Developing a Library in General Practice
"Because the best learning environment isn't a room full of dusty books β it's a culture of curious people who know where to look."
A well-designed practice library is one of the most powerful β and most underused β tools in GP training. Whether you are a trainee building your personal toolkit, a trainer curating resources for your team, or a TPD designing a multi-professional learning environment, this page will show you what really works.
π₯ Downloads Handouts & resources
π Library Resources
Handouts, cataloguing tools, and teaching extras β ready when you are. Includes templates for building a practice library, a cataloguing system, book spine labelling guides, and content suggestions from trainers across Yorkshire.
path: LIBRARY
- building a personal medical library.doc
- building a practice library in gp.doc
- labelling device for book spines and shelves.doc
- library cataloguing system for general practice.doc
- library content - suggestions from trainers.doc
- library content - YH deanery.doc
- scanning system for the library.doc
- what is a library.doc
π Web Resources Official & informal
A hand-picked mix of official guidance and real-world resources. Because the best pearls are not always hiding in the official documents.
Core Clinical & Learning Resources
GP Training Resources
Digital Learning & Further Reading
π― Why This Matters in GP Context & relevance
Why Does a Library Matter β in 2025?
Before the internet, a practice library was essential. Every training practice had shelves of books and journals β and they were heavily used. Fast forward to today, and most of those shelves gather dust. So why are we still talking about libraries?
Because a library is not really about books. It is about access to knowledge, and β more importantly β about building a culture where learning is visible and expected.
A practice that invests in its learning environment β whether physical or digital β sends a powerful message to everyone who works and trains there: here, we take learning seriously. That message shapes how trainees engage, how supervisors teach, and ultimately how patients are cared for.
β‘ Quick Summary If you only read one section
π The Essentials β At a Glance
- A GP practice library in 2025 is primarily digital β a curated set of bookmarks, online tools, and apps, not a room full of books.
- A few physical books still matter β especially consultation skills books, which are irreplaceable for deep, reflective learning.
- The best libraries serve multiple learners: GP trainees, nursing students, advanced nurse practitioner (ANP) trainees, pharmacist trainees, physician associates (PAs), and medical students.
- A great library is not just a collection β it is a visible learning culture. If learners don't know resources exist, they won't use them.
- Your personal digital library matters more than your practice library. Build it intentionally.
- For GP trainees: consultation skills books are your highest-yield investment. Read one before your SCA.
- NHS OpenAthens gives you free access to a staggering range of resources β yet most trainees never activate it properly.
π± Physical vs Digital The honest answer
Do You Still Need Physical Books?
This is a genuinely useful question β and the honest answer is: mostly no, but a few yes. Here is why.
| Factor | Physical Books | Digital Resources |
|---|---|---|
| Up to date? | β Outdated within years | β Updated continuously |
| Speed of access | β οΈ Must be in the building | β Accessible anywhere, any time |
| Deep reading | β Better for reflection | β οΈ Can encourage skimming |
| Consultation books | β Physical copy preferred by many | β Also available digitally |
| Clinical guidelines | β Dangerous if outdated | β Always use digital (NICE CKS) |
| Cost | β οΈ One-off but becomes wasted | β Most key resources free via NHS |
| Sharing across learners | β οΈ One person at a time | β Everyone simultaneously |
| Space requirements | β Needs room, shelves, organisation | β Zero physical footprint |
| Narrative / reflective texts | β Often better as physical | β Available digitally too |
π₯ The Multi-Professional Library Built for everyone
One Practice, Many Learners
Modern general practice is not a solo doctor's domain. A well-run training practice is a bustling educational ecosystem β and a good library must serve all of it.
Think about who might need library resources in your practice:
Each learner group has different needs β but many core needs overlap. A smart library design anticipates all of them.
π₯ Building the Practice Library Step by step
How to Design a Great Training Practice Learning Space
Whether you are starting from scratch or renovating an old library room, the approach is the same: think about the learners first, and the resources second.
