AUGUST 2013 - New Zealand Doctor

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RNZCGP Review of the delivery of general practice vocational training August 2013THE CURRENT STATE OF TRAININGDELIVERYThis section of the TDR outlines the current state of GP training in New Zealand, how it is deliveredover three years and how the current training model provides a pathway to Fellowship of the College.There is also a discussion on how GP training in New Zealand differs from other countries and otherprofessional vocational training programmes in this country.Comparison of GP training to other training programmesThe tables below provide a descriptive comparison of the College’s GP training programme withinternational GP training programmes.New Zealand GP training is comparable with international programmes in terms of its pre-requisiterequirements, start point and length of programme. However, the New Zealand programme doesnot provide as many hours of formal training for its registrars when compared to other GP trainingprogramme.Training start and prerequisite requirementsCountryNew ZealandAustraliaCanadaUKUSAPre-requisites for GP trainingTwo years (PGY1 & PGY2) as registrar (hospital-based) prior to GP trainingfrom PGY3.Full unconditional medical registration which is usually obtained at the end ofPGY1 so GP training starts in hospital in PGY2, then two further years with aminimum of 18 months in general practice.A four year degree prior to a four year medical programme after which doctorsare balloted into the speciality of their choice and then complete two years ofGP training.Two year foundation programme following graduation and prior to vocationalGP training of three years.A degree is required to enter medical school (four years), which is followed by a3-4 year residency in family medicine.10
RNZCGP Review of the delivery of general practice vocational training August 2013Number and spread of training hoursProgrammeNZ GP 406Total formalteachinghoursIncludes CMEin GPEP Years2 and 3, ACLScourse etc.Average annualformal teachinghoursFormal teaching hours made up of135 Year 1: 7.5 hours/week, (1.5hrs/wk withteacher, 40 x 6 hour seminars and two4hr IPVs)Year 2 & 3: 35mins/week (8 hrs IPV,32 hours learning )Australia GP 719 240 1 st 6 months: 9 hours/week2 nd 6 months: 7.5 hours/weekYear 2: 7 hours/week(after their first vocational year at PGY2in the hospital)Canada GP 442+ 220+ Years 1 & 2: 4-6 hours/week over 48weeks, varies according to rotationNetherlands GP 672 225 Years 1 & 3: 6 hours/weekYear 2: 6 hours/monthNZ Psychiatry* 1920 380 Years 1, 2 & 3: 12 hours/week for 48 weeksYears 3 & 4: 4 hours/week for 48 weeksNZ Physician* 1152+hours 192 Minimum educational time for any RMOaccording to MECA* All other registrars employed in a DHB are entitled to four hours per week of protected teachingtime for the length of their vocational programme.General Practice Education Programme (GPEP)Since 2004, registrar training has been encapsulated within GPEP which is the standard pathwayto Fellowship and vocational registration as a GP. The current programme is based on registrarsworking in general practice, with opportunity to experience a variety of practice environments.Acceptance into GPEP Year 1 is based on, amongst other things, educational and hospitalprerequisites and a formal interview. The programme can be completed either on a full-time (eighttenths)or part-time (five-tenths) basis.During GPEP Year 1, registrars are attached to an accredited teacher in an approved trainingpractice. In 2012/2013 there were two six-month attachments beginning December 2012 (previouslyeach attachment was 21 weeks).This is an immersion experience in general practice, where the registrar sees patients and receivesa minimum of 1½ hours of protected teaching time from their GP teacher, as well as teaching andguidance from other members of the practice team. Registrars spend the majority of their time seeingpatients, which provides the main basis for learning.11
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AUGUST 2013 - New Zealand Doctor

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