes the sheer volume of things that could be improved upon was simply overwhelming, and doubly frustrating when those around you didn't share that sense of what 'could be'. It was a year where I had to learn the fine balance between not accepting poor standards just because you were in a poor setting, but being realistic enough to see that you simply can't pull out all the stops for patients, as much as you would like to.

"I learnt a lot about managing patients with HIV and TB, caring for extremely sick children and being faced with a high infant mortality rate. Those who so wished could get some experience in surgery. Others were able to visit the hospital's remote satellite clinics. Every one of us had our comfort zones pushed, our appreciation of western health service grown, and a deep affection for our patients and colleagues established.

"It was a year for working hard AND playing hard, and South Africa has a lot to offer! Whether it's history or beaches or game drives or scuba diving or mountains, it's got it all. South Africa is a wonderfully hospitable country, and its people will steal your heart away. If there's even a small part of you tempted to consider it, indulge that whim! You'll not regret it." Dr Rebecca Reith, previous GP ST3 Trainee

 

Innovative Training Posts (ITPS) are available during the 4 month GP attachment in ST2.

Fifty percent of the working week has to be in General Practice and the rest in the ITP. Some negotiation of how the week is distributed between the ITP and General practice will be needed, though it is not usually a problem. Out of hours (OOH) and formal assessments will continue during the 4 months. There is a clinical supervisor for each ITP. The feedback from well-established ITPs such as Public Health and Academic General Practice has been consistently excellent. Evidence of good progress and recommendation from educational supervisors is a mandatory part of the application process for these ITPs. See overleaf for a full list.

 

Public health and primary care medicine are closely intertwined. Many of the health priorities at national and regional levels are derived from research and information received from public health. This attachment will give the GP registrar a public health perspective to their training and subsequent practice. The placements are in the locations below; please specify your preference on submitting your application;

  • Lincolnshire County Council
  • Leicestershire County Council
  • Nottingham City
  • Public Health England

Clinical Commissioning Groups (CCG)

This will be very flexible attachments that will provide experiences in clinical and corporate governance, medical leadership and quality management. There will also be opportunities in doing some epidemiological work, for example working with public health.

Academic General Practice

These are Academic attachment at Nottingham University Department of General Practice. There is considerable kudos and opportunities attached to these attachments, with previous GPStRs publishing and presenting their projects nationally and some proceeding to Academic Clinical Fellowships extending into ST4. There are 3 posts available, with the option for either being involved in research or teaching. 

What to do next Applications and Eligibility

  1. Written (or emailed) approvals from both the Training Programme and your Educational supervisor confirming good to excellent progress through training, and ARCP reviews at ST1 and (expected) at ST2.
  2. Send CV with a 300 word statement on how you envisage the Fellowship would enhance your personal and professional growth.
  3. Send the above via email with the subject GP ITP to heem.gp-programmes@nhs.net. by no later than Friday 8 May 2016.
  4. Decisions / interviews etc. will be made within 2 weeks of the closing date.
  5. Any interim questions please email to pchahal@nhs.net.