Practise prescribing decisions using fictional cases, receive an organised supervisor discussion pack and, where the practice approves it, commission a pharmacist to review real prescription items.
Independent formative support. Medicine in Practice does not replace the registrar’s self-review, the supervisor discussion or the official Trainee Portfolio process.
Work through a patient concern without assuming the GP, receptionist or patient is wrong. Separate evidence from accounts, respond safely and build a fair significant-event analysis.
Choose preparation, independent clinical review or a coordinated practice service. Each route explains exactly what is included and what remains with the registrar and GP supervisor.
Practise 12 balanced cases per sitting from a governed 64-case bank and receive a supervisor-ready formative report.
A practice-approved pharmacist reviews at least 20 real items after the registrar completes their own 50-item review.
Commission several registrar reviews through one governed setup, with individual reports and de-identified team themes.
The online clinic prepares the method. The optional pharmacist service can complete the independent review. The registrar and GP supervisor still complete the official reflective and educational steps.
The reports separate prescribing strengths, development priorities and safety-critical findings. That makes the next conversation more focused than a single percentage or an unstructured spreadsheet.
See what the clinic report contains| Included | £49 clinic | £249 review | £395 review |
|---|---|---|---|
| Fictional case practice | Included | Not included | Not included |
| Learner-owned simulated report | Included | Not included | Not included |
| Real prescription items reviewed | None | At least 20 | All 50 |
| De-identified reviewer report | Not included | Included | Included |
| Practice permission required | No | Yes | Yes |
| Official supervisor sign-off | Always remains with the GP supervisor | ||
No. The GP Registrar Prescribing Clinic is independent formative simulation training. It supports preparation and supervisor discussion but does not replace the registrar’s official self-review of 50 consecutive real prescription items, the review of at least 20 items, portfolio reflection or workplace assessment.
Each sitting contains 12 balanced fictional cases drawn from a governed 64-case bank across eight workstations: the prescription inbox, results, high-risk medicines, acute and remote consultations, polypharmacy, transfers of care, shared care and prescribing governance.
The learner-owned report shows an overall formative readiness band, safety-critical misses, six SAFE-Rx domain scores, performance by workstation, case reasoning and prompts for discussion with a GP trainer or supervisor.
Individual access is a £49 one-off purchase for 90 days, with no subscription or automatic renewal. Payment only opens after the exact clinical case bank has current named approval.
Yes. Subject to practice approval and information governance, a practice-approved pharmacist can review a random sample of at least 20 real prescription items from the registrar’s completed 50-item self-review on the trainer’s behalf. The pharmacist and supervisor contribute to the discussion, and the GP supervisor completes the official assessment form.
The 20+ item assurance review is £249 per registrar. An enhanced independent review of all 50 items is £395 per registrar. These services are separate from the £49 online clinic and require practice approval and an agreed information-governance access route.
Yes. A practice or PCN can request reviews for several ST3 registrars or a wider prescribing audit and quality-improvement review. When registrar reviews are commissioned together in the same practice-approved clinical environment, 2–3 registrars receive 10% off and 4 or more receive 15% off. Each registrar still receives an individual review and report.
Yes. Subject to mentor scope and availability, a GP registrar can request focused support for a prescribing area, audit design, interpretation of de-identified audit findings or re-audit planning. The session produces practical actions and a written mentoring record for discussion with the GP trainer.
No. The result records performance in bounded fictional scenarios only. It does not authorise independent prescribing or replace workplace supervision and competence decisions.
You can buy the online clinic and pharmacist review separately. Practices can commission a cohort without purchasing the online clinic for every registrar.
