Certification of GP vocational training

1. Certification of GP vocational training Dr. Jill Edwards Medical Director Certification & Standards RCGP Ms. Fiona Erasmus Head of Certification RCGP UKCEA 14th-16th June 2006 Royal College of General Practitioners

2. Context to Changes • NHS Plan April 2002 “A health service designed around the patient” • Modernise postgraduate medical education • Raise quality standards • Improve Service Royal College of General Practitioners

3. PMETB: Postgraduate Medical Education and Training Board • Establish standards of postgraduate medical education & training • To secure these standards & requirements • To develop & promote PGME & training Royal College of General Practitioners

4. The role of the RCGP • Postgraduate training committee • Answerable to RCGP council • Recommends standards to PMETB • Curriculum • Assessment of completion of training • Certification • Posts & programmes Royal College of General Practitioners

5. Differences to JCPTGP • Certification is a function of PMETB • Standard setting is a function of PMETB • Quality assurance is a function of PMETB Comparable to other medical specialties Fee Royal College of General Practitioners

6. Routes to GP certification • Article 10: Certificate of completion of training (CCT) • Posts with prior approval for GP training in the UK • Within 7 years • Article 11: Statement of eligibility for registration Royal College of General Practitioners

7. Certificate of completion of training CCT • Early registration with RCGP £350 fee • VTRI obtained from Deanery 6 weeks before completion date – forwarded to RCGP • CCT application form sent to PMETB £500 • Assessment of application made by RCGP & recommendation forwarded to PMETB Royal College of General Practitioners

8. Statement of Eligibility for registration: SER • Registration with PMETB 4 months prior to completion dates £950 • Include JCPTGP recommendations • VTR1 to PMETB 6 weeks prior to completion date Royal College of General Practitioners

9. Example Application 1 ___________________________________________________________________ NAME Dr S DATE & PLACE OF QUALIFICATION 2000 – UK SUMMATIVE ASSESSMENT Passed Dr S undertook general practice training in the UK and has put forward the following experience to be considered towards certification: General Practice 6/12 GP Registrar 5/2/03-5/8/03 UK VTR/1 6/12 GP Registrar 3/8/05-7/2/06 UK VTR/1 Hospital Experience 6/12 Innovative GPR – 50% O&G 6/8/03-3/2/04UKVTR/1 6/12 Innovative GPR – 50% paediatrics 4/2/04-3/8/04UKVTR/1 6/12 Innovative GPR – 50% care of homeless 4/8/04-1/2/05UKVTR/1 6/12 Innovative GPR – 50% card/endo/diab 2/2/05-2/8/05UKVTR/1 The hospital component of Dr S’s programme was undertaken entirely innovatively. All of his/her innovative posts were undertaken full-time with 50% of his/her time spent in general practice and 50% spent in hospital/community specialties. Dr S applied to the RCGP’s Certification Unit for a Certificate of Completion of Training. Royal College of General Practitioners

10. Example Application 2 NAME Dr X DATE & PLACE OF QUALIFICATION 1998 – UK SUMMATIVE ASSESSMENT Not yet passed Dr X undertook general practice training in the UK and has put forward the following experience to be considered towards certification: General Practice 6/12 GP Registrar – Passed 4/2/04-3/8/04 UK VTR/1 6/12 GP Registrar – Failed 3/8/05-7/2/06 UK VTR/1 6/12 GP Registrar – Remedial 8/2/06-8/8/06 UK Current post Dr X failed the consultation skills component of Summative Assessment during his second six month period of training. He is now undertaking a remedial post to enable him to pass Summative Assessment. Hospital Experience 6/12 SHO Paediatrics 3/2/99-3/8/99 UK VTR/2 6/12 SHO Neonatology 4/8/99-1/2/00 UK VTR/2 6/12 SHO Psychiatry 4/8/04-1/2/05 UK VTR/2 6/12 SHO Geriatrics2/2/05-2/8/05 UK VTR/2 Dr X trained in paediatrics before s/he moved to general practice. 12 months of hi/her paediatric training was accepted as contributing towards his/her general practice training programme. The CCT guidelines specify that training leading to a CCT should be obtained within the seven year period immediately preceding the date of formal application for a certificate on completion of the training programme. Dr X’s first post will fall outside the seven year timeframe for a CCT by the time s/he completes his/her training in August 2006. If Dr X had not failed his/her second six month period of GP Registrar training his/her programme would just have fallen within the CCT timeframe. Dr X asks whether s/he will be eligible for a CCT on completion of his/her current post and passing all components of Summative Assessment. Royal College of General Practitioners

