Applicant Guide 2013 4

Copyright Oxford Medical Training 2005-2013.
Quality career training courses

Page 1

Table of Contents

Introduction .............................................................................................................. 3
2013- 2014 GPST Round 1 ............................................................................................................................ 4
All posts to commence August 2014 .............................................................................................................. 4
Important 2013 (2014 Entry) dates .......................................................................... 4
GPST STAGE ONE: The Application ...................................................................... 5
The Initial Application ............................................................................................................ 5
Round 1 - All posts to commence August 2014 .............................................................................................. 5
Application Criteria ................................................................................................................ 5
Choosing your deaneries ........................................................................................................ 6
Competition ratios ................................................................................................................. 6
Competitions Ratio by Deanery ............................................................................................. 7
GPST STAGE TWO Computer Based Test .......................................................... 8
Round 2 - All posts to commence August 2014 .............................................................................................. 8
Paper One- Professional Dilemmas ...................................................................................... 10
Ranking Questions ....................................................................................................................................... 11
Multiple Best Answer (MBA) Questions ........................................................................................................ 12
Paper Two- Clinical Problem Solving (75 Minutes) .......................................................... 13
Paper Two Scenario ..................................................................................................................................... 13
Paper Two Topics ........................................................................................................................................ 14
Scoring: Stage Two Paper 1 & 2 ........................................................................................... 15
Tips for the test centre..... .................................................................................................... 16
GPST STAGE THREE Selection Assessment Centre (SAC) ............................... 17
A. The Written Exercise (30 Minutes) ............................................................................... 17
Stage 3 Written exercise question ................................................................................................................ 18
B. The Simulated Consultation Exercise (Role Play) ......................................................... 19
Simulation Topics ......................................................................................................................................... 19
Simulated Consultation Marking .......................................................................................... 20
Marking Examples ........................................................................................................................................ 21
Marking System ............................................................................................................................................ 21
What to revise? ............................................................................................................................................ 22
GPST STAGE 4- Allocation Offers Made .............................................................. 23
Offer Allocation Factors ....................................................................................................... 23

Copyright Oxford Medical Training 2005-2013. Quality career training courses
Page 2

Stage 4 - All posts to commence August 2014 ............................................................................................. 23
Your Job Offer....................................................................................................................... 23
Local Clearing ....................................................................................................................... 23
National Clearing .................................................................................................................. 24

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Introduction

The GPST recruitment process changed its structure, content, and assessment types in
2011. Dedicated more solely to competency based selection, the Recruitment Process
coordinated by the National Recruitment Office (NRO)for GP Training, is aiming to
provide a better view of applicant skills and capability to recruiting deaneries. This Oxford
Medical Training Guide is designed to provide you with a comprehensive manual for
attending and succeeding throughout the new recruitment stages.

Good Luck and Happy Reading!

Page 4

Important 2013 (2014 Entry) dates

The following chart list the dates as released by the NRO for GPST recruitment. These dates
play a vital part of the process and as a perspective GPST candidate it is vital not to miss
any of the process deadlines. Late applications in the first stage are NOT permitted;
applicants will have to wait until the next round of entry (2015) if they miss the deadline!

2013- 2014 GPST Round 1
All posts to commence August 2014
Applications can be submitted from: 10.00am Tuesday 12
th
November 2013
Applications MUST be submitted by:17.00on Thursday 5th
th
December 2013
Foundation Competence evidence submitted
by:
17.00on Thursday 5th
th
December 2013
Stage 2 - (Computer Based Test): From Sat 4
th
Jan up to (incl) Sat 11
th
Jan 2014
Stage 3 - (Selection Centre): From 3
th
Feb - 14
th
Feb 2014
Offers out:By 5
th
March 2014
Offers accepted by:Within 48 hours of offer
Local Clearing commences: From 10
th
March 2014
National Clearing: From 17
th
March 2014 or soon after

