Apologies:

Paul Abbott, Pete Merrin, Colan Robinson, Judith Hindley, Richard Cheney, John Garan, Chris Whitworth, Anne Maskell, Tim Baker, Peter Cormie, Chris Tiley

Attending:

Rebecca Matthews, Ben Jones, Matt Leigh, Neil McKay, Ian McKelvey, Martin Priest, Jonathan Katz, Jime Evans, Alan Agnew, Anthony Hereward, Richard Cockshott, Sarah Keast, Sarah Shaw, Dan Rainbow, David Roberts, Oliver Scott, Will Hynds, Stephanie Jackson, Stefan Schuh, Charles Sidebotham, Howard Ball, Simon Purchas, Rob Beckett, Mark Morris, Linda Simpson, Mark Reeves.Julie Boissonade, Andrew Partington, Carol Clark, Lin Davies

Top Tip by Mark Reeves

Discussed the distressing episodes of unexpected deaths which have befallen registrars early in their attachments, and how to support them.  Breaking bad news to colleagues was discussed, as well as dealing with a complaint. A Buddy System between GPs was mentioned.

My Problem by Matt Leigh

Fascinating insight into the difficulties in dealing with a "failing" registrar and an excellent powerpoint  presentation. The process of triangulation was explained.  Important message was to involve others very early. There is the possibility of a double training grant if the registrar is assessed as needing extra input.

Teaching Consultation Skills -The Hill by Ian Mckelvey

This excellent presentation has been uploaded to the trainer's website.  Click here to run it or save it. 

Small groups were facilitated by the TPDs. Unfortunately no-one had brought any material for consultation analysis, but never mind, there's always role play......

TPD Presentation

Outline of programme for ST1, ST2 and ST3.

Mark demonstrated how to navigate the clouds website.

OOH-there is a website link. Reminder that ST1 and ST2 have to do 6 sessions in 6 months,  and these should  be a mixture of sessions in the acute GP service, MIU, duty DNs, and extended hours in GP. They are allowed one observed session in SERCO

Mock Interviews on June 20th

Please liaise with the TPDs. This year the ST3s will also be submitting CVs and job applications

Change Management Project

A reminder that all ST3s should be well on their way by now

Women's Health

Can be difficult for male Registrars to gain experience. There is an opportunity for experience of both women and men's sexual health problems in the sexual health clinic in Falmouth

Educational Supervision     by Mike Waldron and Chris Cuff

Examples of e-portfolio entries were circulated to be commented on, and then these were scrutinised in small groups. This  gave the opportunity for peer review and greatly helped bench-marking . Excellent interactive session

Reflection and Feedback

The current format of 2 whole days and 3 half days was largely favoured

Currently one whole day is booked for February 8h 2012, and half days were requested in December, April/May and June/July with another whole day mid September

The Top Tip and My Problem were very well received although some-you know who you are-have been reluctant to participate in the alphabetical rota.

I am now handing on the position of "chair" to Jim Evans and Anne Maskell . They will be chairing/organising/minuting the meetings for the next 12months

Thank you to everyone for all your support over the last 12 months. It has been great fun and an enormous privilege

Carol Clark

Apologies

Mark Reeves, Dan Rainbow, Jim Evans, Linda Davies, Mark Morris, Linda Simpson, Gordon Campbell, Richard Cockshott, Dan Stennack

Present:

Tamsin Craze, Chris Whitworth, Andrew Partington, Anthony Hereward, Anne Maskell, Stefan Schuh, Will Hynds, Chris Saitch, Judith Hindley, Jonathan Katz, Sarah Shaw, Carol Clark

Minutes of last meeting agreed
 

Top Tip and My Problem

Due to holidays, these were deferred until the next meeting.

Educational Supervision

The letter from Mike Waldron was discussed. Across the (small!) group present there was a range of opinions. When completing the reviews, some linked to specific COTS, log entries or CBDs, while others were more generic, and wrote "see COTS" etc. It was agreed that the evidence needed to be very specific and detailed if finding a supervisee to be underperforming, but possibly the more generic approach may be appropriate for the majority. It was hoped to establish some benchmarking and peer review using live examples at the next meeting in September.

Anomalies were highlighted in the allocation of educational supervisees. Some trainers never saw their supervisees as their ST1 or ST2 placements in GP were with another practice, and some supervisors had their supervisees in the same practice but with a different trainer. Who then should do the reviews?  This was presumed to be due to the paucity of Doctors joining the scheme a few years ago.

