1. GP vocational training 1. The systems

2. How a doctor becomes a GP Graduate from medical school 1 year as House Officer 3 years GP training Usually 2 years in relevant hospital jobs and 1 year in GP

3. Variations Doctors who change specialty can count some previous experience towards GP training, so may not need 3 years on the VTS Some posts (community posts) combine specialty experience with GP attachment Posts can be half time, for twice as long Part time working and maternity leave mean that sometimes GPRs start and finish at odd times

4. Modernising Medical Careers House officer year will be replaced by 2 Foundation Years, starting Aug 2005 Six 4-month posts; 2nd year posts could include GP Hoping to find enough GP posts for all doctors doing Foundation Year 2 in Bradford: need 12 practices This should improve GP recruitment, and hospital doctors understanding of GP We hope that training practices will take FY2 doctors in addition to GPRs, not instead

5. Assessment Summative assessment (required to practise as a GP): MCQ paper, consultation skills assessment (video or simulated surgery), written project or audit, Trainers Report MRCGP exam (voluntary): harder MCQ paper, written paper, video, oral exam

6. GP trainers Becoming a trainer: must have MRCGP, introductory seminars, involvement with local VTS, preparing the practice Maintaining skills: Trainers workshops, Time Out, Deanery seminars, trainer appraisal Reapproval visits after 1st year and then 3 yearly

7. Relationship of trainer to GPR Employer Educator Mentor Assessor

8. What do Course Organisers do? Recruitment of GPRs Running courses: induction, Half Day Release, group tutorials Educational supervision of GPRs Rota Liaison with consultants Finance Recruitment of trainers Trainers workshops Trainer appraisal Trainer reapproval (in other areas) VTS website Transmit Deanery policies Troubleshooting

9. What does the Yorkshire Deanery do? Oversees all VTSs in Yorkshire Transmits national policies Maintains standards of training Organises educational and other events for GP educators Organises some educational events for GPRs (e g Summer School)