GP Training Pay scales including GP Registrar Pay 2018 – 2019

These are the current pay scales for GP trainees in effect from October 2018 onwards. As the new junior doctor contract is being implemented in England pay scales are now very different in England compared to Wales, Scotland and Northern Ireland. In this article, Dr Mahibur Rahman looks at the current pay scales for both new and old contracts, as well as an estimate of your net pay when in GP practice based posts.

GP Training Pay Scales – New Junior Doctor Contract (England only)


The new contract bases pay on your stage in training: ST1, ST2 or ST3. For hospital posts, the old banding system has been replaced by a complex calculation of pay for hospital jobs which depends on multiple factors including the average number of hours worked per week, number of on calls, frequency of nights, weekend working etc. At the bottom end, some ST1 / ST2 posts with 40 hours per week, no on call commitments, no weekend or night working will have basic pay only of £37,191 (e.g. some public health posts). At the top end, a busy post in emergency medicine with 1 in 3 weekends, an average of 47 hours per week worked and with lots of regular night shifts might give a total package of around £50k.

For posts within a GP practice (when you are designated a GP registrar), there is a fixed additional payment which is £8,448 for the current year pro rata (e.g. if you do 6 months in a GP practice you get half this amount). This allowance is NOT payable when in hospital posts as part of your GP rotation.

If you are training in London, there is an additional London weighting allowance of £2,162 per year.

There is no increase in basic pay between ST1 and ST2.

GP Trainee Pay scales 2018-2019 – Scotland, Northern Ireland and Wales (old contract)

For hospital posts, total pay will depend on the banding (jobs with more on call / antisocial hours carry a higher supplement). Only the most common bands are shown here – some posts may have higher banding payments (Band 1A/2B / 2A). The GP Registrar supplement is currently fixed at 45% – this is for all posts when based in a practice, regardless of the year of  training, or the number of on call or out of hours shifts completed.

If you are entering GP training from another training post, you should start on the paypoint with basic pay that is closest to your current basic pay. E.g. if your current basic is £30,513, you will move onto the StR Min scale, with a basic pay of £30,606 and so on. You will move onto the next point on the scale on the anniversary of your increment date (this should be on your last payslip).

When you are on paypoint StR3 or higher (shown in orange above), you are entitled to an extra 5 days of annual leave – so you will get 30 days instead of 25 in addition to bank holidays. Please note that StR3 is NOT the same as being in your ST3 year. The paypoint is based on past NHS experience, NOT your year of training. For example, a doctor entering GP training straight from Foundation Year 2 will go onto the StrMin payscale during their ST1 year, then StR1 in their ST2 year, and StR2 in their ST3 year. They will have 25 days annual leave in all 3 years of the rotation (you may get 2 extra days for hospital posts). A doctor entering GP training having already completed 2 years of core medical training would start on the StR2 payscale (while in the ST1 year). They would have 25 days leave in this year. In the ST2 year, they would be on the StR3 payscale and get an additional 5 days leave, and so on. There may be slight variations to these payscales between Scotland, Northern Ireland and Wales (a few hundred pounds a year) as annual pay increases are devolved matters.

GP Registrar Salary – Net Monthly Pay – new contract (England only)

Most GP rotations now have 16-18 months in general practice. As there are a lot of costs during the latter part of your GP training, we thought it would be helpful to look at estimated NET pay (i.e. take home pay after Tax, National insurance, and NHS pension). This might help you plan and budget so you can meet the costs of sitting the MRCGP AKT Exam and MRCGP CSA Exam (about £2,000 together) as well as other final year costs such as CCT, indemnity when you qualify as a GP etc.


GP Registrar Salary – Net Monthly Pay (old contract)


*These figures are estimated monthly take home pay net of income tax, national insurance and NHS pension. They have been rounded down to the nearest pound, and are based on a standard tax code.  As your pay may change during the tax year, the actual amount may differ.  You can get an accurate monthly calculation here (external link).

GP Registrar medical indemnity will be reimbursed less the amount they would have paid for a hospital job.

Pay protection

If you are entering GP training from a training post in a different specialty, or from a non training post in a nationally recognised career grade post (e.g. consultant, specialty doctor, staff grade), then in some cases you may be entitled to pay protection of your basic pay subject to eligibility criteria. Career grade doctors moving from a local grade (e.g. trust grade, trust registrar, clinical fellow) do not get pay protection. Pay protection in the new contract is very complex – you can read an overview here, however I would recommend you contact the BMA for individual advice of your eligibility as in some cases you may be able to get some recognition of past experience on a case by case basis even if standard pay protection does not apply to you.