Equality and Diversity Training

Most had completed this on-line tutorial and test. Not all had passed! A link can be found on the Deanery Website

Next Meeting

An all day meeting (9.30-16:30) is planned for September 21st at the Postgraduate Centre. Items for the agenda were discussed and a draft plan drawn up

9.30   Welcome and coffee

10.00 Top Tip

10.30 My Problem

11.00 Break

11.20 Teaching Consultation Skills. A Presentation was proposed-possibly by Ian McKelvey-Chris agreed to ask him to present the hill model of the consultation, followed by small group work analysing consultation recordings facilitated by Lin, Linda and Mark

Lunch: It is very much hoped that Mike would repeat the wonderful lunch he provided in February

Afternoon

Educational Supervision

Whole group presentation-speaker yet to be volunteered-then small group work with live examples. Volunteers please to show examples, having requested the permission of your supervisee, of course

Feedback

How has the split between half days and whole days worked? What would the group like to do in 2012? There is already one whole day booked for February, but should we book more whole days or more half days?

Agenda Planning for 2012.

Date of next meeting         Wednesday 21^st September – all day




                  

Present:

Peter Cormie, Rcihard Cheyne, Jonathan Katz, Dan Rainbow, Sarah Shaw, David Roberts, Andrew Partington, Martin Priest, Jan Knobloch, Richard Cockshott, Julie Boissonade, Chris Saitch, Will Hynds, Paul Abbott, David Hood, Carol Clark (Chair)

 Apologies from:

Gordon Campbell, Chris Whitworth, Howard Ball, Jim Evans, Tim Baker, Anthony Hereward, Rob White, Helen Burns, Ian McKelvey, Mark Reeves, Matt Leigh

 
"Top Tip"

Excellent presentation from Richard Cheyne, briefly summarised as

1. Use your registrar as a resource
2. Don't tell your registrar what to do but try and use motivational interviewing technique
3. Have the experience of 360 degree feedback yourself to learn how it feels
4. Let your registrar pick their own consultation model
5. Review notes from a "medico-legal" viewpoint
6. Share training with a fellow trainer if possible
7. Don't forget the psychosocial pastoral role of the trainer
8. Wireless camera demonstration. "go-pro" naked, costs around £280, more basic model available for around £100, uses SD card.

Confidentiality of SD cards and memory sticks discussed. No-one reported using encrypted or password protected devices, just standard.

The presentation of the "top tip" at the next meeting scheduled for June 29th fall to Howard Ball (apologies already received from Tim Baker)

There was no presentation of  "My Problem" this time. Matt Leigh will be presenting in September. Following the alphabetical list, Anne Maskell will hopefully be presenting on June 29th

Educational Supervision:

The latest update from Trudi Geach was discussed. Many negative comments were made , including:

Increasing demands made on supervisors without consultation.
No feedback, despite requests, on reviews and after referral to panel
No training, support or benchmarking
Reviews of supervisees in hospital posts now ask supervisors to assess the clinical supervisors' assessments, so a meaningless rubber stamping
The new demands on the review are onerous, reports of 8-10 hours outside the face to face meeting for supervisees in hospital posts
No increase in remuneration

The Chair was asked to send a letter to the deanery on behalf of the trainers expressing the  concerns raised above. Suggested that Educational Supervisors refuse to accept the extra work and only do what can be managed in the two sessions per year currently paid for.

A copy of the letter will be sent separately to the trainers to allow for individual trainers who were not at the meeting to read it and decide whether or not they wish to have their names associated with it

Next Meeting:

Wednesday June 29th 2pm Postgraduate Centre RCHT

Attendees:

John Garman, Neil McKay, Stefan Schuh, Charles Sidebotham, Rob White, James Tait, Alan Agnew, Judith Hindley, Rob Beckett, Tim Baker, Matt Leigh, Anthony Hereward, Jim Evans, Will Hynds, Simon Purchas, Jonathan Katz, Richard Cockshott, Andrew Partington, Ben Jones, David Hood, Martin Priest, Dan Rainbow, Ian McKelvey, Mark Morris, Linda Simpson, Linda Davies, Julie Boissonade, Mark Reeves, Carol Clark

Minutes of previous meeting:

Not all trainers had received copies of the previous minutes. It was agreed that the acting chair, Carol Clark, would ask all trainers present to list their emails. The list was subsequently handed to Trudy Eddy (Trudy.Eddy@cornwall.nhs.uk) to update.

