A full set of MRCGP FAQ can be found on the MRCGP Web site. These FAQs are regularly updated and should be used as a first point of reference.
Plans for AKT are in progress for a socially distanced exam in July2020. Details available from RCGP.
Plans for CSA to be submitted via video will be announced by the RCGP shortly
Please see latest advice from the RCGP
The latest RCGP guidance allows AKT and CSA to be taken before CCT date in August. As long as the evidence in the WBPA is adequate ARCP will be able to recommend CCT.
The ARCP will be virtual. The panel will prioritise final ARCPs prior to CCT.
Evidence and log entries will still be required as detailed in the RCGP advice. From a pragmatic point of view evidence and logs should continue unless there are clear reasons for this not being possible from a work load, supervision or self isolation perspective. See below for details.
ARCP will still occur. ESRs are required for all trainees before ARCP. The mandatory requirements for the ESR and for the required evidence vary according to stage of training and approaching CCT. Requirement will need to be checked according to RCGP advice.
Evidence of some CEPs activity -learning logs are adequate and the mandatory CEPS do not have to have been observed at this stage in ST1/2. For ST3 you will need some observed CEPS.
Prior to the Covid pandemic, ST1/2 GP trainees in GP posts would have used their “educational” sessions to evidence a range of urgent and unscheduled care experience. This would have included sessions with the various “other” OOH providers i.e. 111/ambulance/social services/acute psych etc (all on the Dorset GP Centre website) as well as evidencing urgent and unscheduled care within the practice; on call GP/triage etc.
Now ST1/2 OOHs should be considered as urgent and unscheduled care.
As educational sessions have effectively been ‘cancelled’, ST1/2s are advised to focus on recording on-call/urgent experience within the training practice to demonstrate the various capabilities that are required, realising that there may be limited time for trainees to reflect and record in their e-portfolios at this challenging time. We are still encouraging trainers to offer a weekly tutorial wherever possible although we anticipate that this may well be limited.
A QIP is not a mandatory requirement during the Covid crisis. Hopefully trainees will have the resources to learn about and evidence their learning in this area.
The PSQ in ST3 will be waived. If you have completed a PSQ in ST 1 or 2 GP this will be waived.
MSF is required in ST1 and ST3 for ARCP. If this is not achievable in ST1 then a comment on the ARCP form that there is evidence of working in teams within the ePortfolio
Please see the list of assessments required in the RCGP advice.
Message from panel is “technically we still DO need a form R”. The good news for all is at the Form R can be completed and attached ON THE Eportfolio .
LTFT Mat OOP
See MRCGP FAQ link
Guidance on the management of Less Than Full Time Trainees
There has been an overwhelming number of responses from trainees currently working on a LTFT basis asking how they can provide additional support.
The attached paper from HEE supports the following principles:
LTFT trainees who would like to return on a full-time basis: this should only be considered where appropriate in accordance with health and personal circumstances
LTFT trainees who wish to increase their current working percentage: This should only be considered where appropriate for the individual
On return to business as usual: Trainees will automatically have the right to reduce their current working percentage and resume their original LTFT working
Trainees considering these options should discuss with their Educational Supervisor or TPD in the first instance before contacting their Local office.
For Wessex please contact – LTFT.WX@hee.nhs.uk
Trainees on OOP
All trainees currently on OOPR/E have been contacted to request to return to clinical practice and have been asked to liaise with their TPD in terms of appropriate placements. Many have been proactively liaising with Trusts to agree their return.
The guidance summarises the following:
Currently it is not possible to accommodate OOP requests
Reassurance that processes to support OOP will resume once the COVID-19 pandemic ends
New requests to take up the following OOP will be suspended until further notice:
OOPR / OOPT / OOPE / OOPP
Trainees may request OOPC where there are extenuating circumstances through agreement with the PGD – where a trainee has already submitted, this will be reviewed pending nature of request
Current requests will be paused
Recently agreed OOPs are currently on hold
Extensions to OOP already out of programme will not be granted unless exceptional circumstances – e.g. trainee abroad and unable to return
Trainees due to return from current parental leave should return to the last hospital placement unless exceptionally agreed by the PG Dean and should discuss with their TPD.