If you found this article helpful, please do share it with your colleagues!

For regular updates and discussion on topics related to GP training, join our GP Training Support Facebook group


10 tips to help you pass the MRCGP AKT exam

Dr Mahibur RahmanMRCGP AKT Courses The MRCGP AKT exam is a challenging exam, testing applied knowledge relevant to UK general practice. In this article, Dr Mahibur Rahman discusses some key tips to help you prepare for and pass the exam.

  1. Understand the basics

The exam lasts 3 hours and 10 minutes, and consists of 200 questions. 80% of the questions relate to clinical medicine, 10% to evidence based practice, and 10% the organisational domain. The exam is computerised, and there is now access to a basic on-screen calculator if needed. The majority of questions are single best answer and extended matching questions. Other formats include algorithm questions, short answer (you type the correct answer into a box), video questions, and picture based questions.

  1. Fail to prepare, prepare to fail

Allow enough time to revise all material in the exam – most candidates need 3 or 4 months to be able to cover everything sufficiently well to pass the exam. We help a lot of candidates prepare when they are resitting the exam – a common finding amongst candidates that failed the exam is that they had not realised how long it would take to prepare, and did not have enough time to complete their revision. The curriculum is large and covers a broad range of topics – try to have a systematic approach to allow you to cover all the important topics adequately. The RCGP has produced an AKT topic review which details the key areas and subjects covered in the exam.  The MPS has produced a more concise checklist of key topics that frequently feature in the exam as part of their free MRCGP Study Guide.

  1. Focus on the clinical domain

Aim to spend the majority of your revision focusing on the clinical domain – this makes up 80% of the marks and questions (160 questions). Someone who scored very poorly in this area (under 60%) would usually fail the exam – even with 100% in the other domains. Overall, a poor score in this domain is the most common cause of failure in the AKT exam. This domain also takes the longest amount of time to cover as the bulk of the curriculum is focused on clinical topics. Questions from the clinical domain can include those relating to making a diagnosis, ordering and interpreting tests, disease factors and risks, and management. It is important to have a good knowledge of key guidelines – NICE, SIGN, BTS etc. for common and important disease areas as they are frequently tested.

  1. Revise core statistics and evidence based practice

10% of the exam is evidence based medicine, including basic statistics, graphs and charts and types of study. These offer easy marks if you make sure you have a good grasp of the basic concepts and can interpret common charts and graphs. Make sure you can calculate averages (mean, mode, median), numbers needed to treat, sensitivity and specificity as well as understanding absolute and relative risk, odds ratios, p values, 95% confidence intervals and standard deviation. You should be able to interpret scatter plots, L’Abbe plots, Forest plots, funnel plots as well as Cates plots. Finally, you should be able to understand the usage of common study types including cross sectional surveys, case control studies, cohort studies and randomised controlled trials.

  1. Don’t forget the organisational domain

This makes up another 10% of the exam, and is the area that candidates tend to do worst on. These areas can be dull to read, but learning about practice management, QOF, certification, DVLA guidelines and legal duties of doctors will not only get you easy marks, it will be useful when you qualify.

  1. Learn from other people’s mistakes

Read through the examiners’ feedback reports to see which topics caused trainees problems, as they are usually retested in the next few exams. Having analysed every feedback report published so far, it is interesting to note that the same subjects get featured repeatedly! In the last feedback report, there was not a single topic that had not already featured as an area of poor performance in a previous report.

  1. Make the most of your revision time

Effective revision should combine reading with practising questions. Try to practise questions to time, as time pressure is a big issue with this exam – you have about 57 seconds for each question! If you get a question wrong, try to read more broadly about the subject to gain a deeper understanding. By relating it to a question you have just answered, you are more likely to retain the information. Concentration drops dramatically after an hour, so try to revise in chunks of no more than an hour at a time. Take a short break – even 10 minutes to make a hot drink, or get some fresh air is often enough to refresh you and improve concentration for the next burst of revision.

