The normal working week in General Practice training is ten sessions. GP Specialty Trainees should be released for district day release and regional courses, but otherwise it is expected they will work normally in practices when there is no course provision.
The GPC and COGPED have recommended that the standard GP specialty registrar working week will be divided into seven clinical sessions, and three educational sessions.
In ST3 the educational sessions comprise 2 sessions usually spent at the VTS day release course and 1 session with your trainer.
In ST1/2 the educational sessions are made up of the day release (2 sessions), alternate Tuesday afternoons at the VTS and alternate Wednesday mornings at one of the Surgeries for a joint tutorial with other ST1/2s and F2s in general practice.
- Supervised/supported consulting time, with appointments at a maximum of every 10 minutes for face to face consultations. This time should include debriefing.
- Supervised/supported home visits, nursing home visits, rounds, undertakers visits for the purposes of death administration including time for debriefing, and travelling.
- Administrative work to include: pathology results, letters, reports (for educational purposes only), general administration.
- Time spent with other members of the practice and/or healthcare team for the purposes of care and learning - e.g. practice nurses, diabetic nurses, chronic obstructive pulmonary disease (COPD) nurses, research nurses, midwives, counsellors, OT, physiotherapists, receptionists, ambulance crews, triage nurses, GPwSIs, alternative and complementary therapists, undertakers.
- Time spent in specialist clinics e.g. wart clinics, joint injection clinics, family planning clinics.
- Time spent in directly supervised surgery as part of consultation observation tests (COTS), direct observation of procedure skills (DOPS).
- Time spent videoing consultations as part of consultation skills training.
- Independent study/revision
- Tutorials with GP supervisors
- A VTS training scheme session(s)
- Administration for the purposes of audit/research in general practice
- Videotape, COT, DOPS analysis as part of educational furtherance
- Case based discussions selected from outside the debrief time
Sessions need not be completed all in one go, but may be broken down appropriately throughout the week.
As part of your training you can undertake a clinical session within extended hours – if available. Extended hours are not offered by all surgeries. These sessions usually happen on certain weekdays in the evening and/or on Saturday mornings. If you work one of these sessions you must of course be supervised and supported in the same way you would be during core opening hours. No GP Trainee should ever be in surgery without another GP being present, e.g. their Educational Supervisor, another partner or a salaried GP. The clinical session undertaken in extended hours would replace a clinical session undertaken in core hours. It is important to ensure that the structure of the working (and teaching) week remains compliant with European Working Time Regulations. The clinical session undertaken during extended opening hours does not count towards the required number of Out of Hours sessions. The number of clinical sessions undertaken in extended hours by a GPStR should not exceed the number undertaken by a partner within the practice.