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Training for General Practice in the UK

Training for General Practice in the UK. Dr Tony Mathie. The parties involved. The Postgraduate Medical Education & Training Board (PMETB) has overall responsibility for all training and certification. The Royal College of General Practitioners advises the PMETB

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Training for General Practice in the UK

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  1. Training for General Practice in the UK Dr Tony Mathie

  2. The parties involved • The Postgraduate Medical Education & Training Board (PMETB) has overall responsibility for all training and certification. • The Royal College of General Practitioners advises the PMETB • Deaneries manage training regionally

  3. Deaneries • Each medical school has a Postgraduate GP Dean who manages the programme • GP Deans are supported by Deputies and Associates, Course Organisers and Trainers. • All these people are GPs. • I am the GP Postgraduate Dean for Liverpool.

  4. Regulations • After medical school and a pre-registration year and a foundation year, GP training lasts 3 years minimum. • The requirement is for • A minimum of 12 months in hospital specialties • A minimum of 12 months in a GP practice • A further approved 12 months

  5. Training practices • Experienced GPs are trained to teach and are appointed for 3 years at a time. • Their practices have to meet a series of standards. • They are paid. • The Deanery pays the GP Registrars. • Trainers in a district meet together for further training and support.

  6. GP registrars • Are paid as doctors • Have a clinical caseload as well as receiving training • Meet together in a district each week • Go on courses appropriate to their training

  7. Recruitment • There is a national recruitment method and standards. • Currently large numbers of applicants come from overseas, especially India and Pakistan. • Two-thirds of GP trainees are women.

  8. Numbers • In England there are 2,778 GP Registrars in their final year of training. • There are 5,556 in the hospital phase of training. • In future more of the training will take place in GP; initially 18 months.

  9. Assessment • At the end of training, in order to practice, GP registrars have to pass as Assessment: • Multiple choice examination • An audit • Video consultations • Trainer’s report

  10. MRCGP • In addition, most take the membership examination for the RCGP. • In future there will be only one examination for licensing and membership.

  11. Certification • At the end of training, subject to satisfactory assessments, doctors are awarded a Certificate of Completion of Training.(CCT) • Only doctors with a CCT and trainees can work in GP. • Doctors from Europe have rights to work if they have had equivalent training.

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