  1. Learn the subject, not the question

Some candidates approach AKT revision by picking an online revision service and then go through all the questions multiple times. This can lead to a false sense of security and ultimately failure in the exam. Repeating the SAME questions multiple times provides very little additional benefit. Often complex questions such as data interpretation are answered the second time by remembering the pattern rather than understanding the subject. In the exam, you will not get the same question, but a different one testing knowledge of the subject. While your mark will improve with each repeated attempt at the same questions, your knowledge may have only improved marginally (having seen the correct answers the first time, it is not surprising that you get most of them correct the next time). A better approach is to read up on the subjects and explanations after doing a set of questions, and then once you complete all the questions, move on to a different set of questions from a different service or book. This will give you a better idea of how well you have understood the topic and retained the knowledge.

  1. Read the question carefully

Many candidates that have a good knowledge base still fail the AKT by a few marks. This can be owing to poor exam technique. It is really important to read the question carefully to prevent losing marks for silly mistakes. This can relate to the instructions – some questions ask you to drag the right answer into a certain part of the screen. Clicking the right answer instead of dragging it will gain no marks. It is important to watch out for and to understand certain keywords – if the question asks for a characteristic feature, it means it is there in almost every case (90% or more) – whereas if it asks for a feature that is commonly seen in a condition, it only needs to be there in around 60% or more of cases. Some questions are negatively framed – “which of the following is not part of the Rome III criteria for diagnosing irritable bowel syndrome?” – candidates that fail to spot the “not” in this question could easily select the wrong answer despite knowing the Rome III criteria.

  1. Keep to time

To complete the entire paper, you have just 57 seconds per question. Try to be disciplined – if you are not entirely sure of the best answer, it is better to put down your best guess after about 55 seconds and move on. You can flag questions for review, so you could try to come back if you finish a little early to look at those are unsure of. By being strict with your time, you will at least pick up all the easy marks for topics that you have covered in your revision. Candidates that spend 2-3 minutes struggling with a few really challenging questions often end up unable to complete the paper. They may have missed easy marks from questions at the end of the paper that they did not see. It is useful to have some pace checkpoints – try to finish 33 questions every 30 minutes. At this pace, you will have completed 66 questions after 1 hour, 99 at 1.5 hours, and complete the whole paper with just under 10 minutes left to go over any questions flagged earlier.

Summary The MRCGP AKT is a challenging exam with a significant failure rate – over 1 in 4 candidates fail each exam, with the long term mean pass rate around 73%. It covers a large curriculum, so it is important to allow enough time and to have a plan to enable you to prepare in a systematic way. A lot of the knowledge gained from preparing will help you not only in everyday practice, but also for the MRCGP CSA examination. By mixing reading with practice questions, you should have both the knowledge and the exam technique to allow you to pass well.

Dr Mahibur Rahman is a portfolio GP and a consultant in medical education. He has been the medical director of Emedica since 2005 and has taught over 20,000 delegates preparing for GP entry exams, MRCGP and on GP careers. He teaches an intensive 1 day MRCGP AKT preparation course in London, Birmingham and Manchester that covers all 3 domains. The course includes key theory and high yield topics, exam technique as well as mock exams in timed conditions. You can get a £25 discount by using the code passmrcgp

Details of the course are available at


Improving feedback from the MRCGP CSA examination

Improving feedback from the MRCGP CSA examination

Dr Mahibur Rahman

We are often contacted by GP registrars or GP trainers requesting support with understanding the feedback from the MRCGP CSA. Many doctors have commented that they find the feedback difficult to interpret. This has been recognised as an important issue and recently a motion was passed at the LMCs conference calling for immediate improvement in the feedback from the CSA. In this article Dr Mahibur Rahman looks at the current feedback, the areas that could be improved and suggestions on ways to make the feedback clearer and more helpful for both trainers and registrars.

Understanding the current CSA feedback

Currently there are 2 main sections to the feedback from the CSA. The top part gives the candidate’s total score from all 13 cases (out of 117), with the pass mark for the date they sat the exam. This total score is based on the summative part of the assessment, which is based on 3 domains for every case: data gathering, clinical management, and interpersonal skills.

For each domain, a candidate is graded with a score attached to each grade as follows: Clear pass: 3 marks, Pass: 2 marks, Fail: 1 mark, Clear fail: 0 marks. This gives a total score for each case of between 0 and 9.

To gain a pass, a candidate must get an overall score equal to or above the pass mark for a given day. This is adjusted each day using the borderline group method to ensure the standard of the exam remains the same each day. The actual pass mark is variable with a usual range between 72 and 77 out of 117.

