MPS medicolegal adviser Dr Chris Godeseth explains why working as a doctor outside your rotation could lead to difficulties with the GMC
Graduating from medical school is a rite of passage for medical students. The title “Dr” brings many rewards, but also inevitably leads to a raft of requests for advice and explanation from friends and family in a social setting.
Foundation doctors might wish to help their consultants in operations in the private sector. Unfortunately, it isn’t always this simple
Sooner or later, there may be a more formal request for help from somebody organising an event or gathering: “Would you mind helping out as the doctor at our concert/hockey tournament/village fete?”
Most foundation doctors have experience of the former situation, and feel comfortable directing enquirers towards a more appropriate source of care. Most F1 doctors would also identify that their lack of experience and “provisionally registered” status limits their ability to practise outside their day job, and would therefore politely turn down a request to provide formal medical cover at a public event.
However, F2 doctors, with their increasing experience and full GMC registration, might feel better-placed to lend a hand. Other foundation doctors might wish to help their consultants in operations in the private sector.
Unfortunately, it isn’t always this simple. Aside from the clear professional requirement to act within your competence, the GMC rules may prevent you from working outside your hospital or GP placement. The GMC specifically lists organisations recognised as being suitable for doctors who have recently obtained full registration. These “Approved Practice Settings” are the only organisations in which F2 doctors, and some international medical graduates, are permitted to work in a medical capacity.
MPS is aware that some F2 doctors have been censured by the GMC for breaking these rules. As with all GMC matters, prevention is better than cure. If you are asked to provide medical cover in a setting outside your normal hospital or GP placement, you must be certain that this is appropriate. If you are in any doubt, you can contact the GMC, or contact MPS for medicolegal advice.