GP Trainee Learning Needs

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Identifying GP Registrar learning needs

Identifying learning needs in a GP Registrar is no different from anyone else, really. Except it is easier – working in a training environment means there are more potential sources of data on gaps in knowledge, skills, and attitudes, and more time to think about them!

Here are some examples:

Own experience in direct patient care

PUNs and DENs

Blind spots

Clinically-generated unknowns

Competence standards


Difficulties arising in practice

Introducing innovations in practice

Knowledgeable patients


Patients’ complaints and feedback


Reflection on practical experience


In the Primary Health Care team 

Clinical meetings

Practice (business) meetings

Practice (educational) meetings



Non-clinical activities

Academic activities

Half-day release participation


Visits to other practices

Journal articles

Medico-legal cases

Press and media

Professional conversations



Specific needs assessment

Random case analysis

Problem case analysis

Video assessment of performance

Formative assessment package

Observation – joint surgery

Self-assessment – confidence scales

Objective tests of knowledge and skill

e.g. PEP CD package; Summative assessment MCQ

Critical incident surveys


Formal quality management and risk assessment


Morbidity patterns

Patient adverse events

Patient satisfaction surveys

Risk assessment


Peer review

In-practice peer review