If there is a disagreement between the practice and doctor in training on the matter of the rota who should I ask for help?
First, speak with the the Doctor in Training's Educational Supervisor/Practice Manager or TPD. If more guidance is needed they can discuss it with the Doctor in Training's lead employer.
For Severn doctor's in training the contact email is: firstname.lastname@example.org
For SW Peninsula doctor's in training the contact email is:
- Cornwall: Rchemail@example.com
- Exeter: rde-tr.GPSpecialtyTraining@nhs.net
- N Devon: firstname.lastname@example.org
- Plymouth: plh-tr.MedicalWorkforceTeam@nhs.net
- Torbay: sdhct.Medicalhe@nhs.net
Are lunch breaks/practice team meetings paid and part of our rota?
Yes, these hours should be included in the the Doctor in Training's working schedule as a part of their 40 hours (or less) paid contract. There should be a 30-minute paid break after 5 hours of continuous work.
A practice team meeting might be considered as Independent learning time (if addressing their learning needs, such as audit/QIP/safeguarding), clinical admin time (if discussing patients with other professionals), or structured education time (eg if having a clinical presentation). For each practice how these categories are proportionally allocated needs to be agreed locally with a degree of flexibility applied.
What should the doctor in training be doing if there is no external structured teaching during the week?
As per School of Primary Care website:
- Teaching Programme Induction days
- Half Day Release Course (HDRC)
- Timetabled Education Provider Organisation (EPOs such as BGPERT, SGPET, GGPET)
- Topic Teaching
- AKT and CSA courses provided by local RCGP Faculty
- Careers Fair
- Attending ST3 practice for ST2 trainees
If nothing has been organized within the Doctor in Training's training patch they can always ask their TPD for guidance or have a look at this website
The Doctor in Training is not expected to be in clinic as it is their educational time.
Why do different practices organize the work schedule differently?
Different practices work in different ways, which is fine as long as the Doctor in Training's allocated rota is in line with their contract. Check the School of Primary Care website, RCGP and BMA to make sure that their working week is right.
What should the Doctor in Training do when there is no external structured teaching organised (VTS/HDRC)?
Each week consists of 3 educational sessions: 1 VTS/HDRC, 1 independent education, 1 practice-based teaching.
If there is no teaching organised it should be used as independent education time. Sometimes practices may still ask the Doctor in Training to work in these hours because it used to be agreed under the old contract. However, now the Doctor in Training should be reminded that it is no longer part of their contract.
Does the Doctor in Training need to keep a record of what they do during independent learning sessions?
As independent learning sessions are contracted paid hours, the Doctor in Training's supervisor can legitimately ask for evidence of what they have been doing during that time. Evidence can be provided by documenting learning on the ePortfolio and/or keeping a personal record of their activities. This is particularly important to do if the Doctor in Training is doing independent learning during a week when they are otherwise on leave from their clinical duties. In this situation, it would be best to agree with the Doctor in Training's supervisor, the nature of their independent learning in advance.
If the Doctor in Training is asked to do a Covid Vaccination clinic, which part of the rota should this come out of?
It is reasonable to do one or two clinics as part of independent learning, to gain knowledge and experience of how these are run. Subsequent clinics should be taken out of clinical time.