11. Example Application 3 NAME Dr Z DATE & PLACE OF QUALIFICATION 1988 – Nigeria SUMMATIVE ASSESSMENT Passed Dr Z undertook general practice training in the UK and has put forward the following experience to be considered towards certification: General Practice 3/12GP Registrar 7/5/03-5/8/03 UK VTR/1 9/12GP Registrar 4/5/05-31/1/06 UK VTR/1 Hospital Experience 3/12 SHO Accident & Emergency 5/2/03-6/5/03 UK VTR/2 9/12 SHO General Medicine 6/8/03-4/5/04 UK VTR/2 3/12 SHO Geriatrics 5/5/04-3/8/04 UK VTR/2 3/12 SHO Community Paediatrics 4/8/04-2/11/04 UK VTR/2 3/12 SHO Paediatric Accident & Emergency 3/11/04-1/2/05 UK VTR/2 3/12 SHO Psychiatry 2/2/05-4/5/05 UK VTR/2 Dr Z applied to the RCGP’s Certification Unit for a Certificate of Completion of Training. Royal College of General Practitioners

12. Example Application 4 NAME Dr A DATE & PLACE OF QUALIFICATION 2002 – UK SUMMATIVE ASSESSMENT Not sat Dr A is planning his/her general practice training programme and is seeking advice from the RCGP’s Certification Unit. S/he has written to the Unit outlining the following programme: Foundation Year 2 – one year 4/12 F2 Paediatrics 4/12 F2 Psychiatry 4/12 F2 General Practice Specialty Training – two years 4/12 GP Registrar 4/12 Innovative Training Post – 50% GP/50% O&G 4/12 Innovative Training Post – 50% GP/50% A&E 2/12 GP Registrar 4/12 Innovative Training Post – 50% GP/50% Geriatrics 6/12 GP Registrar Dr A’s training programme has been organised for him/her by the regional General Practice Deanery and is supported by the Director of Postgraduate General Practice Education. Dr A asks whether s/he will be eligible for a CCT on completion of the training programme described above. Royal College of General Practitioners

13. Example Application 5 NAME Dr W DATE & PLACE OF QUALIFICATION 2000 – UK SUMMATIVE ASSESSMENT Not sat Dr W is undertaking general practice training in the UK and has put forward the following experience to be considered towards certification: Hospital Experience 6/12 SHO Accident & Emergency 5/2/03-5/8/03 UK VTR/2 4/12 SHO Rheumatology 3/9/03-6/1/04 UK VTR/2 4/12 SHO Cardiology 7/1/04-5/5/04 UK VTR/2 4/12 SHO Accident & Emergency 5/5/04-31/8/04 UK VTR/2 4/12 SHO Geriatrics1/9/04-4/1/05 UK VTR/2 3/12 SHO Endocrinology 5/1/05-3/4/05 UK VTR/2 2.5/12 SHO Respiratory 4/4/05-15/6/05 UK VTR/2 Dr W plans to undertake a four month innovative general practice post combined with children’s palliative care followed by a 14 month GP Registrar post. Dr W asks how much his/her completed training can contribute towards the three-year general practice training programme and whether s/he will be eligible for a CCT on completion of his/her planned training. Royal College of General Practitioners

14. Specialist Training Programmes in General Practice Pitfalls of Current Position • Duration of Posts in List A • Using Integrated Posts to contribute to List A • ENT, Dermatology, Ophthalmology Rotations • Breadth & Balance of Programmes Royal College of General Practitioners