Presentations:

Sarah Keast presented an excellent and stimulating account of her recent training experiences with a registrar on maternity leave and returning to part-time training.

Alan Agnew shared his recent trip to the nightmare that is Croydon with an insight into how the CSA works. Remember to ask for a chaperone before examining the prosthetic breast model!

After coffee, Mark Morris and Linda Davies gave the whole group a presentation on Cambridge Calgary with a little theory and a useful handout containing the facilitator's outline.  They recommended the website www.skillscascade.com (or Google ALOBA)

Small Group Workshops:

3 groups put theory into practice and analysed recordings of consultations and tutorials

Special Thanks to Mike Waldron for a fantastic lunch. Can we repeat this on the next whole-day workshop please?

Afternoon session:

Mike Waldron and Chris Cuff joined the group for a deanery update.

All training practices will have an ST3 in 2012. If a practice with multiple trainers has not yet had experience of a particular year group please email Mike or Chris

Performance list problems:

Trainees need to apply as soon as possible as two months is needed to get on the Performers list. Ask your Practice Managers to remind future trainees to apply in time.  ST1s have a two month period of grace for paperwork to be completed. The definition of "supervised work" during this time is unclear.

Workshops:

Three groups formed workshops, each looking at a specific year group of trainees, to benchmark and discuss training

Tea

Due to time pressures, the group voted to postpone the small group workshops on eportfolios and moved straight to reflection and planning

Dates next Trainer Meetings

Wednesday May 11th 2011                 2-4pm

Wednesday May 25th 2011   -  mock interviews day

Wednesday June 29th 2011                2-4pm

Wednesday September 21st all day    9.30-4.40

Wednesday February 8th 2012 all day
 

May 25th is mock interviews so please can we have lots of volunteers.
 

Chair:

Carol Clark agreed to act as chair for 2011 and Jim Evans volunteered for the role in 2012. The group agreed that the funds available to support the trainer's group would go to the chair to support their administrative work

Planning of next meetings:

Suggestions include

E-portfolio Educational Supervisor reports-sharing "live reviews"

Ben Jones - ARCP panel experience

CBD - incorporating new guidelines; does it work?

Please email any suggestions you have - I promise not to interpret it as volunteering!  

( Carol.Clark@trescobeas.cornwall.nhs.uk )

Trainers present: Chris Saitch, Sarah Shaw, Jim Evans, Martin Priest, Stefan Schuh, Rob Beckett, Charles Sidebotham, Dan Rainbow, Richard Cockshott and Andrew Partington.

1. The minutes of the last workshop were reviewed and agreed.

2. Matters arising from the last workshop. Concern was expressed that the workshop has yet to find a chairperson. It was agreed to explore the possibility of paying a fee to encourage someone to take this over, Jim suggesting £200 per year from the available deanery fund. Charles suggested that all trainers could contribute from their CPD money. The job would involve formulating the agenda, chairing the meeting, and writing and circulating the minutes.

Concern was also expressed about the lower attendance in spite of the increasing number of trainers, and that attendance should be emphasised during trainer re-approval visits.

3. Top tips. Andrew discussed how

(a) his practice in Fowey run a journal club every week, with the minutes being recorded on either .html or .pdf files so that papers could be hyperlinked via the internet to each discussion. This enables easy recall of a paper which could have been discussed some months ago.

(b)The second topic was a discussion of CSA practice which takes place with the two trainers and two trainees in the practice, with either a trainer or a trainee acting as a simulated patient. It is an easy matter to create a scoring card. Among the  book resources available for this are nMRCGP Practice Cases by Raj Thacker ISBN 1-905635-52-4 and Consultation Skills for the new MRCGP; practice cases for CSA and COT by P.Naidoo ISBN 978-1904842606. This latter book comes with a DVD which will give you much cause for discussion.

(c) Practice Intranets were  briefly discussed in the context of sharing resources.

 
4.”My problem and how I resolved it.”  Chris presented a series of problems which had arisen with trainees over his many years of experience. The workshop then discussed how best to support trainees in the context of coping with family and personal difficulties, and how to support trainees facing complaints.

