For training sites
The role of the practice manager
As a practice manager, you are a valuable member of the supervision team, helping to ensure the registrar’s training placement goes smoothly. You will often be the first person they will contact for assistance with a range of queries and you will be our first point of contact regarding training practice issues.
You can support your registrar by:
- providing an orientation to the training site and training site team
- helping them understand their employment contract
- ensuring they know who to go to for the different aspects of their role
- providing information on the training site and training site systems
- helping them understand the Medicare Benefits Schedule
- managing their rostering
- helping them improve their information technology skills
- giving advice on administrative tasks
- sharing knowledge of local services and the community they will be serving
- helping to resolve issues and problems that may arise
- acting as a conduit to their supervisors to ensure wrap-around support is in place throughout the placement
- advising them on interpersonal skills, such as dealing with confrontation and conflict resolution
- being aware of their training and study requirements, including when they have allocated teaching time with their supervisor and facilitating the scheduling of their external clinical teaching visits.
You also have an important role in providing feedback. You will receive feedback about the registrar from their patients and other training site staff and practitioners. This feedback is valuable in helping the registrar develop their skills, but it does need to be given sensitively and in the context of your relationship with your registrar.
The feedback you receive from others about the registrar should also be shared with the relevant members of the supervision team, as appropriate. At the beginning of the training term, discuss the process for two-way feedback with the registrar and their supervisor and consider scheduling regular opportunities for this to occur. Many problems are avoided when there are frequent opportunities for communication.
If you are new to being the practice manager of an accredited training site, the local RACGP program team and your regional practice manager liaison officer will orientate you to the program and provide ongoing support. RACGP provides a practice manager's checklist to help you prepare for your registrar’s arrival. There is also an In-practice orientation checklist for a GPT1 registrar and an In-practice orientation and checklist for a GPT2, GPT3 or extended skills registrar. GPSA can also provide valuable support.
If you are hosting an ADF registrar for the first time in your training site, there are significant contractual differences in the arrangement. Your RACGP local team can provide specialised advice on ADF registrar arrangements.
The role of the supervisory team
The supervisory team consists of a nominated accredited supervisor for each registrar, known as the designated supervisor who has overall responsibility for the registrar in the training site and is the RACGP’s first contact for educational issues with the registrar. Other accredited supervisors can contribute to the teaching, supervision and assessment of a registrar. Later in GP training, specialist GPs who have not been formally accredited as supervisors are permitted to provide limited assistance with supervision. Other professionals may also help registrars learn clinical skills and improve their local knowledge, and support them professionally, including:
- allied health practitioners
- practice nurses
- cultural educators and mentors
- training site administrative staff.
You will find more detailed information about the role of supervisors in the section on A supervisor's core tasks.
The role of other training site staff
Training site staff play an important role in ensuring the success of a registrar’s placement. Whether you are a receptionist, training site nurse or allied health practitioner, you have experience that can benefit the registrar and help them learn about the essential features of general practice. You can help with:
- orientation
- explaining training site processes
- sharing local knowledge
- sharing your particular expert knowledge (eg immunisation schedules).
You may be asked to contribute to a registrar’s supervision within your scope of practice. The designated supervisor will oversee your participation in supervision and document it in the supervision and teaching plan. In Aboriginal Medical Services, a cultural mentor should be engaged to guide, teach and support the registrar.
The registrar’s consulting room and provision of equipment
Registrars will benefit from having their own room wherever possible and movement between rooms should be minimised.
The registrar must have access to equipment that enables them to provide comprehensive general primary care and emergency resuscitation as per the RACGP Standards for general practice and Guide to RACGP training site and supervisor accreditation. In addition to other equipment that the training site supplies a sphygmomanometer, ophthalmoscope, and auriscope in the registrar's room. Registrars should have access to a dermatoscope within the training site, but it may be shared between the GPs in the training site.