Induction
An induction should be arranged for all trainees. This should consist of an initial interview either on their first day at the practice or in advance, and a longer programme over the first week. This applies to ST1,2 and 3 trainees although naturally some things may be able to be covered very quickly if this particular trainee has worked in the practice previously. Induction should wherever possible include input from as many practice staff as possible and of course, with the GP trainer (clinical supervisor).
Suggestions of things to be covered in the initial interview (even if you have previously provided written information- see Before the Trainee Arrives) include:
- Meet and greet the trainee
- Trainee hopes, fears and expectations / Previous experience
- Known knowledge gaps (the suggested registrar quiz may be helpful in isolating some of these)
- Induction timetable
- Hours, model working week (trainee and trainer)
- Trainees clinical supervision- session coverage by Doctors (particuarly important if you are part time)
- Debrief time, doctor and procedure
- Practice meetings and expectations of both parties re these
- Payroll/ TVPCA for payment of salary
- Nat Ins / Pension / P45
- Holiday and Study Leave allowance
- Other leave rules eg. Bereavement/Parental/Sick leave not >2wks or extra training
- Holiday and study leave already arranged (trainee and trainer)
- Out of hours arrangements
- Practice logistics eg access
- Practice rules eg "dirty laundry"
- Confidentiality (discus and sign agreement)
- ePortfolio commitments for the 6mths/1yr
- Suggested minimum attainment levels
- Trainees room and doctor's bag
- Emergency bag/trolley- drugs / equipment
- Health and Safety aspects
- Contact numbers / Ambulance codes etc
- Trainees support needs eg health related
- Mechanisms of practice feedback- both ways
- Expectations of trainee private services insurance medicals
- Chaperoning policy
- Login and password for: Computer / clinical system / email / path results / mail manager / scanned documents etc. / NHS net account
- Information flow models- use of internal mail/information flow
- Use of intranet in practice/internal messaging system
- Who to ask for IT support
- Check basic IT skills/ learning needs assesment
- IT skills
- Differences between hospital and gp data entry
- Use of clinical system- basics of consultation and data entry
- Use of other systems in use in the pracice eg Docman
- Principles of READ coding
- Problem generation/Summaries/Significant problems- how to decide how to code how to prioritise
- Principles and practical data entry- importance of coded entries for data /audit activity, avoidance of freetext etc
- Standards of data entry eg SOAP
- Practice coding policy
- Basics of QOF
- Referrals- coding /use of clinical system/voice activated software/tapes/bowties etc
Unless you already know your trainee very well, you are likely to want to make some initial assesments in order for you both to plan their learning. The following Training Resources may be helpful. Additionally you might find it helpful to use AKT practice paper (from exam preparation book), the curriculum blueprint on ePortfolio (to see competencies and curriculum areas covered).
Sample timetables for induction and normal working weeks can be found on the Training Resources page