 The date for the next meeting was confirmed  as 2.2.2011. This will take place in the Postgraduate Centre. Mike Waldron is arranging some lunch!

Trainers Present:

In no particular order: Dan Rainbow, Martin Priest, Sarah Shaw, Simon Purchas, Ben Jones, Julie Boissonade, Chris Saitch, Anne Maskell, Andrew Partington, Jim Evans, Matt Leigh, Carol Clark, Mike Waldron

There was a general discussion around the proposed format of future Trainers’ Workshops.  Carol and Mike fed back to the group that the vast majority of e-mail correspondence in response to the minutes of the previous workshop had been in favour of whole day workshops in future.  However, the trainers present were keen to continue with some half day workshops and so the following format was agreed;

TWO whole day workshops per year and THREE half day workshops per year

The next two workshops have been booked at the Postgraduate  Centre, RCHT:

Wednesday 8^th Decenber 2010  half day 2-4pm (agenda attached)

Wednesday 2^nd February 2011 whole day 9.30-4pm (proposed agenda attached)

Mike Waldron discussed speed dating as outlined in the minutes of the last meeting on 8/9/2010 and it was agreed to discontinue this method of allocation for ST3s

Performance List

Concern was raised over the three month wait for ST3s to get on the performance list, meaning they will have to apply in May MW will speak to Julia or Karen Mitchell about this

Reminder Reminder that ST3 assessments have to be at 10months in time for college panel

Chair of Trainer’s Group

No volunteers-yet. Carol agreed to take minutes

Wednesday December 8^th 2010- Half Day Session 2-4pm

Agenda:            1. Minutes previous meeting2. Matters arising

                        3. “My problems and how I resolved it”-

It was suggested that this could be a regular feature of workshops and that presenters would be selected on a rotational “volunteer“ basis. Starting with Ben Jones and continuing alphabetically. If you are unable to present in your allocated slot then please e-mail the next in line to swop

                        4. “top tip”-book or resource-

Again suggested as a regular feature, a contribution running in alphabetical order of e-mails starting with Andrew Partington

                        5. Review of video tutorials.

Anne, Jim,  and Matt have very kindly volunteered to bring in recordings of their registrar tutorials to share with the group, and will show 5-10 minutes of excellent or not-so excellent teaching for peer review and analysis possibly in small groups depending on numbers present.
 

Wednesday February 2^nd 2011 - Whole Day session 9.30-4pm

Proposed Agenda:       

                        1. Minutes previous meeting

                        2. Matters arising

                        3. “my problem”- Sarah Keast tbc

                        4. “top tip” - Alan Agnew tbc

                        5. Cambridge-Calgary presentation - MW tbc

                        6. Coffee break 10.30-11

                        7. Small group work-CG analysis. 1hr

Volunteers required to bring along recordings of their own consultations or tutorials for practical experience of CG analysis. We have 3 rooms booked.

                        8. Presentation -CSA

What registrars can expect, update on change in marking standards. DVDs of examples will be brought by Mike Waldron

                        Lunch and networking

. MW has very kindly volunteered to look into the provision of lunch. It is anticipated attendees will make a small financial contribution.

                        9. Small group work-Benchmarking

Suggested 3 groups each focussing on  ST1s, ST2s or ST3s. Looking at topics such as when do you move to or from 20 minutes consultations etc.

                        10. Tea break

                        11 Small group work-eportfolio

Using 3 rooms “live” analysis of supervisees’ reports. What constitutes an outstanding report? What is cause for concern? Educational Superviser volunteers please

                        12. Whole group-reflection and planning

What was good about today and is worth repeating in the next whole day workshop planned for September 2011? What needs changing? Arrange dates next workshops.

  *  *  *
 

  *  *  *

Trainers present:

In no particular order: Jonathon Katz, Chris Whitworth, Judith Hindley, Simon Purchas, John Garman, David Hood, Carol Clark, Mark Reeves, Martin Priest, Alan Agnew, Dan Rainbow, David Roberts, Richard Cockshott and Mike Waldron.

We had a productive meeting , but did not feel that we were quorate, with the small numbers present,  and thus did not make any binding decisions. However we did come up with a number of ideas and models for running the Workshop,that we ask Trainers to consider and rank. Please feedback to Mike and Carol Clark before the next Meeting on 6/10 with your first and second preferences.

