Recommendations on the PRHO year

Summary• There will be a nationally determined assessment process for PRHOs to demonstrate their eligibility for full registration by the GMC. (Agreement for this was by a clear consensus.) • Structured appraisal of the PRHO by the Educational Supervisor will occur on a minimum of three occasions during any element of the year. This allows educational and service objectives to be agreed, monitored and their achievement considered. • All medical students will shadow a PRHO as a normal part of the undergraduate curriculum. • Medical students will have a record of educational progress to take to their PRHO posts which documents their competence to perform clinical procedures including cardio‐pulmonary resuscitation. • The structure and processes of the NHS and the legal aspects of medicine will be addressed in the undergraduate curriculum. • In defining the role of the PRHO, the conference agreed with the basic principle in ‘ The New Doctor ’ that PRHOs are undergoing general clinical training as the final year of basic medical education and that they ‘are learning to become doctors by providing a service’. • A model learning and service contract will be drawn up nationally by the Postgraduate Medical Deans in consultation with the NHS Trusts and the BMA. • Individual contracts will be created and agreed by the NHS Trust as employer, the Postgraduate Medical Deans and the PRHO. • In order to fulfil the responsibilities of Educational Supervisors as set out in the ‘ The New Doctor ’ they need to be trained, valued and resourced. • All Educational Supervisors will have had formal training for their role by August 1999. • The Postgraduate Medical Deans on behalf of the universities will take the lead in transferring the GMC recommendations for the PRHO into an educational curriculum.