Page 5

GPST STAGE ONE: The Application

The Initial Application
The very first stage in the recruitment process for GP specialist training consists of an online
application form, intended to assess your eligibility in regards to the basic criteria laid out by
the NRO. The form requires
mainly personal, qualification and
professional career information,
as opposed to establishing your
clinical competencies which are
assessed in Stage 2. For 2014
entry, online applications be
submitted from 12
th
November
until 5
th
December and each
applicant can apply only ONCE,
indicating in preference order up
to 4 Deaneries they would like to
work for.
Application Criteria
2013/14 Applicants registering at this initial stage are assessed on the following eligibility
criteria:
To hold a recognised primary medical qualification
To be fully registered with the UK GMC at the time of application OR be eligible for
full UK GMC registration at time of application
Evidence of current employment in a UK Affiliated Foundation Programme OR
evidence of achievement of Foundation Competencies within the last 3 years
To hold a current valid driving licence OR able to provide satisfactory alternative as a
means of providing emergency and domiciliary care to fulfil the requirements of the
post
Evidence of English Language Proficiency
To be able to legally work in the UK
To not have resigned or been released from a UK GP training programme

Round 1 - All posts to commence August 2014
Applications can be
submitted from
10.00am Tuesday 12
th
November
2013
Applications MUST be
submitted by
17.00 on Friday 5
th
December 2013
No late applications will be
accepted
Foundation
Competence evidence
submitted by
17.00 on Friday 5
th
December 2013
Evidence MUST be attached to the
application form at the time of
submission

Copyright Oxford Medical Training 2005

Choosing your deaneries
Although as an applicant you can only make one GPST application, you
opportunity to choose 4 deaneries whereby you would like to be based, and state them in
preference order. Deaneries vary
3 years, it is important to make the right decisions at this part of t
as geographical area, transport links, types of programmes offered, and Trusts in the
deanery area, are all important considerations when choosing your preferences.
Competition ratios
The highly competitive nature of GP
also makes choosing which deaneries to preference a
decision not to be taken lightly. Deaneries not only
have differences in their available programmes, but
also vastly differing competition ratios. The London
area deaneries average 3 applicants to ev
compared with 1.5 applicants to each vacancy
elsewhere, making it imperative applicants consider
their own abilities in such a competitive environment, as
well as geographical preferences.
Although we would like everyone to be
application is highly competitive, varying by geographical area. The followi
demonstrates the geographical differences in the competition ratios throughout the last few
years of recruitment rounds.

Choosing your deaneries
Although as an applicant you can only make one GPST application, you have
preference order. Deaneries vary hugely, and as this is where you will work and be based for
3 years, it is important to make the right decisions at this part of the process. Factors such
he highly competitive nature of GP Specialist Training
choosing which deaneries to preference a
decision not to be taken lightly. Deaneries not only
have differences in their available programmes, but
also vastly differing competition ratios. The London
pplicants to every vacancy,
pplicants to each vacancy
elsewhere, making it imperative applicants consider
their own abilities in such a competitive environment, as
well as geographical preferences.
Although we would like everyone to be able to have their preference deanery, GPST
application is highly competitive, varying by geographical area. The followi

?
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have the
and as this is where you will work and be based for
he process. Factors such
able to have their preference deanery, GPST
application is highly competitive, varying by geographical area. The following chart

Page 7

Competitions Ratio by Deanery
Based upon first choice deanery preferences, the table clearly demonstrates London and
Northern Ireland continue to remain the most competitive deaneries to apply for. However
with Deanery areas being so large it is possible to make tactical applications by choosing a
bordering area with schemes that are within your preference area; such as choosing KSS
instead of London for a south London scheme.

Deanery
Round 1
Ratio 2009
Round 1
Ratio 2010
Round 1
Ratio 2011
Round 1
Ratio 2012
Round 1
Ratio 2013
East Midlands 1.38 1.40 1.30 1.3 1.5
East of England 1.76 1.28 1.42 1.6 1.6
Kent, Surrey &Sussex 1.40 1.27 1.48 1.8 1.6
London 3.13 3.70 2.93 3.5 3.8
Mersey 1.84 1.40 1.04 1.9 1.1
Northern 1.41 1.56 1.29 1.3 1.0
N Ireland 2.91 2.92 2.88 2.8 2.6
Northwestern 1.94 1.87 1.70 1.6 1.6
Oxford 1.66 1.81 1.98 2.2 1.9
Scotland 1.64 1.28 1.48 1.4 1.4
Severn 1.59 1.60 1.97 1.9 2.1
Southwest Peninsula 1.32 1.33 1.49 1.7 1.4
Wales 1.94 1.20 1.55 1.5 1.5
Wessex 1.21 1.15 1.50 1.5 1.4
West Midlands 1.93 1.74 1.58 1.5 1.5
Yorkshire & Humber 1.8 1.4 1.4 1.7 1.6

