Out of Hours Training
GP Specialist Trainees (GPSTs) must be competent in the provision of OOH care in order to attain a Certificate of Completion of Training (CCT). The assessment of OOH competence forms an important part of the workplace based assessment component of the MRCGP examination. Educational supervisors must be able to sign off their GPST as being competent in their final educational supervisor review.
The current educational and contractual requirements are that a GPST must have completed 6 hours of OOH training for each month that they are in a GP training post during their training. Thus 18 months of GP training will require a minimum OOH experience of 108 hours. Innovative training posts should include a proportion of OOH training commensurate with the time spent in general practice, e.g. a 4 month innovative placement of which 50% is in practice would require 2x6 hours OOH experience for that placement. The requirement to complete 6 hours per month applies in all contexts including extensions to programmes. Some of the experience can be gained in different contexts, for example walk in centres, A&E services under the supervision of a GP Clinical Supervisor, ambulance services and GP/ Primary care based OOH Palliative care. In the event that the GPStR is attached to these alternate OOH service providers the Trainer of the GPStR takes Clinical and Educational governance responsibilities unless the supervisor in these alternate providers is a HEE(WM) approved OOH Clinical Supervisor. It is expected that the majority of the trainee’s experience should be gained in a HEE(WM) approved GP out of hours services.