The second part of the feedback is formative – it relates to the 16 feedback statements provided by the RCGP in a grid. This grid can provide information on consulting areas that a candidate could improve on. It is important to understand that this part does NOT determine the score or whether a candidate has passed or failed – it is formative, and aimed at helping doctors identify areas of their consulting that they could improve. The current feedback looks like this:

CSA feedback current

What are the problems with the current feedback?

There is no breakdown of the marks awarded from each case (out of 9), and no way for a candidate or trainer to see clearly if marks were dropped in data gathering, clinical management or interpersonal skills for each case, or as a general trend over the course of the whole exam.

In some cases, the formative feedback can help identify areas to work on, but in some cases it can lead to confusion. A common source of confusion relates to the fact that candidates with the same number of crosses can have very different scores. Finally, where a candidate has no crosses relating to a specific case, many candidates think that it means they must have scored very well, or at least gained 6 or more marks out of 9. However it is impossible to tell how well or poorly they have performed in that case from the lack of crosses– they could have scored anywhere from 0 to 9. This is because:

  • The formative feedback does NOT determine the score for a case – this is determined by the performance in the 3 domains being assessed. Scores for these are not provided in the current feedback as standard – candidates that want to access these scores can request their mark sheets under the Data Protection Act.
  • Only feedback statements that were flagged in 2 different cases show up in the feedback provided to candidates – there are hidden crosses where a statement was only flagged in a single case. A candidate with no crosses could actually have had several crosses relating to feedback statements that did not occur again in other cases. This could have led them to score very poorly in that case, but they would not know it from looking at the feedback.

This candidate failed the CSA by a few marks – look at the formative feedback for their first 3 cases:

CSA formative feedback - current

This candidate scored 7/9 for the first case (joint problems), and 2/9 for the second case (acute illness), but there would be no way to know that they had performed really poorly in the second case from the current feedback. There were actually 3 feedback statements that were flagged in this case, but they don’t show up because those statements did not apply to any other case (and currently these statements are hidden).

How could the feedback be improved?

The GPC motion called for “the feedback from the MRCGP exams to be improved immediately”. Here are 3 simple ways that the feedback could be made clearer and more effective in helping identify areas to work on to improve performance. They can all be introduced using data that is already collected in the exam, and so could be implemented quickly with little additional cost.

1. Provide a breakdown of total marks for each domain as well as the total score. In the AKT, candidates get a breakdown of their scores in the 3 domains (clinical medicine, organisational, and evidence interpretation). This will give a clearer indication of any weaker areas overall:

New CSA feedback - summative

This candidate and their trainer can immediately see that they could make improvements in all parts of the consultation, but that the clinical management domain was their weakest overall. This may allow more targeted work on this part of the consultation. Without this information, this candidate (and their trainer) may focus more on the interpersonal domain, without realising that although this could be improved further, this is actually their strongest domain overall.

2. Provide the domain scores for every case as well as the formative feedback. Taking both the summative and formative feedback together provides more meaningful information and will allow easier identification of both consulting skills and curriculum areas that need improving. This could be provided by adding a separate table for the domain scores:

CSA domain feedback for individual cases

Looking at this, it is clear that this candidate had 2 cases where they performed very poorly – the young adult female with an acute illness, and the middle aged female with a women’s health issue. These may be areas that they struggle with, and indetifying them will allow focused improvement in knowledge.

3. Provide details in the formative feedback section of ALL statements that were flagged, even when this only applied to a single case. This will allow candidates to identify all areas that examiners felt they could work on – even candidates that have done well can benefit from knowing areas that they could improve. Combined with the summative feedback above, this would also make it easier to separate a candidate that is below the pass standard in multiple areas of multiple cases from one that had a couple of really poor cases due to poor knowledge of a specific curriculum area, or because they missed something key in that case. Here is the formative feedback from those first 3 cases that we looked at earlier; the second image shows all crosses (those that were previously hidden are shown in red for clarity):

Current feedback:

CSA formative feedback - current

Proposed feedback:

Proposed feedback showing all crosses

You can see that taking this with the domain scores, it is immediately clear why this candidate got such a low score in the acute illness case, and that had they performed better in this case, they may have passed. This would also help candidates understand their performance better. From the current feedback they may think that this was one of their better cases when actually it is their worst. Providing this extra information does not give any information that will jeopardize case security, but it does provide more meaningful information for someone trying to improve.

How it would look together

All the feedback would fit onto 1 A4 page, allowing quick cross referencing between the different sections. This is how the new feedback could look in the e-portfolio.

