Swindon General Practice Education
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This Practice Our Practice was first established in 1973 and has grown rapidly since that time so that we now have 5 partners and 7,800 patients. We have been involved with training since 1981 and all enjoy the stimulus that this brings us. We feel we are friendly and approachable with excellent staff! We are lucky to work from modern purpose built premises in a friendly small market town with good local facilities, a good social mix, and in a beautiful part of the country! We have the advantage of being semi-rural but with excellent road links: we are only 1 mile from the M4, and close to the Cotswolds and the Marlborough Downs, and only 20 minutes away from our very good local hospital – Great Western in Swindon. Our Medical Team Nick Yerbury: Joined 1980. GP Trainer (since 1986), medical student teacher. Interests in dermatology, prescribing lead, minor ops lead. Mary Valentine: Joined 1988. GP Trainer (since 2003), medical student teacher, hospital practitioner in endocrinology/general medicine at GWH, GP Appraiser, previous GP Tutor/facilitator for retained doctors for 8 years, clinical governance lead, joint diabetic lead. Marion O’Brien: Joined 1998 – clinical assistant gastroenterology GWH, medical student teacher, joint diabetic lead. Simon Nelson: Joined 2002 – interests in occupational health, asthma lead, PCT Data Quality Assessor, medical student teacher. John Bailes: Joined 2004 – interests in drug addiction, medical student teacher – just got married! Jo Maddison: Previously our Registrar and subsequently our Retained Doctor. Now a salaried doctor (and Simon’s wife!) Current Registrars: Ravi Gonsalves and Karen Jenkins Our Philosophy Our primary objective is to provide a high-class medical service to our patients combining high quality care with compassion. We prefer to be able to see patients reasonably quickly, though appointments may run late, rather than see them promptly a week later. We prefer to provide continuity of care to individual patients where possible by encouraging patients to see the same Doctor, but do not operate a strict doctor/patient list. Wherever possible we will provide total clinical in-house care eg 95% of our Diabetics are managed entirely within the practice. This is because of Dr Valentine's and Dr O'Brien's expertise in this field. In addition to the usual services, we offer a wide range of minor surgery and family planning services, which the registrar has the opportunity to learn (e.g. joint injections, excisions, implants, endometrial biopsies, coils, implanon etc). We have good support from our excellent practice nurses and nearly all administration is delegated to practice staff. Psychology, counselling, dietician and physiotherapy clinics are held on the premises, by referral via the doctors. Our midwife runs a clinic at the surgery. We work closely with our colleagues in the Primary Health Care Team and attend regular meetings. The practice has an active patient participation group. We hold regular patient health education meetings. Fund raising efforts have provided amongst other things ambulatory blood pressure monitors, physio couches, pocket computers, 24-hour ECG monitor and pulse oximeters. Computerisation The practice uses Vision 3 software. There is a terminal with Internet access on each desk and all prescribing is computerised. The practice is virtually paperless. We have access to the Medway computer system at GWH which enables us to see results/appointments/clinic letters and x-rays. Clinical results are received on-line. The Training
We feel it is important to be a learning organisation where we can all learn from each other. Although Nick and Mary are the official trainers, all the other doctors, Elaine, our Practice Manager, our nurses and all the staff are happy to help and be involved in the training process. In addition to GP Registrar Training, medical students from Bristol and Oxford come to us on attachment and we have previously had retained doctors work with us – one of, one of them, Jo, has recently joined us as a salaried doctor. We have also mentored our attached community paramedic, and are now involved in emergency care practitioner training. Training is learner centered, with a flexible education programme to suit the individual registrar’s needs, which are regularly reviewed during the training year. We hope it’s fun! The Registrar has his/her own consulting room and enjoys the prospect of a 2 hour tutorial each week (when the Trainer expects to learn also!). He/she is expected to contribute to Partners’ business meetings, practice clinical meetings and practice entertainment (see above pics!). Training material includes the practice library, the Internet, video of consultations and subject folders. Weekly sitting in with one of the partners is encouraged throughout most of the year. There is a gentle induction programme. Mary Valentine and
Nick Yerbury at:
Link to Google Maps! Updated Oct 2007 |
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