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

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

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

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

5. Royal College of General Practitioners 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

6. Royal College of General Practitioners 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

7. Royal College of General Practitioners 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

8. Royal College of General Practitioners 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

9. Royal College of General Practitioners Example Application 1 ___________________________________________________________________ NAMEDr S DATE & PLACE OF QUALIFICATION2000 – UK SUMMATIVE ASSESSMENTPassed 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.

10. Royal College of General Practitioners Example Application 2 NAMEDr X DATE & PLACE OF QUALIFICATION1998 – UK SUMMATIVE ASSESSMENTNot 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.

11. Royal College of General Practitioners Example Application 3 NAMEDr Z DATE & PLACE OF QUALIFICATION1988 – Nigeria SUMMATIVE ASSESSMENTPassed 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.

12. Royal College of General Practitioners Example Application 4 NAMEDr A DATE & PLACE OF QUALIFICATION2002 – UK SUMMATIVE ASSESSMENTNot 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 4/12F2 Paediatrics 4/12F2 Psychiatry 4/12F2 General Practice Specialty Training – two years 4/12GP Registrar 4/12Innovative Training Post – 50% GP/50% O&G 4/12Innovative Training Post – 50% GP/50% A&E 2/12GP Registrar 4/12Innovative 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.

13. Royal College of General Practitioners Example Application 5 NAMEDr W DATE & PLACE OF QUALIFICATION2000 – UK SUMMATIVE ASSESSMENTNot 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.

14. Royal College of General Practitioners 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