New CSA feedback - summative

CSA domain feedback for individual cases

New CSA feedback


It is clear that further research needs to be carried out to investigate the possible reasons behind the differential pass rates in different groups – however this will take time. By improving feedback immediately, we can ensure that candidates and trainers have clearer, more effective feedback. All these changes can me made using data that is already being collected, so this could be implemented quickly and with little additional cost. Hopefully this will enable more focused work on the key consultation skills that an individual doctor may need to work on to help them improve and pass the exam.

Are you a GP trainer or a GP registrar? What do you think about these ideas for improving the feedback from the CSA? Please share your thoughts!

MRCGP AKT Exam – High Yield Topics from the January 2012 Exam

MRCGP AKT Exam – High Yield Topics from the January 2012 Exam

Dr Mahibur Rahman

After each MRCGP AKT examination, the examiners release a report highlighting key information from the last exam. This includes pass marks and rates, and also key topics – both those that were answered well, and those that GP trainees performed poorly on. These topics are frequently examined again in the next few sittings of the AKT exam, so it is worth ensuring that you have a good understanding of them.

With the April 2012 MRCGP AKT Exam coming up, we thought it would be helpful to look at the high yield topics from the latest examiner’s report.

Key facts from the January 2012 MRCGP AKT exam:

The top score was 94.5%
The mean score was 73.1%
The lowest score was 42%
The pass mark was 68%
The pass rate was 74.9%

Scores by domain:

Clinical medicine – 74.6%
Evidence interpretation – 69.2%
Organisational – 65.4%

High Yield Topics

The examiners report from the January 2012 diet of the MRCGP AKT exam highlighted the following key topics:

• Hypertension management
• Drug dosage calculations
• Drug management of neurological conditions (e.g. Alzheimer’s)
• Dementia assessment
• Erectile dysfunction
• Childhood development
• Neonatal problems
• Contraception – including LARCs and side effects
• Certification – fit notes, insurance reports
• DVLA guidelines
• Vaccinations

The MRCGP AKT is a comprehensive examinations, so it is important that you cover the entire curriculum. Remember that 80% of the marks are related to applying knowledge relating to clinical medicine in general practice, 10% to evidence interpretation and 10% to the organisational domain.

Emedica Alumni can get a £20 discount off the Emedica MRCGP AKT course by entering this code when booking: alumnimrcgp

Further reading:
Complete January 2012 MRCGP AKT examiners report

Alumni discounts 2012 – MRCGP courses / CCT courses

We are happy to offer the following discounts for Alumni.  These discounts are valid for bookings made until 31 December 2012.

MRCGP for Trainees: Understanding the AKT and CSA coursesSave £50 off the full price on any of our MRCGP for Trainees courses (available in Birmingham and London) – enter the code elumnus – These courses are aimed at doctors in ST1 and ST2 that want a better understanding of the MRCGP exams.

MRCGP AKT Preparation coursesSave £20 off the full price on any of our MRCGP AKT preparation courses (available in Birmingham and London) – enter the code alumnimrcgp – These courses are aimed at doctors already preparing for the MRCGP AKT exams – the best time to attend is about a month BEFORE your AKT exam date.

MRCGP CSA Preparation coursesSave £20 off the full price on any of our MRCGP CSA preparation courses (available in Birmingham and London) – enter the code alumnimrcgp – These courses are aimed at doctors starting their preparation for the MRCGP CSA exams – the best time to attend is about 2-3 months BEFORE your CSA exam date.

Life after CCT course coursesSave £95 off the full price on any of our Life after CCT courses courses (available in Birmingham and London) – enter the code alumnicct – These courses are aimed at doctors finishing their GP training this year or in the first few years post qualification.

MRCGP AKT Exam – High Yield Topics from the January 2011 Exam

MRCGP AKT Exam – High Yield Topics from the January 2011 Exam

Dr Mahibur Rahman

After each MRCGP AKT examination, the examiners release a report highlighting key information from the last exam. This includes pass marks and rates, and also key topics – both those that were answered well, and those that GP trainees performed poorly on. These topics are frequently examined again in the next few sittings of the AKT exam, so it is worth ensuring that you have a good understanding of them.

Key facts from the January 2011 exam:

The top score was 93.5%
The mean score was 72.7%
The lowest score was 42.5%
The pass mark was 68%.
The pass rate was 74.9%.

