Teaching Summaries

For a round up of what was learnt at VTS Teaching...

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CSA Simulation

Lecture given: Thursday 19 January 2017
Summary by: ST3

At the last VTS session, we did CSA practice with actors. We split up into groups and had an actor with a GP facilitating each session. There were 4 cases and it was really useful, if not a bit intimidating, to have emotions such as anger directed towards us in this setting. I don't think many of us are that good at acting when we practice together! We all had feedback forms to discuss with the candidate after each case and a GP who was also a CSA examiner recapped some information about the exam. It was a great session to have before the CSA.

Gastro

Lecture given: Thursday 12 January 2017
Summary by: ST2

The first session was CSA practice.
The practice consultations were excellent. We had very constructive feedback from Lara, Sadhana and Hugo about how to improve performance and body language. Valuable tips on exactly what the examiners are looking for in the real exam.

The second part was a lecture on Gastroenterology with the focus on practical tips and how to deal with this in primary care. There were very logical points for GP trainees to utilize in primary care.
Last, but not the least is the VTS session co-ordinator, Martine Ratcliffe, I think she is the corner stone for organizing the session and inviting the drugs reps. Without her the session can’t go smoothly.

Dr Prodip Das - ENT

Lecture given: Friday 12 August 2016
Summary by: ST3

We received a lovely ENT talk this week from Mr Das which was full of useful tips for dealing with our day to day ENT queries. Below are some useful nuggets of information:

1. With a fractured nose ALWAYS document whether there is a septal haematoma or not- this is a boggy cherry red swelling bilaterally
2. All fractured noses need to be seen with 14 days of the fracture after initial swelling settled if needs sorting - just call the ENT SHO on call to book.
3. For Grommetts- use 14 days of ciprofloxacin drops to clear infection
4. Post Nasal drip can be sorted with trialling- steroid nasal spray, decrease in caffeine and a nasal rinse- sterimar/Nealmed
5. Acoustic neuromas need a routine referral
6. Snoring- if sleep apnoea refer to resp, if not discuss lifestyle issues, signpost to British snoring association
7. Stable childhood stridor- if not thriving or cyanotic episodes - refer. If well and worse on feeding consider reflux
8. For epistaxis in kids - Naseptin for 1 month
9. And lastly... anything Unilateral - tinnitus, polyps, tonsils, etc... always refer!

Dr Edward Hughes - Ophthalmology

Lecture given: Friday 12 August 2016
Summary by: ST3

Ed Hughes came once again to talk to us about how to managing ophthalmological conditions in primary care. Take home messages included:

1) Red eyes that ache, affect your vision or cause nausea often have a serious cause
2) When examining eyes check for visual acuity, the cornea with a torch and fluroescein, pupillary reflexes and eye movements
3) Use your optometrist if available.

Dr Mike Okorie - Therapeutics in Elderly Care

Lecture given: Friday 12 August 2016
Summary by: ST1

The talk by Dr Michael Okorie was on hypertension and atrial fibrillation. It included the causes, investigation and management of hypertension, with some useful cases to get us thinking. His presentation generally followed NICE guidelines, with some tips on when to refer.

He brought to our attention the new QRISK calculator: www.qrisk.org.uk/lifetime/ - which calculates a lifetime risk, instead of a 10 year risk.

Lunch was fabulous as always!

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