This is not an exhaustive list but is to provide

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This is not an exhaustive list but is to provide Powered By Docstoc
					                                                          

This is not an exhaustive list but is to provide a guide and
indications

Non-Clinical Career options or additions

   1. GP appraiser
   2. Teaching medical students
   3. FY2 teaching
   4. Trainer
   5. Associate Director
   6. Academic
   7. LMC
   8. Medical writing
   9. Media
   10. PCT advisor
   11. Acute Trust advisor
   12. Research
   13. Pharmaceutical Industry



 1. GP appraiser
Appraisal aims to help GPs consolidate and improve on good performance,
towards excellence. It can identify areas where further development might
be necessary and assists with development and maintenance of a
Personal Development Plan.

GP appraisers generally have two days training and regular updates. As
well as training they are interviewed and if successful they are issued
with an honorary contract by the PCT where terms and conditions are
set out.

Contact your local PCT to see if they are recruiting new appraisers. Courses
on appraisal are generally run by PCTs.

 2. Teaching medical students
As health systems put more emphasis on primary care, it follows that
primary care settings will increasingly be used for teaching medical
students. Teaching is the best way to learn and is fun.

More information is usually available from your local medical school. They
may have an introductory program for those who wish to develop their
teaching skills.

In Mersey a good point of contact is

 3. FY2 teaching
Why not consider being involved in supervising foundation year 2 doctors
during their primary care placements. GPs who are not trainers need to
be approved as education supervisors. Training and assessment are
available from the Liverpool Medical School. Contact details as above.

4. Trainer
The first step towards becoming a trainer is usually to contact the General
Practice Office. All applicants are required to have completed a basic
training course in education before appointment. In this deanery that is
the Foundation Course for Primary Care Educators. You need to have the
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MRCGP and to have completed specialty training normally at least 2
years prior to joining the course.
http://www.merseypostgradgp.nhs.uk/Vocational_Training/Trainer/approv
al_devlop.asp


5. Associate Director
The team of associate directors is responsible for developing, operating
and supervising postgraduate medical education and professional
development for general practice. Each AD has specific responsibilities
within one specific area. They are paid on a sessional basis on the GP
educator pay scale.

       Requirements include experience and training in education.

6. Academic
Academic training in general practice is different from hospital
medicine. Many doctors have completed their clinical general practice
training before starting formal academic training. Many start academic
training after a period of full-time NHS practice.

While in training
Look into Academic Training Fellow Posts (that mean you can training as a
GP and also develop a research interest)
http://www.gprecruitment.org.uk/vacancies/academic.htm

These posts are 75% clinical and 25% research, and run over 4 years.
There is often the opportunity to undertake a Masters degree

After training
For doctors who have completed GP training there are GP academic posts
that come up in research/education in the various universities. These are
often advertised in the BMJ but under the clinical research section that
does not necessarily come within the GP section.

Education posts usually involve not only face-to-face teaching, but also
co-ordination of part of the training courses for the university. These
posts may be as teaching fellows or lecturers. Enthusiasm and
demonstration of some commitment to teaching is needed (i.e. some
practice based teaching, or sessional teaching for a department).
Contact the departments of primary care at Liverpool Medical School and
ask about ad hoc teaching opportunities as you will get to know the
department and will be well placed as opportunities arise



7. LMC
Please see the introductory section to understand where the Local
Medical Committee (LMC) sits in the framework of General Practice. They
are the local negotiating group linked to the General Practice Committee
(GPC) of the British Medical Association (BMA). You can be elected to be a
representative of your area on matters. There are roles for principals and
roles for sessional GPs. Please contact your local LMC office for details.


8. Medical writing
This is a great way of earning money working in your own time and at
your own pace. In the medical profession there are a lot of rag mags which
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all require articles covering a broad range of topics from pure clinical to
pure opinion.

