gp vocational training 1. the systems. how a doctor becomes a gp graduate from medical school 1 year...
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GP vocational training
1. The systems
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How a doctor becomes a GP
Graduate from medical school 1 year as House Officer 3 years’ GP training Usually 2 years in relevant hospital jobs and 1
year in GP
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Variations
Doctors who change specialty can count some previous experience towards GP training, so may not need 3 years on the VTS
Some posts (‘community posts’) combine specialty experience with GP attachment
Posts can be half time, for twice as long Part time working and maternity leave mean that
sometimes GPRs start and finish at odd times
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Modernising Medical Careers
House officer year will be replaced by 2 Foundation Years, starting Aug 2005
Six 4-month posts; 2nd year posts could include GP Hoping to find enough GP posts for all doctors doing
Foundation Year 2 in Bradford: need 12 practices This should improve GP recruitment, and hospital
doctors’ understanding of GP We hope that training practices will take FY2 doctors in
addition to GPRs, not instead
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Assessment
Summative assessment (required to practise as a GP): MCQ paper, consultation skills assessment (video or simulated surgery), written project or audit, Trainer’s Report
MRCGP exam (voluntary): harder MCQ paper, written paper, video, oral exam
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GP trainers
Becoming a trainer: must have MRCGP, introductory seminars, involvement with local VTS, preparing the practice
Maintaining skills: Trainers’ workshops, Time Out, Deanery seminars, trainer appraisal
Reapproval visits after 1st year and then 3 yearly
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Relationship of trainer to GPR
Employer Educator Mentor Assessor
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What do Course Organisers do?
Recruitment of GPRs Running courses: induction,
Half Day Release, group tutorials
Educational supervision of GPRs
Rota Liaison with consultants Finance
Recruitment of trainers Trainers’ workshops Trainer appraisal Trainer reapproval (in other
areas) VTS website Transmit Deanery policies Troubleshooting
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What does the Yorkshire Deanery do?
Oversees all VTSs in Yorkshire Transmits national policies Maintains standards of training Organises educational and other events for GP
educators Organises some educational events for GPRs
(e g Summer School)