Induction & Refresher Training

Timeline for GP Induction & Refresher Scheme (I&R) in Wales

Frequently Asked Questions

Apply to the GP National Recruitment Office (NRO)

Wales Deanery Contact

The Wales Deanery will be informed via the General Practice National Recruitment Office (GP NRO) that an application to the Induction & Refresher (I&R) Scheme in Wales has been made. The Wales Deanery will be in contact with you shortly after receiving notification of your application to arrange for you to have a telephone discussion with one of our local GP Associate Deans. This discussion will enable you to ask questions about the I&R Scheme in Wales and what the next steps in the process are.

Multiple Choice Questionnaire (MCQ) Assessment

There are two parts to the MCQ Assessment; both are designed to assess some of the essential competences outlined in the National Person Specification and are based around clinical scenarios. Applicants will first be asked to complete a Professional Dilemmas (PD) paper, followed by a Clinical Problem Solving (CPS) paper.

Further, detailed information regarding the MCQ is available in the MCQ I&R Learning Needs Assessment Guidance document.

Learning Needs Assessment with a GP Associate Dean (including a taster session in general practice)

On successfully passing the MCQ, you will be invited to attend a learning needs assessment with the local Associate Dean (AD). This will typically be a half day session at the AD's practice where your MCQ results will be discussed along with identifying learning needs. A discussion on the potential length of an I&R placement will also be covered.

Simulated Surgery (SS)

This simulated surgery is not primarily a test of knowledge but that of consulting and communication skills. It is intended to be just like an everyday surgery in any general practice. Applicants will be given a consulting room and will remain there throughout the session. Patients will come to see applicants for 10min appointment slots where applicants will demonstrate their consulting skills to an assessor.

Further, detailed information regarding the simulated surgery is available in the Simulated Surgery Guidance Notes document.

Placement in a Further Training Practice in Wales

I&R training placements take place in one of the Wales Deanery's network of Further Training Practices (FTP). The Educational Supervisors in the FTP Network are experienced GP trainers who have undertaken specific training in the particular educational needs of I&R doctors. Supervisors attend twice yearly developmental meetings of the FTP network.

A full time, 6 month placement consists of:

  • 7 clinical sessions
  • 3 educational sessions (i.e. 1 tutorial and 2 self-directed learning sessions)
  • 1 observation session in out of hours

The educational content of the placement will be based on the specific needs of the I&R doctor. Throughout the course of a placement additional learning needs may be identified by the doctor and / or the Educational Supervisor (ES). The ES will provide opportunities for these additional learning needs to be addressed.

Various members of the FTP Practice team will be involved in delivering teaching to the I&R doctor including other doctors in the practice, the practice nurse and the practice manager.

At the start of a typical placement the I&R doctor will initially sit in and observe surgeries taken by the Educational Supervisor. When the supervisor feels it is appropriate, the I&R doctor will start to undertake their own surgeries. The Educational Supervisor may decide to sit in on some or all of these.  The I&R doctor's appointments will initially be booked for 20-30 mins. Consultation times will gradually be reduced as the supervisor feels it appropriate. The ES or other doctors in the practice may undertake hot review after some surgeries.

The I&R doctor will be expected to undertake house calls as appropriate. They are also required to undertake at leave 1 observation session in out of hours during a 6 month placement.

The I&R doctor will be expected to make video recordings of consultations and discuss these with their supervisor. At 2.5 months and 5 months into a full time 6 month placement recordings of consultations will be sent to another supervisor in the FTP network who will assess them and provide feedback.

The ES will prepare regular reports on the progress of the I&R doctor. These are shared with the doctor, the Deanery and the Medical Director of the Health Board.

The Deanery will organise meetings with the I&R doctor, the ES and the local Associate Dean at the mid-point and just before the end of the placement.  These meetings provide an opportunity to review progress and identify any issues that might have arisen.

Completion of Induction and Refresher Scheme - Next Steps

 On successful completion of the Induction and Refresher Scheme your final report from your ES along with your completion letter will be sent to the Health Board Medical Director and also the All Wales Medical Performers List (MPL). This information is then used to inform the decision of the Health Board as to whether unconditional inclusion onto the All Wales MPL should be granted.

Royal College of General Practitioners (RCGP) Membership

For all returning doctors that have registered to undertake the I&R Scheme, the RCGP are offering one year’s free College membership. This means that you will have access to RCGP e-learning modules which will be particularly beneficial in preparing to enter or re-enter the NHS GP workforce.

For further details regarding free College membership, please contact the RCGP member services on

Back to top