The most underrepresented cohort were the experienced trainers and Jonathon and Chris kindly spent a considerable time working with the other Groups and not considering, in great detail, the needs of experienced trainers. I am very grateful to them and to all the Trainers present for working hard and coming up with some excellent suggestions.

There was general agreement that the Workshop worked best when it was well organised and when there were Specific Aims and Objectives.( No surprise to the educational theorists  in the group)

 There was a consensus of opinion that the Workshop should provide:

• Communication and Information-Both between the Trainers themselves and between the Deanery and the Workshop.
• Support – Sharing Ideas as a Group and Co-mentoring.
• Benchmarking- The Workshop provides a valuable opportunity for this.
• Decision Making- and transmitting ideas and views to the Deanery.
• An Opportunity for Continuing Professional Development- in your role as Trainers.

In addition those present valued the extra opportunities created by splitting up experienced and newer Trainers for at least part of the session and there was a general consensus that the group was now too large to spend the whole afternoon working together.

This theme was present in all the Models outlined below and all of the subgroups when asked to consider what might be a perfect Workshop all wanted some time for Socialising and Reflection

Model 1: less often and less stressful than getting away for ½ day:-

Whole day c 4 times/annum

Deanery Information
Coffee etc
Skills Workshop
Lunch/Gossip
Small Group Work
Reflection

Model 2: similar format to current but organised into different activities

½ Day as currently
Deanery Information-30 mins
Large Group-30 mins
Discussion Topics
      Decision making
      Presentations

Small Group - 45 mins - Focused Discussions
Reflection-15 mins

Timing should be flexible as necessary.

Model 3: from the foodies

Smaller locality based groups-meeting in the evening for a meal provided by Pharmaceutical sponsorship. A menu of events to include most of the above.

I’m sure they mentioned Reflection over the Brandy and petit fours.

Model 4: the needing TEA group ( I eventually got the hint!)

½ day as current

Notices and deanery Information
Alternating  I hr/30 mins - Small group work and Educational piece.
Reflection

         *  *  *

We also talked about:

New Visiting Forms

The Conference

Speed Dating

and I’ve promised to do a short session on ARCP next time.

New Visiting Forms:

The new form for Trainer Assessment visits has been piloted in Exeter and Torbay. Some changes have been made to the forms and processes following this pilot. We plan to do Trainers’ Assessment visits using the new forms, though we will ,of course accept existing Applications on the old forms during a change over period.

The feedback has been that these forms are more useful, less esoteric and there should be no surprises on the Day.

As you will remember, the plan is that we visit all the Teaching components of the practice at a single visit i.e we’ll also look at the medical student trainers and foundation Trainers at the same time. This may involve some alteration of visit dates across a practice. eg If Dr Smith is due a visit in March 2011 and Dr Jones in May 2012 we’ll probably aim to visit them both in October 2012. Chris, the TPDs ,Steve Watkins from PMS and I will be trying to sort out a programme over the next few months.

The Conference:

This has been a very difficult time for the Deanery over the last few months coping with the  current financial difficulties and a significant change in the rules regarding funding of Educational  events.

The Conference with its huge cost , largely due to the residential component, has attracted particular scrutiny. Clearly The DoH, the SHA and I’m sure us all as individuals do not want to attract the public distaste that  accompanied the scandals around our MPs expenses. The costings have been made more difficult by very little interest, at this point, from Big Pharma in supporting the conference.

Paul Thomas , the Head of School, canvassed all your opinions and the vast majority of replies supported the idea of continuing with the Conference even though this will incur a cost  close to that of economic. On this basis we have agreed to continue with the Conference

You should have already received an Application forms with the finalised costings from the Deanery office. The Conference Title remains “Inspiring  your Learners”! The keynote speaker will be David Haslam, who is a wonderful entertaining speaker, and the total cost for the 2 days with accommodation will be significantly less than a recent day long update course I recently attended!

Allocation of ST3s to Practices:

This year we have appointed 30 doctors to ST1. We think that our numbers will return to 24 in each year from next year (though there is, allegedly, still a political will to increase the numbers of GPs in Training this will not happen until there has been a reduction in Hospital specialty Training)

We expect , by the end of 2010, to have 26 training Practices and  approaching 50 trainers.

We all felt that Speed dating would be difficult with these numbers.

We agreed, pending Ratification  from a larger body of Trainers that we should adopt a different model for ST 3 GP placement.

