GP vocational training

1
GP vocational training

• 1. The systems

2
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

3
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

4
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

5
Assessment

• Summative assessment (required to practise as a
  GP) MCQ paper, consultation skills assessment
  (video or simulated surgery), written project or
  audit, Trainers Report
• MRCGP exam (voluntary) harder MCQ paper, written
  paper, video, oral exam

6
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

7
Relationship of trainer to GPR

• Employer
• Educator
• Mentor
• Assessor

8
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

9
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)