- Consultation skills books (multiple copies)
- A handful of thought-provoking narrative texts
- Leadership and coaching books
- A physical copy of the BNF (current edition only)
- Ethics and medical law references
- SCA/MRCGP preparation books (current editions)
- Any clinical guideline book over 5 years old
- Drug reference books (outdated = dangerous)
- Hospital specialist textbooks with no GP relevance
- Anything that has never been borrowed in 3 years
- Duplicate copies beyond 3 of any title
- Journals older than 2 years (unless you have a reason)
The Modern Practice Learning Room
π Recommended Books A curated list
The following books are widely recommended across UK GP training schemes. We have organised them by category. You do not need all of them β but every training practice should have at least the starred ones.
π’ Consultation Skills β Essential
π΅ SCA / MRCGP Preparation
π‘ Clinical Reference
π£ Thought-Provoking & Narrative
π©· For Trainers & TPDs
π Organising & Cataloguing Practical systems
A Simple System That Actually Works
You do not need a complex library management system. You need a system that makes resources visible, easy to find, and easy to return.
Group books into clearly labelled sections. Suggested categories:
- Consultation & Communication β always the most important shelf
- SCA / MRCGP Preparation β current editions only
- Clinical Reference β Symptom Sorter, dermatology atlases
- Personal Development β narrative medicine, Kahneman, leadership
- Education & Training β for trainers and TPDs
Use coloured label stickers on book spines to mark categories β quick, cheap, and immediately visible. A downloadable labelling template is in the resources section above.
A simple shared spreadsheet or a shared bookmark folder works well. Include:
- Title, author, year, and a one-line description
- Location (shelf, or link if digital)
- Who it is aimed at (GP trainees / nursing / all)
- Whether it requires NHS OpenAthens to access
Share this as a Google Sheet or pinned message in your team's WhatsApp/Teams channel. The key is making it findable, not just existing.
A downloadable cataloguing template is available in the downloads section above.
A very simple system is better than no system:
- A small notebook on the shelf works fine β name, date out, date back
- Or a shared digital sign-out sheet pinned to the library notice board
- Set a maximum loan period of 4β6 weeks
- Designate 2β3 copies of your most popular books so they are never all out at once
- Review loans annually β books that are never borrowed can usually be removed
A scanning template is available in the downloads above for practices wanting a slightly more structured system.
Your digital resource list is arguably more important than your physical books. It should be:
- Visible β pinned to your intranet, notice board QR code, or laminated sheet on every computer
- Organised by learner group β separate sections for GP trainees, nursing staff, pharmacists etc.
- Maintained β reviewed every 6 months and dead links removed
- Annotated β a single sentence saying why each resource is useful increases uptake dramatically
Remember to include your local formulary, local referral pathways, and local safeguarding contacts alongside the national resources.
π Your Personal Digital Library Build it now
The Library You Carry in Your Pocket
Before worrying about the practice's physical bookshelf, build your own personal digital toolkit. This matters more. It travels with you. It works in clinic, on the bus, the night before an exam.
π± Building a Learning Culture Beyond the bookshelf
The Library Is Only the Start
A room full of books and computers does not automatically create a learning culture. People do. Here is how trainers and TPDs can make learning visibly valued β not just resourced.
- Display a "Book of the Month" on the notice board
- Share a weekly learning tip in the team WhatsApp
- Celebrate trainees' reflective FourteenFish entries at meetings
- Display the RCGP curriculum map on the wall
- Half-day release each week for the VTS programme
- Protected tutorial time β at least 1 hour per week
- Morning handover as a micro-teaching opportunity
- Weekly HDR (Half Day Release) preparation support
- Run joint learning sessions with GP and nursing trainees
- Encourage peer teaching β trainees teaching trainees
- Use case discussions that involve the whole team
- Shared journal club once a month
π©βπ« Trainer & TPD Teaching Pearls For educators
- Induction task: At the start of each GP post, walk your trainee through the practice library β physical and digital. Show them where resources are, how to access NHS OpenAthens, and which bookmarks to set up. This takes 20 minutes and pays back tenfold.
