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E-LEARNING


here because the atmosphere is very different from the prescribed atmosphere which they have experienced both at medical school and in hospitals. But then when they are thrown into an office environment they have to learn to manage their own time as well as making connections outside their own organisation, such as in local government or other clinicians from different areas.


“Quite often, they can begin this feeling a bit lost but at some point - which usually tends to be months three and four – every single one of our trainees has had a moment of recognition and realised why commissioning is so important, with some even being able to describe how this is going to change their clinical practice.


“Others have actually contributed pieces of work which we have then gone on to commission


whilst three of them have stayed in contact with us in order to keep pieces of work going. We have also had the opportunity to get into some really interesting discussions with our trainees around how the financial and public health aspects of the local health economy can be drawn upon appropriately in a general practice setting. It really makes them think in a different perspective.”


Many GPs are likely to feel a little lost at first when confronted with the prospect of being more closely involved in commissioning so can programmes like this help remedy that?


“Yes, I hope so. There have only been twelve GP trainees go through the programme so far but we are now looking to work with various parties including the tutors of those GPs who


have already been through the programme and our practice based commissioning leads, to further develop the programme.


“This will help to us to make the two days a week which trainees are with us absolutely relevant to the white paper. It is crucial that we provide them with experiences which are relevant to their curriculum because we must only take them away from their clinical studies when absolutely necessary.


“One of the main challenges in all of this is making the training programme sustainable and even though we now have a year’s experience, we know that more needs to be done to ensure that the programme is relevant and sustainable for the future and making sure that the content of the training is consistent and of an extremely high quality.”


Given that this training marks the beginning of the end for primary care trusts, one might assume that developing a programme such as this might have been quite difficult for those involved?


“No, not at all, because in terms of the way in which the primary care trust works, it is a direction that we were going in anyway. Yes, perhaps the direction of travel is going further than we had anticipated, but it is still the same direction.”


Nov/Dec 10


nhe 29


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