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Our scheme takes the form of a sandwich, with four months months of general
practice on entry to the scheme, two years rotating through
hospital SHO posts and finally eight months general practice. We
recognise that other schemes are organised very differently, but we
feel that a structure which allows a significant amount of time in
general practice at the start has the following advantages:
| 1. |
Doctors who have little prior experience of general practice
can find out if it really is for them and get a flavour of
what general practice is all about before going into hospital
medicine.
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| 2. |
Exposure to everyday general practice allows a doctor to
work out what his/her learning objectives over the remaining
two and a half years will be.
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| 3. |
It allows doctors to choose their second training practice
to be a contrast with their first, thereby broadening their
experience of the different styles of practice that exist.
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Doctors entering the scheme decide on their first training
practice by a process of negotiation with the available practices;
this is usually done on the day of the interviews. GP registrars on
the scheme have a free choice of second practice, but some practices
are very popular and it may be wise not to wait until the last eight
months is looming before approaching a potential trainer!
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