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GPST STAGE TWO Computer Based Test

Round 2 - All posts to commence August 2014
Dates
Saturday 4
th
January to Saturday 11
st
January 2014
(Places can be booked with Pearson Venues from 6
th
December 2013)
Venue

Pearson VUE Test Centres

Found nationwide, booking can be done through the following link:
www.pearsonvue.com/nro . It is advisable to book early so that you do
not have to travel very far.An invitation will be sent through inviting you to
book and attend once you have passed the stage one criteria.

Content

Two computer based Tests
Paper 1 - Situational Judgement (Professional Dilemmas)- 110 Minutes
Paper 2 - Clinical Problem Solving 75 Minutes

Book Your Place Early
You dont want to have to travel
half way across the country to sit
your stage 2 exams!
Assessment outwith the UK 2014
It is possible to undertake the stage 2 test from outside the UK, allowing applicants
living and working overseas to enter GPST. Assessments can be arranged in Australia
and New Zealand. Candidates based in Europe are expected to travel to the UK for
assessment. The NGO advises contacting Victoria Johnson at the NRO
(Victoria.GPrecruitment@wm.hee.nhs.uk) to find out about other locations not listed.
Candidates are advised to submit application forms early as overseas assessment
places are limited and provided on a first come first served basis.

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GPST STAGE TWO - Online Papers overview

Once you have flown through the initial stage ofthe GPST process, having met all the
eligibility criteria (hopefully!), you will now progress into stage 2.This consists of two exam
papers that are undertaken on computer. This initial assessment forms, the short-listing
process for the NRO, and results are utilised to rank candidates before allocating them to a
deanery for Stage 3.

Based around clinical scenarios the two papers you will undertake are designed to assess
your clinical competences. Every applicant sits the same exam regardless of the deanery
applied for, lasting together around 3 hours,this third stage is made up of:
Paper 1 - Professional Dilemmas
Paper 2 - Clinical Problem Solving
The papers focus on Situational Judgement (Professional Dilemmas) and Clinical Problem
Solving, specifically at the level of a second year foundation doctor. Based around clinical
scenarios the two papers are both designed to assess some of the essential competences
outlined in the National Person Specification, and are structured to give candidates an
opportunity to demonstrate their ability to apply basic clinical knowledge and an
understanding of key issues in professional behaviour.

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Paper One- Professional Dilemmas

The Professional Dilemma or Situational Judgement test is designed to focus on your
approach to practising medicine. The paper assesses your understanding of the appropriate
behaviour for a doctor in difficult situations, by being presented with a number of scenarios
and a list of responses to each scenario to choose from. Some but not all of these are
clinical based. This part is designed to allow you to demonstrate your application of key
competencies such as:
Empathy & Sensitivity: Capacity & motivation to take in others' perspectives & to
treat others with understanding
Communication Skills: Capacity to adjust behaviour & language as appropriate to
needs of differing situations
Conceptual Thinking & Problem Solving: Capacity to think beyond the obvious,
with analytical and flexible mind
Coping with Pressure: Capacity to recognise own limitations and develop
appropriate coping mechanisms
Organisation & Planning: Capacity to organise information/time effectively in a
planned manner
Managing Others & Team Involvement: Capacity to work effectively in partnership
with others
Professional Integrity: Capacity & motivation to take responsibility for own actions
and demonstrate respect for all(http://www.gpvts.info/sjt.htm)
The paper uses two types of questions Ranking and Multiple Best Answer explained further
in the following pages. Lasting 110 minutes with an average 50 questions, time to read each
question and decide on your answer is tight. It is best to get to know the question format and
practise using the correct timings; on average 2 minutes per question. Unless it is otherwise
stated your responses should represent appropriate behaviour for an F2 doctor.

Time is tight!
Have pre prepared deadlines and
timings for each part of the
paper, you should know these
from all your practising!

