GP vocational training

1
GP vocational training

• 2 - What does being a training practice mean?

2
Why be a training practice?

• Prestige - indicates high standards of record
  keeping, organisation, patient care
• Stimulation - contact with young doctors keeps
  everyone in touch with new developments
• Balance - educational activity as well as
  clinical activity
• Peer support - for trainer, from trainers group
• Recruitment - ex GPRs or candidates attracted by
  practices training status

3
Yorkshire criteria for training practices - the
practice

• Premises adequate, preferably consulting room for
  GPR
• Effective PHCT
• Effective practice management
• Records summarised
• Library and IT
• Video camera and player

4
Yorkshire criteria for training practices - GPR
work

• Appropriate workload (not too heavy but providing
  sufficient experience)
• Consultations at 10 min intervals (or longer)
• Out of hours experience
• Contract of employment

5
Yorkshire criteria for training practices - GPR
education

• All team committed to training and involved in
  teaching
• Timetable with protected tutorial time
• After-surgery discussion time
• GPR always covered by trainer or delegated
  partner
• Training in audit, chronic disease management,
  prescribing, preventive care, health promotion

6
Financial rewards

• Training grant to trainer
• 6000 from Deanery for new training practices
• Occasional Deanery grants e g 2000 for library,
  400 for camera
• Trainers asked to help with GPR recruitment and
  reapproval visits to trainers on other schemes
  350/day plus travel

7
Half Day Release

• Compulsory for GPRs to attend
• Organised in small groups with the help of
  intending trainers and established trainers
• Trainers with special expertise sometimes
  organise and facilitate sessions - paid at the
  standard rate
• Currently no payment for small group work (no
  budget - we used to pay them from drug company
  sponsorship but no longer find this source of
  finance acceptable)
• But trainers experience of small group
  facilitation and other educational methods is of
  value to the practice as these skills can be used
  for practice development