CPR, AED, out of hours and child safeguarding requirements
Satisfactory completion of the WBPA part of the MRCGP examination includes requirements to demonstrate competence in Cardio Pulmonary Resuscitation (CPR), Automated External Defibrillation (AED), out of hours care and child safeguarding.
CPR, AED and GP training
GP trainees must demonstrate competence in CPR and AED. At the completion of ST3 your ePortfolio should include certificated evidence of current CPR and AED training.
A simple way of doing this is to scan, upload and attach a valid certificate of competence in CPR and AED to a learning log entry in the course/certificate category of your ePortfolio. Your educational supervisor can then validate it.
It is your responsibility to maintain your CPR and AED skills by regular attendance at training run by an approved Resuscitation Council trainer/assessor.
Certificate of competence in CPR and AED
The certificate must be issued by a Resuscitation Council (UK) instructor or equivalent, and conform to the Resuscitation Council (UK) guidelines in place at that time.
Most trainees take a basic life support test during the ST3 stage of training, but advanced life support certificates issued during years ST1 and ST2 will also be acceptable.
CPR and AED training may be either ALS or BLS. It is essential that the certificate is valid at the time of CCT and extends beyond the end date of training.
Trainees with physical disabilities
If you are unable to undertake CPR as a result of physical disability, you will be able to satisfy the RCGP WPBA requirements if you demonstrate successfully your ability to direct others to undertake CPR, including the use of an Automatic External Defibrillator.
This is in line with Resuscitation Council practice and the GMC position statement issued in December 2013.
- GMC position statement on the requirements for medical students and doctors in training gaining competence in cardiopulmonary resuscitation [PDF]
Out of hours training
Recording out of hours sessions
Record your out of hours sessions in the learning log within your Trainee ePortfolio. Each entry should be linked to at least one curriculum statement heading. Normally, for an out of hours session, this would be curriculum statement 3.03: Care of acutely ill people.
The out of hours supervisor will complete a session feedback sheet: you must share this with your educational supervisor as evidence of attendance.
It’s good practice to attach the session feedback sheet to your learning log entry – though this may not be necessary if the out of hours supervisor is also your educational supervisor (they can comment on the shared learning log entry instead).
Out of hours care and the GP curriculum
Newly-qualified GPs are expected to demonstrate competence in delivering out of hours care. Your deanery should provide out of hours experience during your training.
The GP curriculum’s six generic competences related to ‘care of acutely ill people’ are:
- ability to manage common medical, surgical and psychiatric emergencies in the out of hours setting
- understanding the organisational aspects of NHS out of hours care
- ability to make appropriate referrals to hospitals and other professionals in the out of hours setting
- demonstration of communication skills required for out of hours care
- personal time and stress management
- maintenance of personal security, and awareness and management of security risks to others
Out of hours competences mapped to GP curriculum [PDF]
The GP curriculum states that all GPs should be competent in dealing with safeguarding. This includes recognising the clinical features, knowing about local arrangements for child protection, referring effectively and playing a part in assessment and continuing management, including prevention of further abuse. GPStRs need to satisfy the GMC and the public that they have the appropriate knowledge, clinical skills and understanding of child safeguarding to be able to apply these skills should the need arise.
By the completion of ST3, as with CPR and AED training, GPSTRs are required to have demonstrated level 3 competences in safeguarding children within their ePortfolio. This should normally include reflection in their learning log which demonstrates their understanding of child safeguarding throughout their training and any relevant courses, elearning modules or conferences attended.
Safeguarding children and young people: Intercollegiate Guidance
RCGP/NSPCC Safeguarding Children and Young People Toolkit