Scores by domain:

Clinical medicine – 73.9%
Evidence interpretation – 72.1%
Organisational – 64.0%

High Yield Topics

The examiners report from the January 2011 diet of the MRCGP AKT exam highlighted the following key topics:

• Common eye problems, especially those needing urgent referral or admission
• Normal findings in childhood – including development
• Childhood immunisation schedules
• Contraception
• Drugs that require monitoring
• Prescribing in pregnancy – infectious diseases
• Common injuries
• Acute abdominal pain – including in children
• Good Medical Practice
• Patient – practice interface – e.g. handling complaints

The MRCGP AKT is a comprehensive examinations, so it is important that you cover the entire curriculum. Remember that 80% of the marks are related to applying knowledge relating to clinical medicine in general practice, 10% to evidence interpretation and 10% to the organisational domain.

Emedica Alumni can get a £20 discount off the Emedica MRCGP AKT course by entering this code when booking: alumniakt2011

Further reading:
Complete January 2011 MRCGP AKT examiners report

Starting in General Practice

Starting in practice

Starting out in General Practice (whether in your ST1, ST2 or ST3 year) can be a challenging time. You have to deal with a completely different way of working compared to hospital medicine, new computer systems and electronic patient records and usually a lot more responsibility for your own patients. This article from offers some advice on starting out.

Settling in

Apart from the obvious differences in setting and the range of patients seen, there are changes in the level of responsibility and autonomy you have. Although you will initially be seeing patients with your trainer, you will very quickly find you have your own booked surgeries, and you will largely be working independently (although with help close at hand whenever you need it). This can be both daunting and very satisfying – you’ll be amazed at both how much you do and don’t know! One of the most pleasant changes from hospital medicine is the continuity of seeing patients over a long period of time, and getting to know them. Most registrars also love the freedom of not having a pager after so long.

Practice Routine

You will soon find out that the work day is slightly different in practice compared to in hospital. No more starting the day with a long ward round and then working through the morning and perhaps a clinic in the afternoon – interspersed with trips to the ward to resite cannulas and complete TTOs. Instead, you are likely to have a morning and afternoon surgery, with plenty of paperwork in between, some home visits, the odd tutorial and regular practice meetings. You will soon find out which days you are on call (home visits etc.), and which clinics happen on which days (baby clinic, smear clinic, diabetic clinic, COPD clinic etc. etc.).

Working with the team.

Although you will be in your room seeing your own patients a lot of the time, you will find that in primary care there is a large team of staff with various skills and roles that you have to fit into. You need to find out how to make the best use of the resources available. Some of the members of the team include:

Practice Manager Very important. Will sort out your pay, training on practice systems, may be involved in sorting out study leave and rota. Normally involved in keeping an eye on progress with QOF points under new contract.
Receptionists Practices could not run without good receptionists. They will locate your notes, find results, and be responsible for letting patients know when you are going to be videoing for your assessments. Be nice to them!
Practice Nurse Most practices now have nurse led clinics for various things – CHD, COPD, Asthma etc. May also see patients with minor ailments, as well as dealing with removal of sutures, immunizations, and assisting in minor surgery.
Healthcare Support Worker Many practice employ a HCSW to take bloods, blood pressures and help the practice nurses with clinics etc.
District Nurses May be attached or directly employed by the practice, usually involved in care of terminally ill patients, community management of DVT, care of housebound patients.
Health Visitors Involved in child health surveillance, including developmental assessments, hearing assessments and home visits to children and new mothers.
Practice Secretary Where would you be without someone to type and send all your dictated referral letters? Probably still at surgery until late.
Other doctors Remember that your trainer is not the only one that you can learn from. The other doctors may be involved formally or informally, and should be able to offer help and advice when you are unsure of a diagnosis or when to refer.

Electronic Patient Records

One of the biggest changes in General Practice comes when dealing with patient records. Many practices are paperless (or paperlight), with almost everything done on the computer system. Whichever system your practice uses (EMIS, Torex, Vision, SystemOne), you need to spend some time learning how to navigate it. Keeping accurate and detailed records is essential – not only for your patients, but to help colleagues when they follow up your patient, and also for your own protection in case there is ever a complaint. Make sure that you are comfortable with how to enter consultations, examinations, how to check blood results and access letters from secondary care.

Finally, I recommend that you LEARN TO TYPE! The better you can type, the more detail you can provide in your notes without running late. Emedica have developed a simple, fun way for you to improve your typing skills. You can use this free typing package, called Meditype to practice typing (it has a practice module and a typing game to make it more enjoyable). You can have a go at