Types of Trainees in GP
What types of trainees may be involved in your practice?
Depending on the qualifications attained by the GP trainers the following trainees may be attached to the practice:
This is a two year programme, following on from graduation from medical school. The programme provides generic training to develop skills in communication, consultation, patient safety and team work.
FY1 - Foundation Year 1
Foundation year - usually undertaken in hospital.
FY2 - Foundation Year 2
Foundation year - usually undertaken in hospital although there may be a short placement with a GP practice.
There is information available about F2 placements in GP at http://www.primarycare.severndeanery.nhs.uk/ under the ‘Training’ section.
If successful in the foundation programme, trainees may apply for the specialist GP training as GP speciality training registrars (GPStR) which consists of:
The RCGP is responsible for the GPSt training curriculum. There are 12 competency areas for trainees to achieve. These are available online at the RCGP website www.rcgp.org.uk under the ‘Exams’ section.
ST1 - Speciality Trainee Year 1
The first year of training is spent in 2 - 3 hospital posts. The trainee will have an educational supervisor who is usually their GP trainer when they are an ST3 based in a practice.
ST2 - Speciality Trainee Year 2
The second year of training, with a six month placement in a GP practice. This placement will be a different placement to the ST3 year.
ST3 - Speciality Trainee Year 3
This is the final year of training. In order to achieve the nMRCGP, trainees spend a year with a practice. This is an opportunity for trainees to be mentored and tutored to increase clinical knowledge, develop their consulting skills and understand how a GP business runs and is managed. ST3%u2019s need to attend regular training events run by Swindon GP education based at Great Western Hospital %u2013 they need to achieve a certain level of attendance.
Typically trainees are with a practice for a year and within this time they will undertake their Clinical Skills Assessment (CSA) and Applied Knowledge Test (AKT).
They also need to achieve a number of learning objectives and keep an e-portfolio of their achievements which will go towards their Workplace Based Assessment (WPBA)
Their tutor should have access to the trainees e-portfolio.
They also need their tutor to sign them off as competent. The tutor will need to do a Clinical Supervisors Report (CSR) which is an assessment of four areas (relationships, diagnostics, management and professional). The evidence for this report is collected from consultation observation, case based discussion and multi-source feedback.
NB The GP trainer in the ST3 year is the Educational Supervisor for the whole of the three years of training. As such they are responsible for the monitoring of ePortfolios, assessments and completion of Clinical Supervisor reports for their trainee. Trainees are encouraged to visit their practice on a regular basis throughout their training, eg 1 day every two months as part of their study leave allowance. This benefits both the trainee and practice in helping to make learning from hospital posts much more relevant and introduce trainees to general practice.
Considerations for Practice Managers:
- Ensure relevant staff are aware of the GP education programme (at Great Western Hospital). These workshops, known as the Half Day Release Course (HDRC), should be sent by email from the GP education office and are attended on Wednesday mornings by ST3%u2019s. In the case of ST2 placements, formal small group teaching takes place one Wednesday afternoon monthly. Foundation trainees attend weekly Wednesday teaching at Great Western Hospital from 12.30pm - 2pm. NB These formal teaching events are mandatory for the relevant trainee.
- Have an understanding of the key elements of the RCGP curriculum and think about learning opportunities that might feed into that curriculum.
- Ensure that the multi-source feedback is completed for a registrar. The registrar will email round a link to all relevant staff and ask them to complete feedback.