Tel: 0151 336 3951
Fax: 0151 353 0173
Vocational Training for General Practice at The Neston Surgery
The Neston Surgery has been a training practice for over 30 years and training remains an important facet of the practice which all the partners enjoy and take part in. All the partners are dedicated to training. They all have special interests and as such registrars can draw from, and benefit by, a wide knowledge base. All partners take part in giving tutorials and supporting the registrar during their attachments. The practice premises are specifically designed with training in mind, with a separate room for the registrar.
The practice is fully computerised using EMIS. This system is one of the best GP systems available and comes into its own when doing searches and medical audit. All consulting rooms have internet access to allow instant access to on-line clinical support systems. There is a practice library that has a broad selection of books and journals that are regularly added to.
Our premises are adjacent to Neston Clinic where our district nurse, health visitors, midwifes and CPNs are based. The clinic also has community paediatric clinics run by CMOs with a specialist enuresis clinic. Community chiropody is also in the same building.
All the primary health care team are well used to registrars being based at Neston Surgery and registrars are expected to spend some time with each member of the team to better understand their role and what they have to offer. The whole primary care team works well together with regular team meetings and this provides an excellent learning experience for registrars.
The registrar will have an initial evaluation on joining the practice based on the "Programmed Evaluation Package" from the RCGP. This together with the registrar's own self-assessment is used to define areas of strengths and weakness from which the programme of tutorials is formulated.
Two tutorials a week are time tabled for the registrar, time being taken out of surgery to make sure that tutorials take place as planned and are not missed. There is a lot of additional teaching in the form of dual surgeries where the registrar sits in with the trainer and vice versa, video is also used in this regard.
We make it a point that the registrar is never left alone doing a surgery without a partner being available in the building; the registrar is encouraged to seek advice whenever they feel unsure or uncomfortable about a problem. Similarly, a partner is always available when the registrar does home visits or is on call out of normal surgery hours. The practice out of hours cover is provided by the "Out of Hours" centre at Arrowe Park hospital. This is a Wirral wide co-operative covering a population of approximately 300,000. The centre is staffed by Wirral GPs who see patients at the centre and on home visits.
Registrars are encouraged to come to practice meetings and staff meetings to express their opinions, in this way they begin to understand the process of partnership decision making and about the business side of general practice. Courses in Child Health Surveillance, Minor Surgery and Family Planning are available and the registrar is encouraged to use these to develop his or her skills. The registrars will attend a half-day release course every week, and there are numerous post-graduate meetings to take advantage of.
Preparation for nMRCGP is an essential part of the training. Video work (the practice has its own equipment), past audit projects and MCQs are all used in the training process. All tutorials are recorded on computer and on feedback forms for evaluation purposes and these help inform the regisrars ePortfolio development. Registrars are given encouragement and practical help with the CSA with mock vivas and help in honing their consultation skills using videos.
It is our aim to make sure when registrars finish their training with us that they are not only equipped for independent practice, but also have the knowledge and experience to select practices with confidence.
Dr. Tahir Awan- qualified Manchester 1985, MBChB MRCGP DCH DRCOG FPcert, PGCTLCP providing general medical services and, in addition, maternity services, contraceptive services, minor surgery and child health surveillance. Trainer and Course Organizer in General Practice, involved in training doctors who intend to enter General Practice. He is an Honorary Tutor, Liverpool University. He is also Co-Lead appraiser for Western Cheshire PCT and has an interest in dermatological surgery.
Dr. Mark Washington- qualified Liverpool 1989, MBChB(Hons.) DCH DRCOG, providing general medical services and, in addition, maternity services, contraceptive services, minor surgery and child health surveillance. Honorary University Tutor involved in training 4th year Medical Students from Liverpool University. Member of Ellesmere Port and Neston PCG Prescribing Group.
Dr. Jeremy Perkins - qualified Liverpool 1994, MBChB DFFP DRCOG, providing general medical services and, in addition, maternity services, and contraceptive services. Involved in 4th year Liverpool Medical Student teaching.
Dr. Martin Mizen - qualified in Liverpool. MBChB, MRCGP. Providing general medical services, maternity services and contraceptive
Dr. Vikki Arista - qualified Manchester 1997, MBChB MRCGP DRCOG, providing general medical services, maternity services and contraceptive services.
Additional role - Neston Surgery Nursing Home Doctor.
Dr. Clare Merriman - qualified Liverpool 2002, MBChB (Hons), MRCGP DRCOG DFFP LoC SDI LoC IUT, providing general medical services, maternity services and contraceptive services. Special interest in Women's Health, Family Planning, Sexual Health, Menopause.
Additional role - Neston Surgery Nursing Home Doctor
Dr. Janet Carter - qualified Newcastle 1992, MBChB, DRCOG, MRCGP, FP Cert, Diploma of Therapeutics, Diploma in Diabetes Care, Retainer Doctor providing general medical services, maternity services and family planning.