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Ranking Questions
You are presented with a scenario and also given 5 possible actions to the scenario in
question. You then have to rank in order the 5 listed actions in terms of the most, to the
least appropriate action to take in response to the situation.
Example Question:

Question:
You have set up a new appointment booking system for patients. Patients need to
telephone a particular number to confirm a suitable appointment date. They are then
allocated a specific appointment time slot. The telephone system is managed by a third
party call handling company and is fully automated. Before going live, you phone the
number several times to check that the instructions are clear and that the system
works. Unfortunately, on the day that the system goes live to the public, your secretary
receives a number of verbal complaints from patients about the new automated
booking system.
List (RANK ORDER) the most appropriate ways of dealing with this:
1. Contact the call handling company to investigate
2. Contact the complainants to investigate the nature of the complaint
3. Ignore the complaints
4. Implement changes to the system
5. Wait until you have received more complaints before treating seriously

Answer: 2, 1, 4, 5, 3

Answer Theology: Talking to the patients who have verbalized complaints seems the
best option and should be first. It could be that there is nothing wrong per se with the
new system, rather that people don't like change. On the other hand there could be real
problems that have been overlooked e.g. system not accessible to all. Secondly I'd
contact the handling company to see if the patient's complaints can be fed back into the
system to make it work better. If needed, changes could then be made to the system
early on. Waiting until a critical mass of complaints is made seems like a poor option,
as the system may just need a few simple changes for it to be acceptable to more
people. The worst option would be to ignore the complaints altogether, and therefore
the patients making them, which would be poor practice and risk certain groups of
people no longer attending the practice.

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Multiple Best Answer (MBA) Questions
You are presented with a scenario, followed by a number of possible actions/responses that
you could take when faced with the scenario in your workplace. The lists of actions typically
consist of seven possibilities and you are also asked to identify the two or three actions you
deem the most appropriate from the list.
You do not need to rank in any way these chosen actions
Simply identify the three you believe to be the best in response to the scenario given.

Question:
You have set up a new appointment booking system for patients. Patients need to
telephone a particular number to confirm a suitable appointment date. They are then
allocated a specific appointment time slot. The telephone system is managed by a third
party call handling company and is fully automated. Before going live, you phone the
number several times to check that the instructions are clear and that the system
works. Unfortunately, on the day that the system goes live to the public, your secretary
receives a number of verbal complaints from patients about the new automated
booking system.
List (RANK ORDER) the most appropriate ways of dealing with this:
1. Contact the call handling company to investigate
2. Contact the complainants to investigate the nature of the complaint
3. Ignore the complaints
4. Implement changes to the system
5. Wait until you have received more complaints before treating seriously

Answer: 2, 1, 4

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Paper Two- Clinical Problem Solving (75 Minutes)

This paper is an assessment of your response in different clinical situations, assessing your
use of judgement and problem solving skills to determine appropriate diagnosis and
management of patients.
A mixture of Matching Questions (EMQ) and
Single Best Answer (SBA) questions are used throughout
this paper and there layout and format and can vary greatly.
You are presented with an actual clinical scenario, and you
will have to choose a response to the scenario from the list
of given responses according to your own clinical judgement.

Paper Two Scenario

The scenarios that are used within the papers vary greatly though many of the common
areas are highlighted in the below chart:

Paper 2
Scenarios
Investigation
Management
plans
Disease
factors
Making a
diagnosis
Prescribing
Emergency
care

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Paper Two Topics
As with the previous paper, topics are taken from areas with which a Foundation Programme
Year 2 doctor would be expected to be familiar.
Typically topics used within the paper two questions are drawn from the following topic
areas:

Cardiovascular
Dermatology / ENT / Eyes
Endocrinology / Metabolic
Gastroenterology / Nutrition
Infectious disease / Haematology / Immunology / Allergies / Genetics
Musculoskeletal
Paediatrics
Pharmacology / Therapeutics
Psychiatry / Neurology
Reproductive (male and female)
Renal / Urology
Respiratory


Scoring: Stage Two Paper 1 & 2
Applicants receive results for the 2 papers that make up the
second stage of the GPST application process shortly after the
conclusion of the exams. To progress onto the third stage you
must achieve the minimum required standard
above- in both parts of the Stage 2 assessment. Although this the
minimum score if you specific deanery is oversubscribed, the
higher scoreyou get, the more chance you have of being
shortlisted!

