What Will Be Expected




What Will Be Expected in ST3


12 Case Based Discussions (CBD)

- Minimum of 12 in ST3

- A discussion of cases to explore your professional judgement


8 Direct Observation of Procedural Skills (DOPS)

- 8 mandatory procedures must be observed once

 (breast exam, smear test, male & female genital exam, prostate exam, rectal exam, testing for blood sugar, application of a dressing).

- There are 11 optional DOPS


12 Consultation Observation Tool (COTS = Video Consultations)

- At least one child, one adult over 75 and one mental health case


2 Multi Source Feedback (MSF)

- 5 clinicians and 5 non clinicians provide feedback on the training doctors performance.

- The educatinonal supervisor meets with you to disucss the feedback.


1 Patient Satisfaction Questionnaire (PSQ)

- The PSQ provides feedback about the patients perceive your consulting skills. Feedback is required from s minimum of 40 patients.


1 Clinical Supervisors Report Per Post

- The clinical supervisors summary of the trainees performance during the post


6 Significant Event Analysis

- Review of good and bad practice. Near misses, patient deaths, prescribing errors, communication issues, failures of practice managment.


3 Audits/Projects

- 3 audits or projects are expected in ST3. Discuss these with your trainer. There is often scope to help the practice develop by reviewing data,

   referrals etc.


12-18 Out of Hours Sessions

- A minimum of 1 session per month of GP training

- Sessions must include a variety of triage, home visits and surgery sessions




Learning Log (3 Log Entries A Week)

- The learning log is a reflective diary. Entries are recorded in the eportfolio and used to assess how much of the curriculum you have covered.

   Trainers also use the evidence they provide to show competency in one or more of the curriculums competency areas.

- A minimum of 3 entries should be made weekly.

- A good entry will 'show some evidence of critical thinking and describe your thought processes. Try to be self aware and honest about your

  performance and feelings. Identify areas of further learning and your reasons for choosing them.

- An example of a good log entry can be found here





- The eportfolio is the electronic document where you record all of your learning and feedback.

- Entries are reviewed every 6 months by the trainer or educational supervisor against the curriculums 12 competence areas.

- The eportfolio allows you and your trainer to monitor your progress against the curriculum knowledge base and the competency areas.

   At the end of each review you should have an idea about how you are progressing and which areas need more work.

- A final review is carried out towards the end of training. A recommendation about your competency to practice as a GP is made based on your

   eportfolio evidence.




Annual Review of Competence Progression (ARCP) Panel

- The GMC require assessment of all speciality trainees against their speciality curriculum and the GMCs Good Medical Practice guide. The

   purpose of the review is to ensure the trainee is progressing satisfactorily and meeting their requirements for training. Providing the evidence

   is satisfactory the trainee can progress to their next year of training.

- For GP trainees the ARCP takes the form of an annual review of their eportfolio of evidence.