Specialty training for general practice

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Specialty training forgeneral practice

• Tim Swanwick
• Director of Postgraduate
• General Practice Education

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Modernising Medical CareersGeneral Practice
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Aims of MMC

• Offer a broad-base of experience in the
  Foundation years
• House the lost tribe of SHOs within training
  programmes
• Reduce the waiting time for entry
• and shorten the duration of specialist training
• Introduce competency-based curricula
• Reform assessment programmes

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Problems with current GP training

• Insufficient hospital placements
• Variable education in hospital settings
• Variable GP-orientated supervision during
  training
• Disconnect of SHO placements from the GPR year
• Two assessment systems
• Difficult to define boundaries of curriculum
• Trainees ill prepared for, and reluctant to
  enter, practice

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Whats in a word
Vocational training
GP specialty training
SHO and GPR
Specialty registrar or ST1/2/3
GP training programme
VTS
Course organiser
Programme director
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RCGP curriculum

• The DNA of GP training
• A reference, not a recipe
• Invites innovative ways of delivery

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Structured 3-year training

• 100 (32 in 05/06)
• 576 ST1 and ST2 posts
• Posts agreed by NHS London and all Trusts
• 290 entry points
• 10-12 per scheme
• August-only intake
• Move to increased time in general practice

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Improved selection

• National on-line application
• Screening
• Machine-marked short-listing
• Assessment centre

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nMRCGP

• One system
• Integrates assessment and training
• Emphasis on workplace assessment

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Supervision over 3-years

• GP supervision throughout GP training
• ePortfolio
• Six-monthly review meetings
• Linked to workplace-based assessment

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New roles and responsibilities
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