WELCOME Peter McCalister GP, Bonnybridge, Scotland 1 PBSGL in - - PDF document

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Practice Based Small Group Learning

WELCOME

Peter McCalister GP, Bonnybridge, Scotland

2 PBSGL in Canada

• Canadian approach to CPD
• Evolved from a single group of GPs at McMaster University

in the mid ’80s

• Now involves over 5000 practitioners in 600 groups in

Canada (> 20% of GP population)

• Foundation for Medical Practice Education (FMPE)
• Used extensively in North America as part of “residency

training” ... which is what we might call GP Training

• International collaborations, including with Scotland

PBSGL in Scotland

Piloted in Scotland 2003/04 (5 groups) Rolled out in Scotland from Aug 2006 Now involves ~2000 GPs in >180 groups (> 25%

• f the GP population in Scotland) and growing
• steadily. Increasing numbers elsewhere in the UK

Includes a small number of Practice Nurses and a

growing number of Pharmacists

Rapid growth in GP Training from August 2009

What is PBSGL?

Practice based (i.e. based in clinical practice) Small group (usually 4-9) Learning Peer-facilitated

3 What is PBSGL?

Topic specific modules (adapted or ‘tartanised’

from Canadian material, then from SIGN/ NICE guidelines, now de-novo modules)

“The Gap” Cases Information Section Commentaries & appendices Commitment to change But ... barriers to change

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PBSGL outwith GP/ Primary Care

• Other professions

– Pharmacy are particularly keen on this form of learning ... ?due to professional

• isolation. In addition, their use of small

group education at present is very limited

• Secondary Care Teams

– “Sensitive discussions and decision making at End of Life” – successfully trialled ... but team hierarchy issues exist

PBSGL Research

Quantitative and qualitative evaluation of GP pilot Research into Practice Nurse (PN)-only and

mixed GP & PN groups

Videoconferencing as a medium for PBSGL Commitment & intention to change Role of the facilitator and “what keeps them

going”

PBSGL in GP Training PBSGL in Pharmacy groups, and mixed GP &

Pharmacy groups

Ten published papers to date in peer-reviewed

journals, and more planned

5 PBSGL

Thank you for listening. ... And now we will do a group meeting

• demo. Some of you will take part, and

some will observe.