£49 one-off · 90 days · For GP registrars

Prepare for the ST3 Prescribing Assessment with realistic fictional cases

Work through the decisions involved when issuing medicines in general practice - from initiation and repeat issuing to monitoring, follow-up and communication - then bring an organised formative report to supervision.

£49 one-off · 90 days No subscription or automatic renewal

Clinical review in progress The course structure is visible, but the keyed cases stay locked until a named clinician approves this exact version.

Fictional cases for formative learning. Independent of the RCGP and not a substitute for the official ST3 assessment or workplace supervision.

08:30 PRESCRIBING WORKLIST12 decisions

Result requiring actionMonitoring and next dose need reviewNow

Repeat requestPattern needs clinical reviewCheck

Discharge discrepancyTwo records, one safe plan neededReconcile

SAFE-Rx report6 domainsSafety-critical decisions cannot be hidden by a high average.

Built around the real ST3 learning need.The registrar reviews 50 consecutive real prescription items they issued. At least 20 are then checked by the GP trainer or supervisor - or by a practice pharmacist on the trainer’s behalf. This clinic prepares the method; it does not complete the workplace assessment.

Official RCGP requirements

One focused preparation route

Practise, understand the pattern and discuss what matters

The clinic prepares a structured picture of simulated performance. The registrar and GP supervisor then connect those learning points to real prescribing and the official RCGP process.

1Complete a balanced sittingMake 12 decisions drawn from eight realistic prescribing workstations.

2Review every answerSee the clinical reasoning, current source and safety implications for each fictional case.

3Download your reportTurn strengths, priorities and safety-critical findings into a clear supervisor discussion pack.

Eight realistic workstations

Practise how prescribing actually reaches a GP

Each station tests the decision, monitoring, communication and record, not medicine recall in isolation.

Prescription inbox

Repeat requests, authorisation, overdue review and requests prepared by other members of the team.

Results requiring action

Interpret monitoring in context, establish ownership and close the follow-up loop.

High-risk medicines

Recognise when patient factors, monitoring or the exact prescription must be verified before signing.

Acute and remote consultations

Prescribe safely when the presentation is early, uncertain or assessed remotely.

Polypharmacy clinic

Balance benefit, harm, treatment burden and the patient’s priorities across the whole regimen.

Transfers of care

Reconcile discharge and transfer information, resolve discrepancies and leave one clear plan.

Shared care and external requests

Clarify competence, monitoring and responsibility before accepting prescribing from elsewhere.

Communication and governance

Counsel clearly, document the decision and learn from incidents and near misses.

One repeatable checking structure

Every report uses six SAFE-Rx domains

The report separates the parts of a prescribing decision so “what to improve next” is clearer than one overall percentage.

SPatient and situationThe indication, patient-specific risks and relevant clinical information.

AAppropriate medicineBenefits, harms, alternatives, interactions and person-centred choice.

FForm of the prescriptionThe medicine, dose, route, frequency, duration, quantity and instructions.

EEvaluation and monitoringBaseline checks, results, effectiveness, adverse effects and review.

RRecord and responsibilityDocumentation, reconciliation, ownership, communication and escalation.

xExplanation and safety-nettingInformation, adherence, warning signs and when to seek help.

The formative readiness assessment

A report designed for a useful supervisor conversation

Simulated readiness Developing No formal pass or fail

SAFE-Rx profile 6 domains Strengths and targeted priorities

Safety-critical check Overrides the average A dangerous decision always appears

12 server-scored cases drawn from a 64-case bank
At least one case from every workstation
At least four safety-critical decisions
Print or save as PDF, plus CSV download
Case prompts for discussion with a GP trainer
Content version recorded with every report

Need the real-item review too?

Add a practice-approved pharmacist after your self-review

The online clinic and clinical review are separate. A pharmacist can review at least 20 real items from your completed 50-item self-review and prepare a de-identified discussion pack.

See pharmacist review options

Frequently asked questions

About the online prescribing clinic

How much does the GP Registrar Prescribing Clinic cost?

Access is a £49 one-off purchase for 90 days, with no subscription or automatic renewal.

What does each prescribing sitting include?

Each sitting contains 12 balanced fictional cases drawn from a governed 64-case bank across eight prescribing workstations, with at least four safety-critical decisions.

What does the prescribing report show?

The learner-owned report shows a formative readiness band, safety-critical findings, six SAFE-Rx domain scores, performance by workstation, case reasoning and prompts for discussion with a GP trainer or supervisor.

Does a clinic result prove prescribing competence?

No. It records performance in bounded fictional scenarios and does not authorise independent prescribing or replace workplace supervision and competence decisions.

Keep the boundary clear

This supports the ST3 process. It does not claim to be it.

Your official assessment still uses your self-review of 50 consecutive real prescription items, a review of at least 20 items, reflection and the Trainee Portfolio. Medicine in Practice provides a separate simulated report and, if commissioned by the practice, a pharmacist-supported real-item review.

Open the official assessment page