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Non-Standard GP Training Programme Approval with RCGP and PMETB

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Introduction:-

Since August 2007 the Standard Training Programme for GP Registrars consists of a full three years’ PMETB Approved Training Programme and includes 18 months in hospital posts and 18 months in general practice placements. These programmes are approved by the standard Article 10 Certificate of Completion of Training (CCT).

Until now any non-standard programme has required an application through the Article 11 Certificate confirming Eligibility for GP Registration (CEGPR) by direct application to PMETB.

The PMETB training regulation approvals have been modified in April 2009 to accommodate and formalise the Transition arrangements that have been in place until now.

General Guidance

All trainees at the start or before their GP Training Programme need to register for training and to get their National Training Number (NTN) with the RCGP through the Deanery using Form R. There is an annual requirement to re-register with the Deanery at the start of every year of training. 

Trainees also need to register online as an Associate in Training (AiT) with the RCGP to activate the e-portfolio and should have done this before training commences so they can start to use their e-portfolio.

Article 10 Standard Three Year GP Programmes

All standard three year programmes which include 18 months’ PMETB Approved hospital ST1 and ST2 posts and 18 months of General Practice training that have commenced before or after August 2007 should apply to the RCGP for a standard Article 10 CCT Approval.

Any career breaks due to maternity leave etc. will be taken as out of programme experience (OPE) and will not affect the route of certification. 

Non-Standard Training Programmes

Three Year Programmes with less than 18 months GPStR

The application is made as per the normal Article 10 CCT process, however the Deanery and ARCP Panels will be required to record that they have undertaken a detailed examination of the e-portfolio and learning log showing that that the RCGP Curriculum and the required Competencies have been fully met during the training post. This will be documented in the 'Academic progress to date' box on the e-portfolio ARCP form by the ARCP panel. Without this, the RCGP will be unable to recommend a CCT application.

Shorter (ST2/3) Training Programmes

This applies to any programme that commenced since August 2007 with an entry point either at ST2 or ST3 level and may or may not include 18 months general practice.

If formal application has already been made through the Article 11 route to the PMETB this will be dealt with by them and will now be passed back to the RCGP where appropriate. 

If, however, a formal application has not yet been made, please read the following guidance.

Additional Posts before August 2007

For any training and hospital posts undertaken prior to August 2007, the submission of satisfactory VTR2s  showing completion of an approved post recognised for GP training will be sufficient evidence to be combined with the PMETB approved GP Programme ST2 or 3 years for normal application to the RCGP via Article 10 for a CCT. There is still a requirement that the posts are balanced and appropriate for GP Training.

However, the Deanery and ARCP Panels will be required to show that they have undertaken a detailed examination of the e-portfolio log showing that that the RCGP Curriculum and the required Competencies have been fully met during the training post to allow certification by this route. This is particularly important where there is a less than the now standard 18 months recommended general practice placements.

Additional Posts after August 2007

Where approval is sought for any posts not approved for GP training by PMETB after August 2007 and combined with a formal PMETB approved ST2 or ST3 commenced programme, the trainee will be required to apply through the CEGPR-CP (Combined Programme) pathway. 

Details of how this application process will occur should be finalised by May.

“Balance”

The mix of specialities which are included in the final submission for approval of GP training is still important and must demonstrate a balanced range of relevant specialities appropriate to a future role as a General Practitioner.

Advice

The Deanery will check all files and notify you by the Patch Office if it has identified any concerns, but it remains the responsibility of each GPStR to check their programmes with the RCGP and, if uncertain, to speak to the local Patch Team about the correct method of application.

Evidence in E-Portfolio

It should be noted that approval by an ARCP Panel is based on documented entries in the e-portfolio and failure to produce suitable evidence could result in the Deanery not recommending approval by the CEGPR -CP or CCT routes. 

Therefore, please make certain that your e-portfolio is achieving appropriate standards of documentation and that all areas are completed with sufficient evidence to justify approval by the ARCP Panel.

 

Richard Weaver

19 April 2009

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