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Creating a Training ProgrammeThis factsheet on the new GP curriculum should help you prepare a programme that will satisfy the PMETB regulations. What are the essential requirements of new Training Programmes?Programme Directors have responsibility for the sequence of posts that make up the programme and the teaching that is provided. The Programme Director has overall accountability for the learners and their education but shares this responsibility with educators in primary care or secondary care. The emphasis is on workplace learning with additional self-directed learning and teaching on courses. A minimum of one year must be hospital-based and one year in General Practice. There will be mentoring and educational supervision throughout the three years. Programmes will be of three years duration but trainees who have experience outside General Practice will be able to join programmes for a shorter duration depending on their experience and competence. Selection will follow eligibility rules and standards laid down by PMETB. There will be a national GP selection system based on principles of open competition and equal opportunity. Assessment will consist of a three-part package: Workplace-based assessment (WBA) throughout the three years; a machine-marked test of applied knowledge (AKT); and a clinical skills assessment (CSA), which will probably take place in the third year. Programmes must be quality assured, moderated by Deaneries and ultimately by PMETB. What flexibility is there?How the curriculum is delivered will be decided by Programme Directors, taking into account the learning needs of the learners. Deaneries will provide guidance in making sure the programme meets PMETB rules. Programmes will usually be of 3 years duration, with 18 months General Practice and 18 months speciality experience. Early exposure to General Practice is desirable. What rules are there on Curriculum content?The GP Curriculum is written by the RCGP and approved by PMETB. It states what knowledge, skills, attitudes and expertise the learner will achieve; and it covers generic professional competencies, the qualities that are expected from all doctors (Good Medical Practice), and the competencies that are specific to General Practice. How do I develop a Programme?Things to consider in developing a programme are: o supervision - which must be appropriate, timely, improving learning and patient safety and care o the need for adequate clinical exposure o opportunities to define individual learning objectives and offer pastoral support o resolving tension in the blend of service and training o balanced and appropriate training in a hospital setting o using the opportunities offered by multidisciplinary team o regard for professional development and the enhancement of proficiency, professionalism and maturity o the welfare of doctors - which requires managing stress and reducing fatigue o the interdependency of learning and working relationships around clinical events, ‘classroom’ and self-directed learning o flexibility in coping with part-time working and training breaks. What about documentation to help me design a Programme?The RCGP curriculum contains a general statement on key GP skills, statements on the professional and managerial aspects of practice, and a series of statements on the care of special patient groups (acutely ill, children, elderly, women’s & men’s health, sexual health, cancer & palliative care, learning disabilities) and clinical areas (cardiovascular, neurological, skin, metabolic, respiratory, musculoskeletal, trauma, ENT, eyes, digestive problems, mental health, minor surgery). All statements can be downloaded from RCGP web site Information for GPRs on certification is found here The PMETB have useful downloads available on their web here What about Quality Assurance?It is the responsibility of Deaneries to quality assure programmes. Programme Directors will have to provide data on learners, their progress and their education experiences.
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