Supervision of High Risk Early Consultations (SHREC) in GP Training

The project goal is to develop a feasible and acceptable approach to the supervision of high-risk clinical situations in early GP training. More specifically we seek to develop an approach that can be implemented because 1) the high-risk situations are described so they can be contemporaneously identified by the registrar and, 2) the supervision methods proposed to manage patient safety in high-risk situations are consistent with evidence, and are acceptable to registrar and supervisor.
The questions are:
What are current practices in identifying and managing high-risk clinical situations in Australian General Practice training for registrars entering their first GP term?
What are determinable high-risk clinical situations in early GP training?
What method(s) is/are best-suited to aid the supervision of high-risk clinical situations in early GP training?

The project goal and questions align with the GP training policy research priorities ‘exploring tools to assess competence during GP training’ and ‘workplace training: optimising the experience’. In the apprenticeship model, at registrar level, the doctor is expected to practice independently. This research intends to explore how patient safety can be ensured during early GP registrar placements.