AUGUST 2013 - New Zealand Doctor

RNZCGP Review of the delivery of general practice vocational training August 2013IntroductionThis review of how general practice vocational training is delivered had its genesis in significantchanges made to the training programme in 2012.After a competitive tender process, the College was successful in being awarded a contract byHealth Workforce New Zealand (HWNZ) to become the employer of General Practice EducationProgramme (GPEP) Year 1 registrars. The shift from registrars receiving a bursary to becomingemployees was part of a broader recognition of the need to make general practice an attractivecareer option to postgraduate registrars.This new agreement complemented the contract the College already had to provide vocationaltraining in general practice, providing the College with an opportunity to further partner with HWNZand general practice to create a sustainable general practitioner workforce.A review was also timely because it built on major changes to the GPEP curriculum made in 2012. Itmade sense to first change what is being taught and then explore the best way of delivering the newcurriculum.There are six phases to the review:1. A review of the current state of training delivery;2. A future state analysis to evaluate scenarios for potential changes in training delivery;3. Identifying options for how the College might deliver training in the future;4. Recommendations to reach the desired future state;5. Consultation with a wide stakeholder group; and6. Implementation of the updated training delivery programme.The first four phases have been completed and this report represents the fifth, consultative, phase.The College has already received the views of many individuals and interest groups, which, alongwith a wide range of other input, has allowed the project team to thoroughly assess the current stateof training and to identify the areas for consultation contained in this document.The options and recommendations presented in this paper are a result of collaboration between theCollege and a number of different interested parties.• Options were sought from the College membership and GPEP registrars, teachers and MedicalEducators (ME) via a survey. Responses were received from 165 people (GPEP Year 1 registrars37; GPEP Years 2 and 3 registrars 44; GPEP educators 43; other members 41).• A series of workshops were held with different groups of attendees:− − College National Advisory Council workshop, with representatives from the College Faculties,Te Akoranga a Maui, the College’s Training Chapter and the College Board;− − Educators workshop with GPEP Year 1 ME representatives from six of the 11 training regions,GPEP Years 2 and 3 Medical Educators and GPEP registrars; and− − Project Board and other stakeholders workshop, with representatives from Te Akorangaa Maui, Rural Hospital Medicine, Primary Health Organisations (PHO), universities andAuckland School of Medicine.• Peer review of the preliminary documentation by various MEs, GPEP registrars and Collegemembers.• Review and agreement on final report content from the College Board.5