Out of Hours
Don't leave it too long to get on with the out of
hours and use a few night shifts to get hours under
Try to sort out who will help you do OOH quite early
on as it has taken a few months for some people and
is much better if you can space it out rather than
having to do lots at the end (it can take ages if
you aren't in the area covered by BEMS as they are
very strict and won't let you do sessions there).
Shifts with trainers get booked up quickly, so plan
ahead, if your trainer doesn't do them Paula has a
list of GPs that do.
The AiT magazine is really useful and easy to read
(for those who like myself had a pile of them in the
corner gathering dust). Good exam preparation and to
fill difficult to complete curriculum areas.
Make sure to have eportfolio open on your desktop at
work as its really easy to mean to put in entries
later on and then forget the event or the details.
Keep an A4 sheet in your drawer and at the end of
each surgery write down anything that didn't go
well, either personally with a patient or a topic
you weren't sure on. Then you can read up on it or
discuss it at your tutorial and then put it on your
Keeping on top of you e-portfolio by making entries
as you do them and leaving them un-shared to pad out
/ reflect on when you have more time.
Try and keep putting entries on the eportfolio
learning log each week so that it doesn't become a
daunting job near to the reviews/ARCP (learnt from
To help fill out your eportfolio if you have no time
- add tutorials/lectures etc just as headings and
save them, when you have time go back to them and
beef them out. That way you won't have trouble
thinking about what you have done.
Keep you eportfolio entries focused on ones which
you will personally find useful to reflect on - it
can easily waste your time if you just try to fill
up you learning log simply to tick boxes and you
will never look back at those entries!
Go on the GP HOT TOPICS course in Bristol. Its
brilliant for the AKT and condenses masses of
information in to one day. You also get a really
useful book that accompanies the course.
Online AKT question practice and revise from the
Don't be afraid to do video consultation work with
your trainer - once you get used to the camera, it
can be quite interesting.
Mileage Claims/ Home Visits
Be careful where you sit down in patients houses and
if you have doubts don't accept food!
Write down all the postcodes of your home visits in
your diary, so you can easily calculate miles on
streetmap.com and formulate your miles claim every
To reclaim mileage contact Samantha Hacker
(Samantha.Hacker@brs-pcsa.nhs.uk) asap at the start
of the job to get the forms and her address. You can
only claim on days that you have done a house
visit/driven between practices and can only claim up
to 10 miles each way but if you commute a lot it
helps! Try to update forms and get them in every
month/two to get the most out of it!
Develop a system for keeping on top of admin, follow
ups, blood test requests and referrals - I was told
early on that the worst thing you can do as a
Registrar is to forget to refer a patient. Try
keeping a paper log for this.
GPST Programme – teaching sessions
Have a cake rota it makes teaching sessions better
(compared to last year where i was very hungry).
Your Educational Supervisor
Organise your ES - set out a weekly tutorial
timetable to incorporate all your learning needs -
ensures you address them, and tutorials are
constructive and don't get forgotten.
Other Team Members
Get the receptionists and secretaries on side - it
makes your life much easier- they always welcome an
offer of a cup of tea or coffee.
Consider updating your CV early on, so you can add
to it through the year. All you will need to do is
fine tune it when it is time to start applying for
Make the most of your study leave allowance. Again,
be organised and book it in advance- it's worth it!
Keep useful list of websites as favourites on your
desktop (eg. derm.net, gp notebook, cks, dvla and
All our ST1 and ST2 trainees are required to visit their educational supervisor in general practice for 12 sessions a year. Trainees use their study leave to come out of their hospital post to spend these sessions in general practice with their educational supervisors. Here they will do a variety of things-mostly observation but may see patients under close supervision. Trainees do not need to be on the performers list for these visits.