Practicalities

There are certain things you need to have planned before a GPST comes to your practice. These are in addition to the regulatory aspects.

You will need to have an induction programme for the first week or two, and a timetable of work. These will both need to be flexible, as no two learners have the same experience, or progress at the same rate.

Below are some suggestions and resources to help you with induction, and some guidelines about hours and workload for the GPST.

Induction

What do you want from induction? Is it just about orientation and getting to know the team? The learner will have needs, and the practice will also have expectations of the learner. It is the ideal time to do the first learning needs assessment, and to get to know the person you will be working with for some time. Here are some ideas from trainers:

  • Talk about what it is like being a doctor living in a community with your patients.
  • Get them reading, looking things up, being curious. Highlight the culture change from hospital to practice, and help them gain the confidence to challenge their trainer, and develop into a respected equal.
  • It’s timeconsuming for a trainee to have to search other rooms for equipment or books. Arrange for all trainees to have a bag which is checked at the start and end of each placement, and put the books they will need in the library.
  • Ask them ‘What would be the worst thing to come through your door in the first surgery
  • Give a pen-portrait of yourself and encourage them to reciprocate.
  • Consider doing learning styles, personality styles, and maybe even Belbin team working styles.
  • Use a curriculum confidence rating scale
  • Map everything which needs to be done during the placement on a big piece of paper – including WPBA, OOH, Audit, holidays, AKT, CSA, practice and programme social events – and put it somewhere it can be seen.

Resources for induction can be fuond in the downloads section to the right.

Timetables

Here are the rules:

  • A GPST is contracted to work 10 sessions per week plus 6 OOH hours per month
  • The EWTD requirements must be met.
  • After an OOH shift, the trainee must be allowed 11 hours rest before returning to work.

The breakdown of the 10 sessions is as follows:

  • 7 clinical sessions
  • 1 protected tutorial/ teaching time in practice
  • 1 protected session for teaching on the local Programme (Half day release)
  • 1 session for private study (can be in the practice for audit for example)

Teaching time in the practice should be as follows:

  Full Time GPR Part time GPR
Undisturbed face to face teaching (eg formal tutorial with full debriefing) 2.5 hours Proportionate to the % of full time hours worked (eg if working at 60% this would be 1.5 hours)
Other educational events eg, informal teaching/ debriefing, practice educational meetings) 2.5 hours Proportionate to the % of full time hours worked (eg if working at 60% this would be 1.5 hours)
Planning and Preparation 2 hours 2 hours

However, the teaching does not all have to be delivered at one time. For example the tutorial time could be divided and given by different members of the team on different days.

When the Half Day Release is in recess, the trainee is expected to work at the practice.

If the days the trainee works in the practice are longer than 8 hours, then it is reasonable to allow a half day off, as long as the full 40 hours are worked in the above proportions. Example:

  Monday    Tuesday     Wednesday Thursday   Friday    
AM 0800-1130
Surgery
0800-1130
Surgery 
0800-1130
Surgery 
0800-1130
Surgery 
0900-1100
Tutorial and WPBA
1130-1200 
Debrief
1130-1200 
Debrief
1130-1200 
Debrief
1130-1200 
Debrief
1130-1300
Visits and paperwork
1200-1300 
Visits and paperwork
1200-1300
Visits and paperwork
1200-1300
Visits and paperwork
1200-1300
Visits and paperwork

PM

1400-1530
Practice educational meeting
Half day
(40 hours worked in total)
Half day release 1400-1530
Tutorial
Private study
1530-1700
Surgery
1530-1700
Surgery
1700-1730
Debrief
1700-1730
Debrief
Hours 9h 5h 8h 10h 8h

GP Training and Locum Work

It should be noted that Heath Education East of England’s policy on GP training and parallel locum work is as per the Gold Guide, under section “Registering with Postgraduate Dean” on page 36.

It clearly states as per statement 6.25 (page 38) in addition to accepting the "Conditions of taking up a training post" the trainee ‘not undertake locum activities which compromise their training or make them non-compliant with Working Time Regulations’.

Failure to comply with these requirements may result in the removal of the training number by the Postgraduate Dean.

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