Becoming a GP

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Becoming a GP

  1. 1. Why you should be a GP Dr Mark Feldman MBBS MRCGP (dist) DFFP DOCCMED MDCH ILTM
  2. 2. Who am I ?  GP for 25 yrs  Trainer in general practice  Occupational health  Sanofi aventis, AXA, Healthsure, Thames power  Deanery interviewer  Hypnotherapy  Lecturing
  3. 3. Why you should be a GP  Gate In  The Course  After qualification  What its like to be a gp  Clinical Cases
  4. 4. Med School Entry requirements Birmingham  A2 Levels** 1. Chemistry required. 2. One from Biology, Physics or Mathematics required. 3. One other subject, which may include those named above excluding General Studies.  AS Levels Biology required (Grade B minimum).
  5. 5. Med School Entry requirements  GCSE Normally a minimum of 8 GCSEs mostly A or A*. English Language Grade B minimum, (650 for TOEFL or 7.0 for each component of IELTS), Physics and Mathematics (at Grade A minimum) if not offered at A or AS Level, Integrated Science (Double Certificate) Grade A is acceptable as an alternative to Physics.  **320 Points Minimum from 3 GCE Advanced Levels (with at least 2 A Grade passes) or equivalent must be achieved in year 13.
  6. 6. Med School Entry requirements  ROYAL FREE AND UCL  Required standard of Mathematics and English Language  All candidates must have GCSE or O-level at grade B or above in English Language and Mathematics.  GCE A-levels  Students are expected to take three A-levels and one additional AS-level. These courses should be completed within two years (we do not consider re-sit students).  Chemistry must be studied at A-level. Biology must be studied at either A or AS-level. A candidate can have a free choice of other AS/A-level subjects, with the following exceptions:  General Studies A-level is acceptable only as an alternative to the additional AS-level.  We do not wish to discourage applicants who are studying two mathematical subjects at A- level, but such applicants should be aware that they will need to take four A-levels, as offers will only include one of the Maths subjects amongst the three A-level combination. For example, Chemistry, Mathematics, Further Mathematics A-levels and AS-level Biology would not be acceptable.  Please note that some preference will be given to applicants who, in addition to Chemistry and Biology, offer a contrasting subject at A or AS-level. In this context the definition of a contrasting subject is one outside the traditional science subjects of Maths, Chemistry, Biology and Physics. For example, a foreign language, English literature, history, geography, art, music, critical thinking, religious studies, design and technology etc.  Our standard conditional offer is grades AAB at A-level and a pass in an additional AS-level. The reference on the UCAS application must list both the A-level and the additional AS-level grade predictions in order for the candidate to be considered further.
  7. 7. Med School Entry requirements  UKCAT[UK Clinical Aptitude Test ] will consist of five subtests:  Verbal reasoning- assesses candidates' ability to think logically about written information and arrive at a reasoned conclusion.  Quantitative reasoning- assesses candidates' ability to to solve numerical problems.  Abstract reasoning - assesses candidates' ability to infer relationships from information by convergent and divergent thinking.  Decision Analysis- assesses candidates' ability to deal with various forms of information, to infer relationships, to make informed judgements, and decide upon an appropriate response.  Non-cognitive analysis – identifies robustness, empathy
  8. 8. Med School Entry requirements  UK CAT – 2 hours long  http://www.ukcat.ac.uk/  Above shows online demos.  Details of the test  List of universities which require it
  9. 9. Med School Entry requirements  Biomedical Admissions Test BMAT  2 hour  Pen and paper  Aptitude and skills 60 min  Scientific Knowledge 30 min  Writing task 30 min 1 from 3  Full details and advice available online  http://www.bmat.org.uk
  10. 10. Med School Entry requirements  BMAT Universities  Imperial  UCL  University of Cambridge  University of Oxford  Royal Vetinerary College
  11. 11. The course
  12. 12. Post qualification
  13. 13. Types of Doctor Urology Cardiology ENT Dermatology Rheumatology Psychiatry Research Surgery Medicine paeds eyes gynae GP
  14. 14. General Practice  Typical Week  There is no typical week  Type of work  Chronic Disease management  Acute Disease  Teaching
  15. 15. General Practice  What’s the attraction?  Helping others  Problem Solving  Working in a team  Huge variety  Cradle to the grave  Continuity
  16. 16. General Practice  What’s the attraction?  Autonomy  Portfolio careers  GYPSI  Occ health, hypnotherapy, dermatology, teaching  Income
  17. 17. Income in training House Officer £19700 SHO £24500 – 34500 GPR £ 46000 + [ more if greater experience – max about £ 70000]
  18. 18. General Practice  Income  Average gp income 43%> £100000  Average consultant income £67 – 91000  [ BUT NB private work ]  Average UK income £26000
  19. 19. General practice  What’s it like
  20. 20. Who’s this?
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  50. 50. General Practice  Scaly rash on elbows and knees  Pink well defined, raised up  Present for one month  Scaly scalp
  51. 51. General Practice  Psoriasis
  52. 52. General Practice  Tiredness  Weight gain  Dry Hair  Constipation  Feeling cold  Coarsening of features
  53. 53. General Practice  Hypothyroidism
  54. 54. General Practice  Tiredness 16 yr old girl  Sore throat  Rash  Exudate on tonsils  Enlarged spleen
  55. 55. General Practice  Glandular fever
  56. 56. General Practice  Tiredness 14 yr old boy  Weight Loss  Polyuria  Thirst
  57. 57. General Practice  Diabetes
  58. 58. General Practice  Tiredness 38 yr old woman  3 children  Husband left her  Tearful  Cant sleep
  59. 59. General Practice  Depression
  60. 60. General Practice  Who does it suit  Quick thinkers  People who can see patterns  People people  Curious people who like stories
  61. 61. General Practice  Who does it suit  Skills Needed  Pattern Recognition  Memory – the database  Communication  IT  Social skills  Ability to work in team  Problem solving
  62. 62. Why you should be a GP The End

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