royal college of general practitioners certification of gp vocational training dr. jill edwards...

Royal College of General Practitioners

Certification of GP vocational training

Dr. Jill EdwardsMedical Director Certification & Standards RCGPMs. Fiona ErasmusHead of Certification RCGPUKCEA 14th-16th June 2006


Context to Changes

NHS Plan April 2002

“A health service designed around the patient”

Modernise postgraduate medical educationRaise quality standards Improve Service


PMETB: Postgraduate Medical Education and Training Board

Establish standards of postgraduate medical education & training

To secure these standards & requirements

To develop & promote PGME & training


Postgraduate training committeeAnswerable to RCGP councilRecommends standards to PMETB

Curriculum Assessment of completion of training Certification Posts & programmes

The role of the RCGP


Differences to JCPTGP

Certification is a function of PMETBStandard setting is a function of PMETBQuality assurance is a function of

PMETB

Comparable to other medical specialties

Fee


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


Certificate of completion of training CCT

Early registration with RCGP £350 feeVTRI 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


Statement of Eligibility for registration: SER

Registration with PMETB 4 months prior to completion dates £950

Include JCPTGP recommendationsVTR1 to PMETB 6 weeks prior to

completion date


Example Application 1

___________________________________________________________________NAME Dr SDATE & 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 Practice6/12 GP Registrar 5/2/03-5/8/03 UK VTR/16/12 GP Registrar 3/8/05-7/2/06 UK VTR/1

Hospital Experience6/12 Innovative GPR – 50% O&G 6/8/03-3/2/04UKVTR/16/12 Innovative GPR – 50% paediatrics 4/2/04-3/8/04UKVTR/16/12 Innovative GPR – 50% care of homeless 4/8/04-1/2/05UKVTR/16/12 Innovative GPR – 50% card/endo/diab 2/2/05-2/8/05UKVTR/1The 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.



NAME Dr XDATE & PLACE OF QUALIFICATION 1998 – UK SUMMATIVE ASSESSMENT Not yet passedDr X undertook general practice training in the UK and has put forward the following experience to be considered

towards certification:General Practice6/12 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 postDr 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 Experience6/12 SHO Paediatrics 3/2/99-3/8/99 UK VTR/26/12 SHO Neonatology 4/8/99-1/2/00 UK VTR/26/12 SHO Psychiatry 4/8/04-1/2/05 UK VTR/26/12 SHO Geriatrics2/2/05-2/8/05 UK VTR/2Dr 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.



NAME Dr ZDATE & PLACE OF QUALIFICATION 1988 – Nigeria SUMMATIVE ASSESSMENT PassedDr Z undertook general practice training in the UK and has put forward the following

experience to be considered towards certification:General Practice3/12GP Registrar 7/5/03-5/8/03 UK VTR/19/12GP Registrar 4/5/05-31/1/06 UK VTR/1 Hospital Experience3/12 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/23/12 SHO Geriatrics 5/5/04-3/8/04 UK VTR/23/12 SHO Community Paediatrics 4/8/04-2/11/04 UK VTR/23/12 SHO Paediatric Accident & Emergency 3/11/04-1/2/05 UK VTR/23/12 SHO Psychiatry 2/2/05-4/5/05 UK VTR/2Dr Z applied to the RCGP’s Certification Unit for a Certificate of Completion of

Training.



NAME Dr ADATE & PLACE OF QUALIFICATION 2002 – UK SUMMATIVE ASSESSMENT Not satDr 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 year4/12 F2 Paediatrics4/12 F2 Psychiatry4/12 F2 General PracticeSpecialty Training – two years4/12 GP Registrar4/12 Innovative Training Post – 50% GP/50% O&G4/12 Innovative Training Post – 50% GP/50% A&E2/12 GP Registrar4/12 Innovative Training Post – 50% GP/50% Geriatrics6/12 GP RegistrarDr 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.



NAME Dr WDATE & PLACE OF QUALIFICATION 2000 – UK SUMMATIVE ASSESSMENT Not satDr W is undertaking general practice training in the UK and has put forward the following

experience to be considered towards certification:

Hospital Experience6/12 SHO Accident & Emergency 5/2/03-5/8/03 UK VTR/24/12 SHO Rheumatology 3/9/03-6/1/04 UK VTR/24/12 SHO Cardiology 7/1/04-5/5/04 UK VTR/24/12 SHO Accident & Emergency 5/5/04-31/8/04 UK VTR/24/12 SHO Geriatrics1/9/04-4/1/05 UK VTR/23/12 SHO Endocrinology 5/1/05-3/4/05 UK VTR/22.5/12 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.


Specialist Training Programmes in General Practice Pitfalls of Current Position

Duration of Posts in List AUsing Integrated Posts to contribute to

List AENT, Dermatology, Ophthalmology

RotationsBreadth & Balance of Programmes

royal college of general practitioners certification of gp vocational training dr. jill edwards...

Documents

general practice training

pmetb slide

gp training

rcgp slide

training certification

pgme training slide

completion date slide

registration slide