Out of Hours Training for the GP Registrar
The requirements for out of hours experience for GP Registrars have been adapted over the years in response to changing patterns of out of hours provision. They have balanced the need for experience against the dangers of exploitation of registrars by their trainers. The range of out of hours experience now available means that registrars need to gain sufficient experience of the different settings where it takes place.
Registrars (ST3s) have to do 12 compulsory sessions out of hours during the year. Those on a GP ITP are also expected to undertake OOH training on a pro-rata basis - please discus with your trainers.
The sessions are classified as:
Direct supervision [red] the GP StR is supervised directly by the clinical supervisor and takes no clinical responsibility.
Close supervision [amber] the GP StR consults independently but with the clinical supervisor close at hand e.g. in the same building.
Remote supervision [green] the GP StR consults independently and remotely from the clinical supervisor, who is available by telephone.
You should use the ooh worksheet to log your OOH work - don't forget to also add it to your e-portfolio!
Out of hours is considered to mean medical care delivered at weekends, Bank Holidays and between 7pm and 7am on weekdays.
HARMONI and BARNDOC details are on the 'links' page.
VTS members: Dr GR is kindly co-ordinating OOH shift information for the VTS at present. If you are not getting emails regarding this please ensure that the PDs and our administrator have your up to date email address.
Skills and knowledge to be acquired(nMRCGP Curriculum 2007) |
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|---|---|
| 1 | Ability to manage common medical, surgical and psychiatric emergencies in the out-of-hours setting. |
| 2 | Understanding of the organisational aspects of NHS out of hours care. |
| 3 | Ability to make appropriate referrals to hospitals and other professionals in the out-of-hours setting. |
| 4 | Demonstration of communication skills required for out-of-hours care. |
| 5 | Individual personal time and stress management. |
| 6 | Maintenance of personal security and awareness and management of the security risks to others |
It is suggested that the Registrar's out of hours experience should
1 |
Reflect a variety of patterns and methods of delivery |
|---|---|
2 |
Cover the six essential areas outlined in the previous section |
With regard to these principles it is recommended that:
1 |
These five essential components of out of hours experience are specifically addressed during the Registrar year |
|---|---|
| 2 | All Registrars spend time at base and mobile OOH provider sessions |
| 3 | That Registrars from practices using a co-op1 are also exposed to other methods of out of hours delivery |
4 |
That Registrars from practices not using the co-op1 should attend a variety of co-op sessions and gain the rest of their experience with their practice |
5 |
That the necessity for out of hours experience should be addressed within the initial assessment of a Registrar's learning needs and be revised at formative assessment with the aim of producing confidence and competence in this area. |
6 |
A log of all out of hours contacts should be maintained by the Registrar. |
7 |
Appropriate educational supervision must be available for all out of hours cover. Registrars must be aware at all times of how to access this provision. The patch Associate Dean can advise on the appropriateness of such supervisions. |
8 |
Trainers may also want to incorporate a specific clause relating to out of hours training into the Registrar's Contract of Employment. |
9 |
In signing a structured trainer's report, trainers must be confident that the GP Registrar is competent in the delivery of out of hours care. |