Chris and Mike will decide with the Chair of the Workshop(?)  which practices will have Trainees placed, being sure to be fair. (in 2012 all practice will be full and 6 will have 2 ST3s-in following years 2 practice will not have an ST3 , but we will ensure that they have ST2 etc)

We will ask all the Trainees to rank all the available vacancies 1-30.  We will then use the trainees ranking at interview to decide where they go.  This removes any element of Trainer choice, but all the Trainers present felt this was acceptable.

If anybody feels very strongly that this is unacceptable please let me and Carol Clark know and we will discuss it again on 6/10/2010 before coming to a final decision.

Finally:

Carol Clark has agreed to lead the next Workshop. She does not feel that it would be appropriate for her to Chair the Workshop at this stage in her Cornish training career and so you are still , as a group, looking for a Chair ! 

Best wishes,

Mike

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Agenda:

1. Welcome
2. Minutes last meeting.
3. Matters arising not on agenda.
4. Linda Simpson re. asking for the help of trainers regarding video consultation work at VTS.
5. Education  Supervisor Reviews on E-portfolio.
6. Tea
7. Small Groups (if time).
8. AOB
9. Close 1600.

Minutes:

Attendees

Gordon Campbell, Carol Clark, Mark Dorrell, John Garmen, Judith Hindley, David Hood, Jonathan Katz, Ben Jones, , Andrew Partington, Dan Rainbow, Chris Saitch, Sarah Shaw, Chris Tiley

1. Welcome by JK
Apologies  from Antony Hereward, Jim Evans, Anne Maskell, Pete Merrin, Colan Robinson.

2. Minutes last meeting - no changes/comments.

3. Matters arising not on agenda - Mike Waldron to discuss ST2/3 placements 2011 onwards.

4. Linda Simpson asked whether training practices could supply registrars with videos that can fit with formats available at PGC. Discussion ensued and got quite technical. Easiest may be to bring camera and lead in and plug into TV. Further info on compatible formats to follow from Paula.

Also JK will liase with Linda about a session on video consultation analysis for next terms workshop.

5. Mike Waldon attended to discuss ST2/3 allocation/speed dating for 2011. There are 10 ST3 and 10 ST2 1 yr in GP places for 2011. For the ST3s lots were draw randomly to select which training practices will get ST3s after speed dating. Remainer of practices to get 1 yr ST2s by allocation. This means that only those practices for the 10 (actually 9 as one ST3 already placed) will need to attend the speed dating on 12th May 2010.

Discussion of unified re-approval practice visits for students/F2s/STs - following on from pilot in Exeter/Torbay.

Faculty Development Programme for trainers development discussed eg. masterclasses, Experience Trainers Course, New Trainers Support Classes, ES support training, small group w/shops, video analysis.

6. Practical discussion of ES reviews took place with wide ranging discussion about numerous aspects of the review process and the standard and quantity of evidence and when to refer to ARCP. Wide range of hawk/dove views (as usual). Generally found to be useful! Suggestion to invite Suzannah Hill to look at what we were doing with reviews (rather than present what she does!).

7. No small groups as not time.

8. AOB - JK asked for volunteers to chair the workshop in September and was met with deafening silence!!

9. Close.

Next meeting 12th May 2010 Speed dating. (This may be at 16:30 or hopefully can be brought forward earlier).

Jonathan

 

 

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Workshop - 10th February  2010	View or print Word version of these minutes
Chairman: Dr Jonathan Katz	View or print Feedback

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Attendees : Alan Agnew, Julie Boissondale, Gordon Campbell, Carol Clark, John Garman, Anthony Hereward, Judith Hindley, David Hood, Peter Jones, Jonathan Katz, Anne Maskell, Dan Rainbow, Charles Sidebotham.

Apologies from Ian McKelvey, Jim Evans, Sarah Keast, Chris Whitworth, Pete Merrin, Sarah Shaw.

1) Minutes last meeting - no comments.

2) Matters arising not on agenda -

Discussion with Mike Waldron about proposed ST allocations for coming intake - agreed to ballot by practice rather than by trainer as some practices have multiple trainers. Agreed whole year in GP ST2 should go to different practice for ST3.

3) 'Motivational Interviewing' talk by Mark Morris - excellent and enjoyable session - many thanks to Mark. Recommended reading Mental Health for Primary Care - by Mark Morris!

4) Any other business - none.

5) Next meeting Feb 10th 2010



Jonathan

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