The Learning Essentials modules within GP365 are designed to cover the foundation topics of general practice and give up-to-date evidence-based resources to use. Each module is divided into 5-6 Key Clinical Activities or KCAs. The KCAs are case-based and are designed to be completed in any order, depending on the patients a registrar see in practice.
For each KCA you complete, we recommend you review the readings and articles and then complete the case with summary notes or bullet points (no long essays needed!). You then submit the KCA to your supervisor, who reviews your notes. The most important part of completing a KCA is the discussion you subsequently have with your supervisor. Spending 15-20 minutes talking through the case, asking questions and getting feedback from your supervisor is really valuable and will heighten your learning on the KCA topic. Ideally, this discussion should occur during your weekly face-to-face supervisor tutorials, however may also occur at other teaching moments during the week.
If your supervisor feels you have a good understanding of the KCA topic and can apply this knowledge competently, they will mark the KCA as ‘Accepted’. However if your supervisor feels you still have more work to do on the topic, they will mark the KCA as “Resubmit’. If marked as ‘Resubmit’, you should review the topic in more detail and potentially see some more patients with the condition. You can then return to your supervisor with the KCA in 2-3 weeks, and if they then feel you are competent in the topic they will mark the KCA as ‘Accepted’.
Some registrars may have a lot of experience in a particular clinical area which is relevant to some KCAs. For example, if you have spent 6-12 months in gynaecology hospital terms prior to entering general practice, you may already be very competent in the women’s health KCA topics. Other common examples include paediatrics, mental health or sexual health for registrars who have extensive hospital experience in these areas. If you can demonstrate to your supervisor how you can apply your competencies and knowledge to working in general practice, then those specific KCAs can be marked by your supervisor as ‘Accepted’ without you fully completing them.
The KCAs are designed to be completed over 12 months of full-time general practice training. Completing 2-3 KCAs per week will allow you to stay on track. If you are training part-time, you can complete the KCAs at a pro-rata rate. WAGPET strongly recommends you have 60 KCAs completed by the end of GPT1 and all KCAs completed by the end of GPT2. Whilst completion of KCAs is no longer tracked by WAGPET, it is expected that you do complete them. The KCA content is essential for registrars to know and understand in detail, both to pass college examinations and to practice as competent independent general practitioners. There will always be further areas to study and learn in GP training and completing the KCAs will set you on the right track to become a life-long learner.
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