Trainees 'slip through' despite failings

One in 10 GP trainers say that trainees are being signed off without reaching required standards, a GMC survey has found.

Mr Dickson: 'We will not hesitate to step in where we believe trainee doctors are being asked to work beyond their competence' (Photograph: Jason Heath Lancy)
Mr Dickson: 'We will not hesitate to step in where we believe trainee doctors are being asked to work beyond their competence' (Photograph: Jason Heath Lancy)

The National Training Surveys 2010 shows that, although most UK GP trainees rate their practical experience highly, GP trainers' responses suggest a decline in standards.

The survey found that 10 per cent of GP trainers are aware of trainees being signed off on their annual review of competence progression, record of in-training assessment or foundation training without reaching the appropriate standard.

A respondent to the survey said the 'tick-box nature' of the training programme increases the chance of borderline trainees 'slipping through'.

Another said the assessment tools used to rate students made it difficult to fail a trainee who is not meeting requirements.

The survey also said GP trainers felt 10 per cent of their trainees were not displaying the expected competencies for the level of training.

GP trainers' responses also suggest a decline in standards, with 50 per cent agreeing that trainees are less confident and less able to work independently than when they were trainees.

Meanwhile, the data show that 72 per cent of trainees rated their practical experience as good or excellent, and 78 per cent were fairly or very confident in acquiring competencies.

But the figures also show that 6 per cent (276 in total) of trainees who were coming to the end of their training believed they were not ready to take up a GP or consultant post.

The top area for under-preparedness was for planning and managing the service (198) followed by dealing with managers (151) and clinical (136).

GPC chairman Dr Laurence Buckman said it is 'very worrying' that trainers are signing off trainees when they do not have the required competencies.

He added: 'It is also true that trainees feel less competent than before, which is why the profession is calling for longer training.'

GMC chief executive Niall Dickson: 'We will not hesitate to step in where we believe trainee doctors are being asked to work beyond their competence or are not receiving the training they need.

'And we will continue to work closely with postgraduate deaneries and the NHS, to find effective solutions where there are specific serious concerns.'

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

Government must show evidence behind PPE strategy, warns BMA

Government must show evidence behind PPE strategy, warns BMA

Chronic shortages of personal protective equipment (PPE) across the NHS during the...

HRT prescriptions lower in most deprived areas of England, study finds

HRT prescriptions lower in most deprived areas of England, study finds

Prescriptions for HRT are 29% lower in GP practices in England's most deprived areas...

Map: Which parts of England are most reliant on GPs aged over 55?

Map: Which parts of England are most reliant on GPs aged over 55?

More than two-fifths of the full-time equivalent (FTE) GP workforce is aged over...

Government outlines PPE supply plans as GPs remain in dark over reimbursement

Government outlines PPE supply plans as GPs remain in dark over reimbursement

The government has outlined plans to provide 'an uninterrupted supply' of PPE during...

Four in five GPs report heavy workload as COVID-19 second wave builds

Four in five GPs report heavy workload as COVID-19 second wave builds

Four in five GPs say their practice is currently facing levels of workload that are...

Medeconomics Live: Bringing you the latest in practice management thinking

Medeconomics Live: Bringing you the latest in practice management thinking

The one-day, virtual Medeconomics Live conference aims to provide essential insights...