End of Training

The period after CSA exams, and planning the move into independent practice after CCT, is an important part of GP training.

The Gloucestershire VTS scheme provides comprehensive sessions in the final months of ST3 on topics such as salaried vs partnership work, practice finances, CV writing, interview skills, survival skills, and resilience training. In addition to this intensive programme, there are lots of resources to tap into, and below are some useful links to explore.



Extension of Training

  • Severn ST4 LEET year (Leadership and Excellence Extension of Training) – programme summary
  • National Medical Directors Clinical Fellow Scheme – fast track programme for trainees interested in medical leadership, open to GP trainees after ST2 or ST3.

Developing Special Interests

  • General Practitioner with Extended Role – accreditation information
  • Diploma in Child Health (DCH)
  • Diploma of the Royal College of Obstetricians and Gynaecologists (DRCOG)
  • Diploma in Dermatology (PCDS)
  • Diploma of the Faculty of Sexual & Reproductive Healthcare (DFSRH)
  • Diploma in ENT (DO-HNS)
  • Diploma in Geriatric Medicine (DGM)
  • Diploma in Occupational Medicine (DOccMed)

Additional Resources

Other considerations at the end of ST3:

  • National performers list – maintaining your place
  • Medical defense subscriptions (MDU/MPS/MDDUS) – individual or group schemes
  • RCGP/BMA memberships
  • GMC subscription – CPD/annual appraisal/revalidation
  • Financial planning – income protection/life insurance
  • Pension – NHS/private
  • Self employment – tax implications