The GP Registrar life in GP Land
The GP Registrar life in GP Land
The GP Registrar life in GP Land
The GP Registrar life in GP Land
The GP Registrar life in GP Land
GP With Extended Roles
Make the most of the wide array that could be utterly anything walking in to your consultation room.
Likewise, if you also have a special interest (previously known as GPwSI) in a particular field, take the opportunity to find out from your colleagues how you can nurture this role.
GP With Extended Roles
…this could be in along side your GP career such as teaching, minor surgeries and women’s health to wider things like occupational health, cosmetics, appraiser, prison GP, sports medicine, dermatology, cardiology, emergency medicine, out of hours and the list goes on.
Your practice may have a few of these multi-role GP’s already.
The Expert Generalist
Although we’ve talked about the opportunities alongside being a GP, let’s not forget the specialist role that is being a generalist.
You’re aiming to have skills in managing undifferentiated presentations and managing great risk. The specialists have unmatched skills and experience in their field, but the seasoned generalist will have the overview of tying all those different specialities, to the unique community context and understanding of that specific individual.
The Expert Generalist
On top of that, GP practices are managing to do more with essentially less funding as NHS budgets fail to match inflation and the rising cost of, well, everything else. You’re part of a high quality, and extremely cost effective health system that continues to try to adapt to the ongoing strains.
There in lies the challenge of being a good GP.
If you’re in a city or larger town practice, these might just be a stroll by foot. If you’re somewhere more rural, you might get the opportunity for a scenic drive away to manage the challenge of home visits for frail and housebound.
Plus you might be able to claim milage for the days you’ve done a home visit which entitles a claim commute from home as GP Home to HQ (capped at 20 miles per day)
An example Reg Week
| Monday | Tuesday | Wednesday | Thursday | Friday | |
|---|---|---|---|---|---|
| AM | AM clinic | AM Clinic | AM Clinic | Morning Clinic | AM Clinic |
| Lunch | lunch + Visit | Lunch and head to VTS | lunch + Visit | Lunch | lunch + Visit |
| PM | PM clinic | VTS/HDR teaching | Self Directed Learning | PM Clinic | Tutorial |
An example Reg Day
| Time | Activity AM |
|---|---|
| 08:30 | Arrive at the surgery and get coffee going |
| 08:45 | Check emails and test results |
| 09:00 | Patient 1 |
| 09:20 | Patient 2 |
| 09:40 | Catch up Break/admin |
| 10:00 | Patient 4 |
| 10:20 | Patient 5 |
| 10:40 | Patient 6 |
| 11:00 | Catch up/admin |
| 11:20 | Hot Review |
This is an example day. If you’re ST1 and new you might have 30 minute appointments. If you’re more a more experienced ST2 or ST3 you might be on 15 minute appointments.
You’ll also eventually be doing telephone triage, so you might then be deciding which patients to bring down for which time.
Some practices hold meetings at different times, which you’ll. be invited. There might also be an opportunity to experience the on-call GP session.
An example Reg Day
| Time | Activity |
|---|---|
| 12:00 | Home Visit |
| 13:00 | Lunch |
An example Reg Day
| Time | Activity PM |
|---|---|
| 14:00 | Patient 8 |
| 14:20 | Patient 9 |
| 14:40 | Catch up/admin |
| 15:00 | Patient 10 |
| 15:20 | Patient 11 |
| 15:40 | Patient 12 |
| 16:00 | Admin/Hot Review |
| 17:00 | Home |
Remember as a GP registrar, you might be getting a couple of weeks of induction period to get used to the systems and processes at work at your new surgery.
Also as a GP registrar, some of your sessions might be a protected learning time, such as in a tutorial, in group HDR or as part of your own SDL. For full time GP trainee’s this means around 3 educational sessions a week mixed with 7 clinical.
This is adjusted pro-rata if you take leave or if you’re LTFT.
The HOT Review
Depending on the practice arrangements, you’ll also get ‘hot-revews’ either at the end of your clinical session, at the end of the day or at another predefined time as part of your clinical supervision.
Hot reviews allows for the opportunity to run through and explore your consultations, to troubleshoot on things you were less sure about or find some other learning on cases on where you’re stronger.
If you have a more urgent query that needs to be dealt with there and then, by all means ask one of the GPs. Alternatively, urgent medical advice can be gained by speaking to the on-call registrar or consultant of that speciality either by switchboard or the consultant connect app (Android | iOS ) . Less urgent specialist advice can also be obtained electronically through WCCG referrals.
It might seem like a distant future, but you’ll be done with GP training and be part of the new future health-force before you know it.
Ask questions.
Find your learning opportunities.
Evidence your experience on your portfolio.
Make time for exam preparation but try not to fret over it.
Make sure when you’re home, you get to unwind and recharge those batteries.
