A thorough orientation to the Practice and the region will greatly assist the GP Registrar to settle into the Practice and become a valuable member of the Practice team. GP Registrars with no previous experience in general practice will need additional support, particularly from the Practice Manager who will no doubt be responsible for many aspects of the orientation.
Administrative issues to be included in the orientation include:
- Records – how to record all relevant information in an easily retrievable manner without writing a full history and examination
- Prescriptions – the various forms, allowable items and costs
- Referrals – who to use and what to include in a letter
- House calls and Doctor’s bag – what to take and how to assess someone at home
- Government forms – Worker’s compensation, nursing home admissions etc
- Billing – the importance of accuracy, cost of items of service, Medicare forms etc.
Practice staff need to be aware of the training level of the new GP Registrar and the support the Registrar will require of all Practice staff during their placement. Reception staff may need to be reminded of the different consultation capacity of GP Registrars when a Basic term Registrar replaces an Advanced or Subsequent term Registrar. Staff can assist by ensuring the GP Registrar is not over-booked and that the GP Supervisor is available to provide supervision and support.
As far as possible the patient load for GP Registrars should be arranged so that they see a broad range of ages and cases. Patient numbers for GP Registrars are set by Medicare Australia so they cannot be overbooked. However it is important to ensure that GP Registrars are not under-booked so that they see an adequate patient load to support their training.
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