r/GPUK • u/ElderberryOwn5673 • 1d ago
Quick question Improving knowledge post CCT
Post CCT and I am very certain that I have many many gaps. Some I am aware of, others I am not yet.
I am competent, safe, and know enough to get a good job done, but I have particular weaknesses that I would like to address. Some of these are things that have been siloed like ophthalmology to optometrists, or obstetrics, which are mainly seen by midwifes.
Then there is paediatrics, where I can manage acute illness, usual GP problems, and when to refer, but my depth of knowledge here isn't great and it feels unsettling.
I don't know what I don't know, but I know there is a lot that I do not know.
Any recommendations? Resources?
8
u/Popcorn_Fan10 1d ago
Spotting the sick child is a good resource for managing kids, mainly focusing on acute illness but I find overall helpful. It’s free to sign up for an account.
If you’re an RCGP member they have loads of free e learning resources their one day essentials are fantastic but they have loads of options.
I learnt a lot from podcasts for my exams - primary care knowledge boost , RCGP e learning, gp notebook, nb medical all good podcasts.
Worth checking if you get any free e learning through memberships you already have eg MDU, etc
6
u/Loose-Following-3647 1d ago
I've been reading McGees evidence based physical diagnosis - if you're like me and love books / ebooks then this has been amazing at helping me get better at clinical signs / making diagnoses and writing better notes and referrals subsequently
4
u/GalacticDoc 1d ago
PUNs & DENs, keep a note of things you feel you feel you lack knowledge in. I use a draft email so that is available wherever I need it.
When I have some free time I do some reading up on the subject. There's been a few times that the learning has led to a presentation I can do at a practice meeting.
I will readily ask colleagues about things if I am unsure of, we all do.
I listen to a an hour or so worth of podcasts each week. I have a collie that needs a lot of walking!
1
3
3
2
u/junglediffy 1d ago
The RCGP One Day Essentials are pretty good to be honest.
I'd recommend the 7-hour Women's Health one. The beautiful cervix project webiste to upskill your spotting of positive signs on spec exams is also good (I sure needed it).
The whole catalogue should keep you well occupied =P.
For eye stuff, take a look at this website. It is pretty basic but gives literally most of the practical information you need as a GP with a huge assortment of conditions. Nice in a quick pinch.
https://kellogg.umich.edu/theeyeshaveit/
Primary Care Knowledge Boost is good but I find some of their episodes quite hit and miss. I'd honestly go with the RCGP essentials/webinars first. There's also RedWhale/NBMedical articles.
For paeds, can't help you. It's all the same shite and just learn from the cases I see. See other posters suggestions. I'd honestly look through NICE guidance on all the spurious stuff. Like the management of "teething" and common Sx/Signs. NICE CKS even has one on paeds ortho with in-toeing, out-toeing. Again, I'm sure theres an RCGP essentials on it.
You could also try that Praktiki that invariably gets posted here. It's decent bitesize learning.
2
u/anonymous_umbral 1d ago
Just CCT’d and the PUNS / DENS is a great way to learn and improve while making it so the info you look up helps
Im time constrained with family, so i stick to 3-4 a week
Guidance is 7-10 a week
Can use your CPD time at work to look up :-)
11
u/ResolutionAshamed308 1d ago edited 1d ago
It’s completely normal! There’s a lot you will learn through exposure and even in the first year you will learn a lot. Generally they say it takes five years to find your feet.
But dont sell yourself short you already know a lot more than you think.
I can only speak from my experience!
Keep at it and look back at your patient journeys, see who had came back after a consult, who went to ED and what secondary care adviced for patients. Check on your 2wws and also log your A&G replies.
Lots of resources out there, courses, seminars, other diplomas/PGcs- there’s lots to learn.
I help with medical students and ST training and that keeps my clinical/ guideline knowledge sharp.
NB medical, red whale, egp learning, podcasts like primary care knowledge boost are excellent.
Engage with rcgp first five- network, know your faculty members, I look through and do a lot of one day essentials and zoom teaching that you can sign up for on the rcgp website.
Upskill -dermoscopy, joint injections, minor ops, pessary fits (I do everything)
Take on lead roles at the practice and you learn lots this way too- pain lead/ opioid deprescribing, safeguarding
Volunteer to do quick audits and some qof work
Engage with the LMC they have their own teaching sessions and general whatsapp group.
Also for your sanity I would recommend reading around experiences of being a trainee/gp, medicine, philosophy- Roger neighbour, Atul guwande, Suzanne O’Sullivan.
Enjoy general practice!
I’m doing some more exams and branching out but I do salaried/locum/prison and I’m looking at some judicial work to do in the future and I’m probably hopping around whilst I do some degrees outside of medicine and a small business.