ST4 Extensivist Clinical fellowships commenced in Dorset 2015
These innovative one-year posts were designed to give newly qualified GPs an opportunity to gain additional skills in managing elderly, complex and vulnerable patients. The post comprises six sessions per week spent in an elderly care post based at Dorset County Hospital, Poole Hospital, Royal Bournemouth Hospital or Dorset HealthCare University NHS Foundation Trust. At least two sessions per week are spent out of the hospital environment to liaise with relevant community services such as general practice, district nurse teams, community rehabilitation teams, social services and community hospitals to avoid admissions and facilitate discharge of patients. There is one education session per week, to develop service proposals, evaluate the post and study towards the Diploma in Geriatric Medicine.
It is hoped that these posts will train GPs to work as ‘extensivists’ within the NHS. ‘Extensivists’ manage vulnerable complex poly-morbid patients who are at high risk of hospital admission and have high healthcare costs. When patients become unwell the extensivist initially manages them in the community. If patients require admission the extensivist will follow them into hospital and become the lead physician for their care – although other specialist physicians are involved. The extensivist coordinates the discharge planning of the patient to enable safe and timely discharge back to the community. In the USA, this model has reduced hospital stays from an average of 11 to 4 days and reduced the number of hospital admissions.
We will update you on how the GP fellows are finding this new role in due course. If you would like to find out more please email GPcentre@bournemouth.ac.uk
ST4 Quality Improvement Fellowships
ST4 Fellow 2012 “This was a fantastic year of new opportunities, travel and meeting people. I would highly recommend the ST4 year to everyone!
During my year I facilitated a small group for ST2 GP trainees, facilitated monthly evening sessions for newly qualified GPs and attended the first year of the Winchester University MA in Medical Education (am now in my final year!). I also produced a number of education and research projects and presented my work at international conference – AMEE and Ottowa. I got to see some fabulous places (as a benefit of attending the conferences) – Vienna, Lyon and Kuala Lumpar.”