The data from the NRO demonstrates l

Standardised
score range
Approximate
percentage of
candidates
scoring in this
range
Below 181
181-210
211-230
231-250
251-270
271-290
291-310
Above 310

Scoring: Stage Two Paper 1 & 2
Applicants receive results for the 2 papers that make up the
second stage of the GPST application process shortly after the
conclusion of the exams. To progress onto the third stage you
must achieve the minimum required standard - score band 2 or
both parts of the Stage 2 assessment. Although this the
minimum score if you specific deanery is oversubscribed, the
higher scoreyou get, the more chance you have of being
The data from the NRO demonstrates last years scores achieved by candidates:
Approximate
percentage of
candidates
scoring in this
range
Score band Score meaning
6%
1
Very poor level of performance
10%
2
Below average performance
11%
17%
3
Good level of 22%
20%
12%
4
Very good level of performance
2%
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ndidates:
Score meaning
Very poor level of performance
Below average performance
Good level of performance
Very good level of performance

Copyright Oxford Medical 2005-2011. Quality career training courses
Page 16

Tips for the test centre.....

It is advisable to book nice and early as it is first come first served basis for
each test centre
It hardly needs to be said but we will anyway- Make sure you arrive ON TIME!
There are a number of registration procedures to go through so arriving 15
minutes before you scheduled time is the best course of action
Make sure you take with you a current valid passport or current valid UK or EU
photo card driving licence. If you arrive without acceptable identification,
you will NOT be allowed to enter the assessment centre
You are not allowed to take anything into the test room itself including food and
drink or even a WATCH!
The assessment will begin with a short tutorial to familiarise you with the
controls and layout of the screens and that you know how to record your
answers. Applicants can also access the tutorial in advance from
www.pearsonvue.com/nro
Time is tight, have pre prepared deadlines and timings for each part of the
paper; you should know these from all your practising!
Breaks between the tests vary from centre to centre- be prepared to do one
after the other with no break!

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GPST STAGE THREE Selection Assessment Centre (SAC)

The Stage Three process is designed to give you the most effective opportunity to
demonstrate your competencies in line with the NRO personal specification. Unlike in
recent years whereby a group exercise had to be performed, the process now only
includes two separate exercises; a written exercise and a number of patient simulations.
The exercises are observed and assessed by trained assessors who have had no access
to any of your personal details, CV or applications form to insure complete partiality.
A. The Written Exercise
B. Simulation Exercise

A. The Written Exercise (30 Minutes)
The written exercise asks you to consider a situation which will typically replicate one of a
busy clinical environment. You will be provided with a number of tasks (5-6) that need to be
completed within that situation in a short amount of time. You will then have to rank in
order of prioritisation the 5-6 tasks required of you by assigning each task a priority
number. You will also have space on the paper to write down justification for your order of
prioritisation chosen; this is the most important aspect of your written answer. Be aware
there are NO right answers for this task. Maybe prioritising paperwork over a dying patient
would certainly not be correct, but there are will be numerous combinations available to
you. You only need to ensure that the answers are well thought through, logical, and
justifiable.
Time for this is renowned for being tight especially as a number of self reflection questions
(normally three) follow the main body of the task. These are designed to give you an
opportunity to demonstrate your own learning from the exercise, what you will take out of it
and how you will implement this in the future. These MUST be completed - you lose marks
if this is not done.
The tasks you will be asked to prioritise vary greatly. Assessors are looking for a candidate
that can demonstrate delegation of tasks and inclusion of other team members such as
nurses, doctors and other team staff, as well as the understanding that many tasks cannot
be handled without first finding out further information on matters

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Stage 3 Written exercise question

WRITTEN EXERCISE Candidate Instructions
Context:
You are a junior doctor working on a busy hospital ward. It is now 12.00 noon. You
must leave by 13.00 to attend an interview for specialty training (cancellation of the
interview is not an option). The various issues below remain outstanding and need to
be prioritised for action.
Your Task: (30 minutes)
1. To rank each issue in the order in which you intend to deal with it.
2. To justify your decisions and describe what action you will take.
3. To reflect on the challenges posed by this exercise.

All rankings, justifications and comments should be entered and completed within the
appropriate boxes on the answer sheet. You have 30 minutes in total for the exercise. You will
be informed when you have five minutes left. You should reserve at least 5 minutes to
complete the third stage of the task (reflecting on the exercise). This contributes to your
assessment and should not be left blank.
Ranking- 1 (First)-5 (Last)
Issues to be Ranked:
A. One of your female patients has dementia and severe Parkinsons disease.
Her son has travelled two hundred miles to meet with you. He is waiting
to discuss his mothers future care.

