1. A Glimpse into General Practise Training in the UK
By:
Dr Fatima Kapacee
GPST1 UK

2. Pre GP training Foundation years 1 and 2
During F2, application for GP Training commences in November – via National Recruitment Office via ORIEL
Exam (Situational judgement test) around January and then Interviews in February
Offers made in March
Training commences in August
*training can also commence in Feb with offers made in October

3. GP Training – The Process
Apply for posts typically 6 monthly over the first 2 years
18 months Hospital placements and 18 months in GP
1st year in hospital and 3rd year fully in GP. Flexible 2nd year
MRCGP – 3 parts:
2 Exams in total:
1st to be done during ST2 – AKT (Applied Knowledge test)
2nd to be done during ST3 – CSA (Clinical Skills Assessment)
Workplace based assessment - Eportfolio maintenance and annual ARCP (Annual Review of Competence Progress)
After completing both exams and successful ARCP Apply for CCT to GMC and RCGP
* 4 year Programmes can also be done to incorporate academic clinical fellowships or a global health fellowship year

4. Exams AKT Computer based exam 3hrs and 10mins 200 questions
80% clinical medicine
10% on critical appraisal – Using evidence and data to underpin clinical decision making and being able to critically appraise good evidence and adopt guidelines
10% on health informatics, ethics and administrative issues e.g. completion of insurance reports, sick notes
All questions relate to UK General Practise and focus on higher problem solving
CSA
Based largely on OSCE format
Each candidate is assigned a consultation room and has 13 10minute consultations
Main focus areas
Primary care management – recognition and management
Problem solving skills – including data gathering
Comprehensive approach – co-morbidity and risk
Person-centred care
Practising ethically and professionally
Clinical practical skills

5. Work Place Based Assessments
Tools include:
Case Based Discussions (CBD)
Consultation Observation Tool (COT) (in Primary Care)
Multi-source feedback (MSF)
Patient satisfaction questionnaire (PSQ) (in Primary Care)
Clinical Examination and Procedural Skills (CEPS)
Clinical Evaluation exercise (mini CEX)
Clinical Supervisors Report (CSR) - to be undertaken in all hospital posts, but can also be used in the primary care setting
Learning Log
Personal Development Plan (PDP)

6. Post CCT Options of working as a GP: GP Partner Salaried GP Locum GP
Sessional GP
Porfolio GP:
GPwSI in most specialities including dermatology, diabetes and minor surgery
CCG roles (Clinical Commissioning Group) from chair to Director level
Teaching and training roles
GP leadership roles including Associate medical director or Medical Director of Community Health Trusts
Working for Prison Health services as a GP
Working exclusively in out of hours GP services
Other Extra curricular interests:
Explore areas of clinical interest
Joining the RCGP team in various areas including JIC (Junior International Committee)
Take part in projects worldwide e.g volunteer in Bwindi Community Hospital, Uganda
Taking part in Conference Exchanges

7. My Journey so far… Born in Kenya Moved to the UK at age 15
Went to Medical School in London
Did my foundation training in Oxford
Did my Elective in Kathmandu, Nepal and then 1 day of shadowing during my EBC trek at Periche while acclimatising
F1 – 6 months General Medicine and 6 Months in Surgery
F2 – 4 months in Neonatology, 4 months in GP and 4 months in Care of the Elderly
Spent some time locuming to develop my interest in Paediatrics
Relocated to Canada – did a shadowing placement there in GP
Moved back to the UK and started locuming in paediatrics while I awaiting commencement of application process
Realised that I was not getting any family life balance and barely seeing my daughter – spent time discussing options with colleagues and decided to look into GP training
Applied for GP training
Realised the opportunities I have for global work, balancing family life and overall happiness without having a pay cut (by part time work)

8. My Future plans
To join the JIC and help to find ways to improve GP training in the UK
To continue to partake in exchange programmes and increase my knowledge and experience of GP practise in other Countries
To do a diploma in child health and thus pursue my interest in paediatrics
To look into and prepare to work and volunteer abroad in resource deprived areas as much as possible after completion of training
To expand my family