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Becoming a GP

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  • 1. Why you should be a GP Dr Mark Feldman MBBS MRCGP (dist) DFFP DOCCMED MDCH ILTM
  • 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. Why you should be a GP  Gate In  The Course  After qualification  What its like to be a gp  Clinical Cases
  • 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. 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. 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. 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. 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. 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. Med School Entry requirements  BMAT Universities  Imperial  UCL  University of Cambridge  University of Oxford  Royal Vetinerary College
  • 11. The course
  • 12. Post qualification
  • 13. Types of Doctor Urology Cardiology ENT Dermatology Rheumatology Psychiatry Research Surgery Medicine paeds eyes gynae GP
  • 14. General Practice  Typical Week  There is no typical week  Type of work  Chronic Disease management  Acute Disease  Teaching
  • 15. General Practice  What’s the attraction?  Helping others  Problem Solving  Working in a team  Huge variety  Cradle to the grave  Continuity
  • 16. General Practice  What’s the attraction?  Autonomy  Portfolio careers  GYPSI  Occ health, hypnotherapy, dermatology, teaching  Income
  • 17. Income in training House Officer £19700 SHO £24500 – 34500 GPR £ 46000 + [ more if greater experience – max about £ 70000]
  • 18. General Practice  Income  Average gp income 43%> £100000  Average consultant income £67 – 91000  [ BUT NB private work ]  Average UK income £26000
  • 19. General practice  What’s it like
  • 20. Who’s this?
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  • 50. General Practice  Scaly rash on elbows and knees  Pink well defined, raised up  Present for one month  Scaly scalp
  • 51. General Practice  Psoriasis
  • 52. General Practice  Tiredness  Weight gain  Dry Hair  Constipation  Feeling cold  Coarsening of features
  • 53. General Practice  Hypothyroidism
  • 54. General Practice  Tiredness 16 yr old girl  Sore throat  Rash  Exudate on tonsils  Enlarged spleen
  • 55. General Practice  Glandular fever
  • 56. General Practice  Tiredness 14 yr old boy  Weight Loss  Polyuria  Thirst
  • 57. General Practice  Diabetes
  • 58. General Practice  Tiredness 38 yr old woman  3 children  Husband left her  Tearful  Cant sleep
  • 59. General Practice  Depression
  • 60. General Practice  Who does it suit  Quick thinkers  People who can see patterns  People people  Curious people who like stories
  • 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. Why you should be a GP The End