B. You overhear a student nurse repeatedly shouting at a demented patient
in the bed next to the nursing station where you are working.

C. The oncology nurse contacts you to inform you that one of the patients
who isneutropenic has developed a temperature of 40.2 degree
centigrade.

D. The ward nurse-in-charge informs you that a patient who was diagnosed
with multiple pulmonary emboli two days ago is refusing to take their
Warfarin.

E. You receive a text message from a colleague, whom you are due to hand
over to, that they will be late for their shift again (this is the third time in
three weeks), and asking if you will cover them.

Practice getting your
timing right....
People often miss the last
few reflective questions as
time for the exercise is tight
but you will lose marks for
missing these!

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B. The Simulated Consultation Exercise (Role Play)

3X10 Minute Consultations
This part of the stage 3 assessment consists of three small role play sessions, or simulated
consultations, in which you are asked to consult with a patient/relative or colleague (played
by an actor) whilst an assessor watches (but plays no role). At the start of the consultation
you receive a briefing note explaining the situation- NB Reading the brief is included in the
total 10 minutes!

Simulation Topics
The consultation exercise will consist of 3 separate scenarios:
Patient Consultation (Will not include a physical examination)
Meeting with next of kin/family of a patient
A meeting with a colleague/team member
The consultation is described by the NRO as a situation that you should be able to deal
with as doctors with at least 18 months postgraduate experience. Topics that used are
typical clinical scenarios that you would experience as an F2 doctor and could include the
following:

Having to explain a chronic condition and its management to a
patient
Breaking bad news
Dealing with a mistake
Dealing with poor adherence to treatment
Dealing with psychosocial issues
Dealing with difficult or demanding patients
Dealing with conflict


Simulated Consultation

To really excel in this section of the GPST stage 3 it is important to understand exactly
what is being marked by the assessor. People often concentrate on demonstrating their
clinical skills but this is incorrect as at this
stage your clinical skills and
NOT being assessed. The focus for the role
play exercise is on communication skills,
professional integrity, empathy, sensitivity and
your ability to cope with pressure. The
assessors are also looking for your ability to
involve the person you are consulting with,
discover their concerns and expectations, and
your ability to involve them in the conclusions
and decisions made during the consultation.

The personal skills that are being assessed
Stage 2:

Empathy & Sensitivity:
treat others with understanding,
Communication Skills:
needs of differing situations,
Conceptual Thinking & Problem Solving:
analytical and flexible mind,
Coping with Pressure:
appropriate coping mechanisms
Exercise
Professional Integrity:
actions, demonstrate respect for al
Exercise

Simulated Consultation Marking
clinical skills but this is incorrect as at this
stage your clinical skills and knowledge are
NOT being assessed. The focus for the role
play exercise is on communication skills,
professional integrity, empathy, sensitivity and
your ability to cope with pressure. The
assessors are also looking for your ability to
u are consulting with,
discover their concerns and expectations, and
your ability to involve them in the conclusions
and decisions made during the consultation.
The personal skills that are being assessed in Stage 3 you will have seen previously in
Empathy & Sensitivity: Capacity & motivation to take in others' perspectives & to
treat others with understanding, Assessed by Patient Simulation
Communication Skills: Capacity to adjust behaviour & language as appropriate to
needs of differing situations, Assessed by Patient Simulation & Written Exercise
Conceptual Thinking & Problem Solving: Capacity to think beyond obvious, with
analytical and flexible mind, Assessed by Written Exercise
h Pressure: Capacity to recognise own limitations and develop
appropriate coping mechanisms, Assessed by Patient Simulation & Written
Professional Integrity: Capacity & motivation to take responsibility for own
actions, demonstrate respect for all, Assessed by Patient Simulation & Written

2013. Quality career training courses
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u will have seen previously in
Capacity & motivation to take in others' perspectives & to

language as appropriate to
Assessed by Patient Simulation & Written Exercise
Capacity to think beyond obvious, with
Capacity to recognise own limitations and develop
Assessed by Patient Simulation & Written
Capacity & motivation to take responsibility for own
Assessed by Patient Simulation & Written


