Most training has to be during GP attachments, and it is likely that the bulk of this will be during ST3. Relevant experience may be accrued during the hospital posts listed above. Observational sessions, in which the trainee attends relevant courses or observes other health professionals, without undertaking any clinical responsibility for patients, can be undertaken as part of the normal weekly protected educational sessions at any time throughout training. This is useful within ST1 and ST2 to demonstrate progression of capability.

The learner must not embark on this training during sick leave or whilst Out of Programme (OOP). It is possible to undertake observational or direct supervision sessions on Keeping in Touch Days during maternity leave provided this has been agreed with the Indemnity provider, ES and TPD. Near and remote supervision sessions must not be undertaken.

There is no upper limit to the amount of out of hours work that trainees may undertake. However, trainees will only receive an anti-social enhancement for up to 108 hours within their contracts of employment. Furthermore, with the new junior doctor’s contract and reduced hours that trainees work in their training practices, consideration must be given towards the impact on the rest of their training. Whilst training in urgent and unscheduled care is important this should not adversely impact upon the other clinical experience groups.

You should be reviewing this regularly with your ES. The “Urgent and Unscheduled Care Session Record” should act as a trigger for a professional conversation with your ES or CS, who should assess the evidence collated to that point and suggest further developmental needs that should be recorded as a PDP entry.

You should have completed BLS & AED training. The BLS training is valid for 12 months and ALS training certificate is valid for 3 years, but the training should have taken place during GP training.  The certificates on your e-Portfolio should be valid at the time of your CCT and attached to a shared log entry so that they are visible to your educational supervisor and the ARCP panel.

You are advised to continue to add evidence to the Urgent and Unscheduled Care clinical experience group. If you have had an extension due to failure of WPBA it may be necessary for you to undertake further OOH sessions, depending upon the recommendation of the ARCP panel. If your extension is for examination failure attendance at OOH may not be necessary.