Tag: AiT

Trainee notes: Life school

Aisha Yahaya is a GP ST2 with Imperial VTS who has an interest in effective communication with patients, writing and a yearly resolution to save her guitar from the dusty corner in which it sits. Increasingly, I learn more about the way of the world by looking through the eyes of my patients.  As I reflect on my time spent in a large urban GP surgery, I share my feelings and what I learnt from the patient narrative. Bravery, active listening and understanding. Very often, a patient will come with a problem that has troubled them for a while and their...

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Junior doctor pay changes will damage general practice: the trainee view

Ravi Parekh is an academic clinical fellow in General Practice in North-West London with an interest in Medical Education. I am a GP registrar working in London and over the past few months I have felt increasingly apprehensive about the future of general practice training in the UK. The latest blow to our training comes in the form of the recommendations from the DDRB report on the future of doctor’s pay.1 This independent report states the GP trainee supplement should be removed (currently 45% supplement) and replaced with “a flexible pay premium” known as a RRP (recruitment and retention premium), with trainees paid for the amount of unsociable work that is carried out, and a possible flexible pay premium adjusted locally, to help target problems with recruitment. Firstly, in the majority of cases, this change will mean a substantial pay cut as trainees progress from a SHO (ST1 and 2) to a registrar (ST3). A large number of hospital rotations will include a substantial amount of unsociable work, which currently is remunerated with normally between 40-50% banding on top of the basic salary. However, the new proposals will mean despite career progression, increased responsibility within a higher risk setting, and working far more independently in the registrar year, there will be a significant pay cut. This would equate to a substantial penalty for choosing general practice as a career....

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The British Journal of General Practice and BJGP Open are bringing research to clinical practice. This is where we add the debate and opinion to help ensure everyone benefits from that research.

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