Expectations of the GP Registrar

This page is an example of a document you may wish to give to your trainees and discus with them at the start of their time in your practice.  It will need to be edited for individual practices.

Timetable

You will be given a timetable, initially produced by your trainer but as the year goes on, it will be negotiated and tailored to your learning needs. This may be your responsibility to produce as your training progresses.

It is expected that this timetable will be adhered to unless prior approval is obtained from your trainer or covering trainer, and all those involved are then informed.

You will have a weekly tutorial (if full time) on a day to be agreed with your trainer and it will usually be from ___till ___. Following this you will have reflection/study time alone from ___ to ___. This is protected time so will not have any interruptions. Other tutorials will be arranged as needed.

You will have 7 clinical sessions and 3 educational sessions per week on average (based on full time training).  Your tutorial and VTS count as educational sessions.  It is up to you to arrange other educational sessions with the agreement of your trainer.

Normally on Tuesdays you will be released for central VTS teaching*- however when there is no VTS training, it is expected that you will attend the surgery for consulting.

*ST3s have a whole day release, ST1 and ST2 attend for an afternoon every other Tuesday.

General guidance

There is no strict dress code but you should be presentable and neatly turned out for all patient contacts.

You are not allowed to ingest any alcohol 6 hours prior to starting work including any on call shifts.

Confidentiality is essential and must be strictly maintained. This includes not discussing patients with other practice members in communal areas (unless avoiding being overheard) such as reception etc.

The practice runs on a non-hierarchical basis with all staff being valued for their contribution. All staff are involved in training and provide feedback on progress. It is expected that the registrar will be involved with all members of the team and use their experience and expertise to facilitate their training.

The practice policies regarding use of e-mail and the internet are available on the intranet.  Please familiarise yourself with these.

The downloading of software onto the practice computers is strictly forbidden.

Annual leave and study leave should be agreed well in advance with the practice and may need to be negotiated where leave arrangements conflict with those of other members of the team.

Further guidance can be found in the staff handbook.

Day to day guidance

It is important that you let reception know when you leave the building and when you return, in case of emergencies. Please let them know how they can contact you if necessary.

Reception should be informed of all home visits either verbally or writing them in the visit book, ideally before visiting but certainly before the end of the day.

It is expected that you attend all practice meetings and are involved in all practice business.

Morning surgery starts at ___am. It is expected that the registrar will arrive in enough time to start surgery promptly. The last appointment is booked usually at ___. Usual finishing time is ___. It is expected that all urgent work will be completed before leaving, including blood results, letters, consulting, referrals etc.

It is expected that the registrar will progress to being duty doctor and will do all the work of a duty doctor but will always be covered by a named doctor for support.

It is expected that the registrar will be involved in clinics where possible progressing to running them as the year goes on.

It is expected that the registrar will be involved in chronic disease management compiling a list of patients that they care for with specific chronic diseases. This will be reviewed regularly.

The registrar will have an appointed trainer/ doctor to support them for each session that they are in the practice.

It is expected that the Registrar will aspire to achieve the qualities detailed in the GMC’s document Good Medical Practice.

If you are too sick to work it is important that you contact __________ by phoning ________ before __am.  A certificate needs to be provided by you (first 7 days) or your GP (for absences > 7 days).

 

Consultation guidance

All patient contacts should be documented on the computer.

The practice formulary should be adhered to as close as is reasonable, with any deviations being justifiable with current evidence or experience.

Consultation length is initially ___ minutes this is reviewed regularly and negotiated down, with the aim that the registrar will be consulting at 10 minute intervals for the latter quarter of their training. Longer consultation length can be arranged e.g. for specific issues like video and consulting styles practice etc.

Recording on the computer is essential. It is expected that you adhere to the written protocols/ instructions for EMIS and ask your trainer, deputy or the practice manager if you have any concerns or queries.

Queries

If you have any queries or concerns please ask your trainer, the deputy trainer or practice manager.