Dr M Feldman
Medical school [ 5 yrs ]
Foundation year 1 – typically 6 months surgery, and 6 months medicine
Foundation year 2 – 3x 4/12 of ◦ Various specialties ◦ May include a spell in GP
Entry onto training scheme◦ Knowledge test
◦ Assessment centre Consultation Group work Written test
Scheme consists of 3 yrs◦ 2 yrs in hosp then one in GP◦ Increasingly 18 months in hosp then 18 months
gp◦ Selection of specialties
A&E Hospice O&G Paeds Care of elderly Medicine Rheumatology +GP ( ITP) Dermatology +GP ( ITP )
Training practices
◦ Specially approved
Premises
Trainers – one year course now
Standards –
Notes
Library
Accommodation
Teaching assessed
nMRCGP◦ Applied Knowledge Test – often taken in 2nd year
◦ Work Based Assessment Patient satisfaction questionnaire Multisource feedback Consultation observation tool Direct Observation Procedures Case Based Discussion Eportfolio log diary Educational Reviews
nMRGGP
◦ Clinical Skills Analysis 12 Cases like a real surgery –
10 minute consultations
Work in teams
Average practice about 5900 patients
About 1800 per GP
35% partners are female
60% GP registrars are female
Activity Full time GP / Week
Surgery consults 102.3
Phone consults 18.8
Home Visits 6.4
Care home visits 1.9
Clinics 1.5
Most British full time GP work either 8 or 9 sessions per week
Typical sessions are 2- 2.5 hours long with 12 – 15 booked patients
Average time per consult 11.7 mins
Average time per home visit 26 mins
Working from own premises
Working from health centres
Polyclinics – to come
Most GP self employed – partners We employ
◦ Nurses◦ Nurse assistants and phlebotomists◦ Receptionists◦ Admin staff and practice managers◦ Occasionally counsellorsWe rarely employ
Midwives (5%)Physiotherapists ( 3%)
Almost all increase in clinical contact due to extra nursing input
Average income GP 2007 about
◦ £100 000 = Euro 124000 – partner
◦ £70 000 = Euro 86,800 – salaried gp
◦ Currently dropping due to government clawbacks◦ Need for GP’s to fund staff increase◦ Our practice approx Euro 248 000 staff bill
excluding doctors