Most writers haven’t had a professional career in journalism. Editors are
quite used to general approaches from novices to professionals. If you
have an article you will be paid. This varies from under a hundred to a few
hundred depending on the size of the article. Another useful tip is to look
towards the lifestyle magazines (e.g. Cosmopolitan or Esquire). Some of
them need either additional writers or some of the newer magazines don’t
have a medic writing for them. As a GP you will be a goldmine of
information or even better know where to access the information to be
able to write about it.

9. Media
This isn’t everyone’s ideal role but for a few it may be a career choice
you are interested in. Please see the previous point around medical
writing. This refers to presenting on television, radio and magazine work.
If you are successful with a program there may be spin offs from it for a
book or for the show to be exported to other countries.

There are effective locum companies who will act as a recruiting agent for
you. One example of this is below but there are others so please do
check. http://www.broadcasting-doctor.org

The advantages are relatively lucrative pay for short time periods of
work. However the work is often infrequent and unsustainable.

10. PCT advisor
The role of advisor for Primary Care Trusts is well suited to a General
Practitioner. The PCT accesses support from a number of existing GP
sources which include the Professional Executive Committee (PEC) and the
Practice Based Commissioning (PBC) group. However with the endless
demands made on the PCT surrounding their daily function there are
usually a number of other support points available you could tap into.
These can be supporting commissioning, supporting the exceptional
treatment panels or the continuing care panels.


These roles are where you support managers/commissioners who are very
good at their job but need medical support in making the decisions. A very
valued role would be to provide commissioning (the buying in or paying of
services) support in helping them to decide medical need on patients whom
this is requested for or invoiced for. Exceptional treatment panels look at
funding outside of any normal arrangements (e.g. contracted or NICE
approved). Continuing care panels review those difficult cases where it is
unclear if social needs outweigh medical needs thereby requiring funding
from the Local Authority. Guidance is available and you will be there to
translate the medical terms and help the commissioners understand the
situation.

11. Acute Trust advisor
These are roles being developed by a number of acute (hospital) trusts
where they are looking for primary care support. As PCT commissioning
(buying in of services) has had more primary care input with Practiced
Based Commissioning (PBC) groups this is seen as a counter balance for a
few of them.

The roles would be to liaise with the PCT and PBC to support the Trust
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in maintaining their business with the area. It is a role that can get support
through the Trust. It is not for everyone, as this is not a clinical role but
will move you into a management capacity. You will find most Trusts will
negotiate to keep you on and any clinical role you may already have.

12. Research
Academic posts (see above) are also good entry to research posts. They
introduce you to the academic environment and you will meet experienced
researchers. There are often opportunities to work on smaller project
that may lead to a more substantive post.

Many research posts and increasing education posts are asking for MSc.
Think carefully about which MSc you may want to undertake. If you are
interested in education then an MSc in medical education is useful, and if in
research then perhaps epidemiology, or a primary care MSc that is more
research heavy.

Some PCTs will allow GPs on their performer’s lists to apply for funding
to help support their MSc- but this is PCT specific. Otherwise it is
sometimes good to contact the MSc providers e.g.
http://www.ucl.ac.uk/openlearning/pged.htm and ask if they know of
funding opportunities

There are various fellowships funded by the MRC and Wellcome, which
incorporate studying for an MSc. It is helpful to develop an application with
a local department of primary care.
http://www.mrc.ac.uk/Fundingopportunities/index.htm
http://www.wellcome.ac.uk/node2131.html
                                                                  
18. Pharmaceutical Industry
The impression here tends to be of drug representatives but there is much more to
the roles you can develop. Each company has its own career structure from being
part clinician to full time manager. The pay is variable depending on experience but
the hours are usually social. Jobs in the industry are outside the NHS so do consider
them in as much detail as an APMS. For further details please refer to the following
article.
Working for the pharmaceutical industry – Adam Poole, BMJ Careers, 30 Jun 2007-
http://careers.bmj.com/careers/advice/view-article.html?id=2442




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