Marking Examples
Your communication and interaction with
the patient/relative (both verbal and body
language).
Empathy and listening skills, use of the
information provided by patient
Means of presenting information to the
patient and language used. Whether you
achieve a successful outcome to the
consultation
How you measure the patients
understanding, deal with the patient's
concerns and answer their questions

Marking System
Very Good Demonstration
Sufficient Demonstration
Mixed Demonstration
Little or No Demonstration
unsuitable for this years GPST intake

Practicing for your Stage three
Do lots of PRACTICE! Utilize your friends/colleague to practice simulated consultations of
each three types of situations

Your communication and interaction with
the patient/relative (both verbal and body
Empathy and listening skills, use of the
information provided by patient
presenting information to the
patient and language used. Whether you
achieve a successful outcome to the
How you measure the patients
understanding, deal with the patient's
concerns and answer their questions
Demonstration (Strength)= 3 points
Sufficient Demonstration= 2 points
Mixed Demonstration (Weakness) = 1 point
Little or No Demonstration = 0 points (Any mark of this type will deem you
unsuitable for this years GPST intake)
three
s of situations. Always get feedback of your performance on the marking
criteria for the exercise, depending on the simulation typ
areas of feedback could cover: Did they feel listened to?
Did they understand the information you gave them? Was
the outcome successful?
Remember not to focus on the patient consultation
Topics which can be raised by the patient's family member
or by a colleague in your practice

2013. Quality career training courses
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Any mark of this type will deem you
. Always get feedback of your performance on the marking
criteria for the exercise, depending on the simulation type
Did they feel listened to?
Did they understand the information you gave them? Was
atient consultation alone.
Topics which can be raised by the patient's family member

Page 22

What to revise?
As with all the stages, it is imperative that you thoroughly revise and understand the
Person Specification, this gives you information on all of the key competencies, personality
skills and clinical skills required
Some of the topics can relate directly to the guidelines contained within the Good Medical
Practice Guide 2013 which details the duties of a doctor alongside professional ethics. Its
best to use this in any preparation.

PRACTICE!- Prioritization exercises against the clock
PRACTICE!- All 3 simulations Consultation with a patient
Consultation with a relative or carer
Consultation with a non-medical colleague
PRACTICE!-What assessors are looking for- The personal specification is the bible!

Read all instructions
carefully
Be honest
Try not to act

Page 23

GPST STAGE 4- Allocation Offers Made

Offer Allocation Factors

A number of factors affect the allocation of programmes to candidates;

Ranking after Selection Centre
Geographical or programme
preferences
The availability of a suitable
vacancy
Needs of the NHS.

First offers in Round 1 will be issued
from 5
th
March and by 10
th
March
2014 and, will be made by e-mail via
the GP application system.

Your Job Offer
If you receive an offer you will have 48 hours (including bank holidays and weekends) to
decide whether to accept it, reject it or hold.
Offers will continue to be made from this date. You can hold an offer until 10
th
March 2014,
but you can only hold one offer at a time.
The employing organisation will carry out a number of pre-employment checks before an
official offer of employment is sent to you. The checks include verification of identity,
registration and qualifications, right to work (immigration), employment history and
employment reference checks, a Criminal Record Bureau (CRB) check and an
occupational health check.
Information regarding pay, hours, sick pay and annual leave entitlements, notice period,
study leave etc are set out in the national terms and conditions available from NHS
Employers and in the Directions to Strategic Health Authorities.
Local Clearing
Dependent on you ranking score following the various stages, you may be considered
suitable for GP Training however do not receive an initial offer from your selected deanery.
Known as being a Reserve Candidate this often happens when applying to very
competitive deanerys where the standard is very high. As a reserve candidate you will be
considered for any posts that other candidates have turned down. Offers of this nature will
be continued to be made after 5
th
March as original offers are declined.
Stage 4 - All posts to commence August 2014
Offers out By5
th
March 2014
Offers accepted by Within 48 hours of offer
(excluding bank holidays
and weekends)
National Clearing from 17
th
March 2014

Page 24

National Clearing
If you have not received and offer for your preferences all is not always lost. It is possible
for candidates who have not received offers in the deanery where they attended selection
centre, to be considered at other deaneries where vacancy remain following the initial
allocation process. Reserve candidates are offered remaining vacancies dependent on
ranking scores and taking into account original deanery preferences.

Good Luck!

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