Insights into General Practice Training
General Practice (GP) rotations offer a unique experience within the medical field, with a focus on primary care provision through various practice settings. The GP training program includes placements in ST1, ST2, and ST3, each offering distinct roles and responsibilities. Unlike hospital settings, GPs work in practices that are contracted to deliver NHS services, fostering personal relationships with trainers and practice staff. The work environment in GP posts emphasizes flexibility, organization, and a friendly atmosphere, albeit with potential feelings of isolation. Out-of-hours commitments are also part of the training, ensuring exposure to a wide range of patient care scenarios.
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GP POSTS All the rotations have 18m GP All the rotations have 18m GP GP posts are 12m in ST3; the other 6m is either in GP posts are 12m in ST3; the other 6m is either in ST1 or ST2, usually a different practice to the one in ST1 or ST2, usually a different practice to the one in ST3 ST3
WHATS DIFFERENT IN GP? Practices are Practices are businesses contracted to provide primary medical care for the NHS you are therefore a practice employee Your trainer More personal relationship than with consultants Many roles teacher, employer, mentor, assessor, possibly friend Practice staff be relaxed but respectful Practice manager a key person to get to know
WHATS DIFFERENT IN GP? Give and take practices may be more flexible employers than hospitals, if you are seen as helpful, conscientious and flexible
WORK IN GP POSTS You won t be thrown in at the deep end You won t be thrown in at the deep end there will be an an induction period Appointment intervals are long at the start Appointment intervals are long at the start with the eventual aim to reduce to 10 minutes eventual aim to reduce to 10 minutes Timetable Timetable 7 clinical sessions per week plus 7 clinical sessions per week plus educational time with trainer, HDR, study half educational time with trainer, HDR, study half- -day (pro rata for this part time) rata for this part time) Friendly environment but actual work may feel quite Friendly environment but actual work may feel quite isolated isolated there will be with the day (pro
WORK IN GP POSTS Good personal Good personal organisation not handover not handover Long days, possibly 8.30 Long days, possibly 8.30 6.30ish Visits by agreement, usually reduced number to allow Visits by agreement, usually reduced number to allow attendance at HDR/Wednesday tutorials attendance at HDR/Wednesday tutorials organisation needed needed follow through, follow through, 6.30ish
OUT OF HOURS You are required to do a minimum of You are required to do a minimum of one session per month in GP month in GP (one session should last 4 (one session should last 4- -6 hours) Rota: you need to log into Rota: you need to log into drive.google session on the rota there. session on the rota there. Good to confirm with the supervisor in advance by text / Good to confirm with the supervisor in advance by text / email. email. Most sessions with Local Care Direct (LCD) seeing patients Most sessions with Local Care Direct (LCD) seeing patients at OOH at OOH centre centre or visiting them, with a trainer or other or visiting them, with a trainer or other experienced GP supervising you experienced GP supervising you Record on your Record on your eportfolio eportfolio, each session should be filed , each session should be filed separately under Out of Hours on the Learning Log separately under Out of Hours on the Learning Log HEEYH say get a record of your hours on the Log of Out of HEEYH say get a record of your hours on the Log of Out of Hours Form signed off for each session by the supervisor, Hours Form signed off for each session by the supervisor, from Y&H website and this should be uploaded to the from Y&H website and this should be uploaded to the eporfolio eporfolio prior to ARCP panel at the end of the year. I think prior to ARCP panel at the end of the year. I think this is duplication, but it comes from instances when GPRs this is duplication, but it comes from instances when GPRs have made up sessions. have made up sessions. one session per 6 hours) and book your drive.google and book your
EDUCATION IN GP POSTS Support during surgeries and OOH sessions, and Support during surgeries and OOH sessions, and debriefing after each surgery. debriefing after each surgery. Teaching with trainer according to your educational Teaching with trainer according to your educational needs. needs. Assessments by trainer Assessments by trainer Possibly teaching and/or assessments by other Possibly teaching and/or assessments by other practice members practice members Wednesday group tutorials at The Ridge, 1.30pm Wednesday group tutorials at The Ridge, 1.30pm 2.45pm 2.45pm
A FEW EXPECTATIONS OF YOU Transport to get yourself to visits and educational sessions Transport to get yourself to visits and educational sessions Regular attendance at HDR Regular attendance at HDR this is part of your contract and is a 2 way street (the practice should enable you to go, and is a 2 way street (the practice should enable you to go, and you should go). and you should go). Reliable attendance of OOH sessions this is a training Reliable attendance of OOH sessions this is a training requirements, failure to meet this means failing training) requirements, failure to meet this means failing training) Moonlighting Moonlighting not encouraged but can be done with not encouraged but can be done with explicit agreement of your trainer if you are in full time explicit agreement of your trainer if you are in full time training; not permitted if you are training LTFT training; not permitted if you are training LTFT wiithout explicit permission from Senior Management Team at explicit permission from Senior Management Team at HEEYH. HEEYH. this is part of your contract wiithout
VARIATION BETWEEN PRACTICES Geographical position Geographical position Inner city/urban/semi Inner city/urban/semi- - rural rural Size Size Demography of patients Demography of patients Building Building Number of sites Number of sites Doctor s interests Doctor s interests clinical, clinical, medicopolitical medicopolitical, , other teaching, non other teaching, non- -NHS work work Demography of team Demography of team Systems, IT Systems, IT Management style Management style Ethos/values/priorities Ethos/values/priorities NHS
TOP TIPS FROM FORMER TRAINEES 80% of your first GP rotation should be 80% of your first GP rotation should be learning/developing your own consultation model. If learning/developing your own consultation model. If you nail this early you will fly through ST3 you nail this early you will fly through ST3 assessments and the CSA assessments and the CSA The remaining 20% should be learning the day to day The remaining 20% should be learning the day to day GP jobs, practice structure, OOH service, build up on GP jobs, practice structure, OOH service, build up on some foundation knowledge and making full use of some foundation knowledge and making full use of the e the e- -portfolio portfolio
TOP TIPS FROM FORMER TRAINEES Try and get the audit out of the way in your first GP Try and get the audit out of the way in your first GP post post If you are on call, make sure there is a trainer with you If you are on call, make sure there is a trainer with you Getting on well with your trainer is key and makes Getting on well with your trainer is key and makes everything easier everything easier Keep a list of your referrals and then check back to Keep a list of your referrals and then check back to read clinic letters to learn from them read clinic letters to learn from them