Supervision in practice
As our practice changes face to face supervision will be more difficult. Trainers and Trainees will need to ensure that the trainee is practicing within their competency with adequate support and supervision. The level of supervision required will need to be judged by the trainer according to the competence of the trainee. Remote supervision of telephone and E consult consultations will be challenging. As we learn to consult in a different way using these interfaces then we will also use these new skills to supervise our trainee’s consultations in a different way. We will need to learn how to use videos of consultation that can be shared confidentially and safely using IT for educational and assessment purposes.
Vulnerable groups as a GP VT in practice
Take advice from your employer and HR. Below is a link to the latest RCOG advice for pregnant Doctors.
Study leave including the DRC is cancelled during the pandemic. We are currently running a virtual DRC for Trainees. Those in GP posts will be expected to attend on the Day release days. It is hoped that flexibility in rostering will allow hospital based trainees to join the Day release Course.
An online level 3 module will do, logged on your portfolio. See the mandatory RCGP guidance.
An online module will do logged on your portfolio.
Day Release Course
We are currently running a virtual DRC for Trainees. Those in GP posts will be expected to attend on the Day release days. It is hoped that flexibility in rostering will allow hospital based trainees to join the Day release Course. A virtual DRC will fully return when study leave returns. We a running the DRC with Webinars and small groups on the usual DRC days and fortnightly for ST12 small groups.
All face to face educational events are cancelled. Watch out for the Webinar programme starting soon.
It is expected that those ST VTs in GP will not be called in to secondary care.
Those trainees on 3/12 rotations will not rotate in April. If you are working in Secondary care there is a possibility that you may be redeployed within the trust. This will only be with the Dean’s approval.
Normal rotations will occur in August.
August recruitment is planned to go ahead.
F2s in GP
F2s in GP were redeployed to secondary care as of the 23rd March 2020.
STs in GP
It is expected that those ST VTs in GP will not be called in to secondary care.
Should trainees be unable to gain their CCT when planned as a consequence of COVID-19, Tier-2 visas can be held for up to 5-years. The HEE Visa team will support any trainees requiring an extension to a Tier 2 Visa due to these events.
Small Group support
There will be Zoom meeting for small groups. Join in to meet and talk to your colleagues in an organised Zoom chat on every other Wednesday. Please contact your PD if you have educational concerns that you need to discuss.
Trainer re-approval visits have been put on hold. We are keen for new trainers to still complete the application to become trainers for this August. Please discuss with GP Centre re Virtual meeting. The new system for 6 yearly STC approval and 3 yearly completed form is now in place. This will be less onerous for all.
Emergency Returning Practitioners
We expect more guidance for returners to practice from HEE imminently. This link may he help re GMC registration, Performers list and joining in Dorset
Targeted GP training
The time lines for ARCP and future exam readiness will remain within the limits of available MRCGP exams being available.
Zoom for HEE
We will be supporting trainers and trainer groups if possible using Zoom for virtual meetings.
At this challenging time, it is important that all GP trainees are still appropriately supported. Whilst it is anticipated that WPBAs will be reduced, it is still important that where possible trainees are given protected time for learning, reflection and portfolio work. Whilst tutorials are not mandatory during the COVID 19 crisis, it is still important to offer supportive, debrief opportunities, maintaining protective time for this if at all possible. Please also try for now, to ensure that trainees can have study sessions and that not all their sessions are converted to clinical work. As the COVID 19 situation escalates as it undoubtedly will then trainees will be expected to step up their clinical contribution.
SuppoRTT and PSU
The SuppoRTT teams across HEE have developed a raft of resources which can be accessed via the HEE SuppoRTT website
The PSU website has been updated and the following web links signpost trainees and educators to various sources of external support:
Dorset GP Centre link for COVID 19 management links.