- Tutorial tool: Use "what would you look up?" as a regular tutorial question. It teaches trainees how to use resources, not just what to know.
- Common trainee gap: Most trainees know NICE CKS exists but have never used it properly. A short tutorial walking through a real case using NICE CKS transforms how they use it thereafter.
- Consultation skills books: Ask your trainee which consultation books they've read and whether they've discussed them. If neither β prioritise this before their SCA.
- IMGs specifically: Many IMGs are unfamiliar with the UK primary care literature β especially consultation models. Frame it warmly: "These are books that helped a lot of UK trainees understand what GP consulting is really about here."
- "What have you learned this week that you didn't know before? Where did you find it?"
- "If you were stuck in a consultation right now, which resource would you turn to first and why?"
- "Have you found anything on Bradford VTS that was particularly helpful recently?"
- "What's one book from the practice library you'd recommend to the next trainee, and why?"
- "What gaps in your knowledge have you logged in your 14Fish ePortfolio this month?"
International Medical Graduates (IMGs) may be unfamiliar with the UK primary care literature and the specific books valued in GP training. Some suggestions:
- Prepare a short annotated list of 5β6 books specifically recommended for IMGs, explaining why each is relevant
- Point out that consultation models like the Calgary-Cambridge Guide (Silverman) and Neighbour's Inner Consultation were developed partly to help doctors understand differences in patient expectations across cultures
- Signpost Bradford VTS pages that explain UK NHS context, such as the RCGP curriculum, SCA exam, and ARCP process
- Encourage IMGs to join the Bradford VTS mailing list for free regular updates
- Acknowledge that some NHS digital resources require an NHS email to access β help IMGs get their NHS OpenAthens account on their first week
π¬ Voices from the Training Community What trainees actually say
Real Insights from UK GP Trainees
The advice below has been gathered from across UK GP training communities β forums, training scheme discussions, trainee blogs, and GP training educators sharing what they have seen and heard over many years. Everything here has been checked against official RCGP and NHS guidance. Where trainee experience agrees with official advice, we have combined the two. Where it adds something extra, we have included it clearly as trainee insight.
π± Theme 1 β Build Your Digital Toolkit on Day One
One of the most consistent messages across the GP training community is this: do not wait to set up your digital resources. Many trainees arrive at their first GP placement without the basic tools in place, and spend weeks playing catch-up. Those who hit the ground running describe it as a genuine confidence-booster from the very start.
- They set up NHS OpenAthens in their first week β before they need it β so it is ready when they do.
- They pin their local formulary and local referral pathway documents to their browser alongside national resources. Local guidance often differs from national guidance, and your trainer will expect you to know the local version.
- They install the BNF app on their mobile phone so it works without an NHS internet connection β useful on home visits and out-of-hours shifts.
- They use GPnotebook for quick in-consultation lookups, and NICE CKS for deeper reading after the patient has left.
- They link their digital learning back to the FourteenFish ePortfolio so their learning is visible to their trainer and to the ARCP panel.
π Theme 2 β Consultation Skills Books: Read Them Early, Not the Night Before
This is perhaps the most repeated piece of advice across UK GP training communities: read your consultation skills books early in training, not just before the SCA exam. Those who leave it until ST3 often describe feeling rushed and frustrated. Those who read them in ST1 or ST2 say they changed how they consulted from the very beginning β which is exactly the point.
β± Theme 3 β Learning Little and Often Beats Cramming
One of the clearest patterns from UK GP training communities is the contrast between trainees who try to learn in large bursts β and those who build small daily habits. The cramming approach tends to lead to anxiety, burnout, and shallow learning. The daily habit approach builds deeper, more lasting understanding.
- Does nothing for 3 months
- Panics before tutorials or ARCP
- Reads 40 pages of NICE in one evening
- Cannot recall it a week later
- Portfolio looks thin and rushed
- Feels permanently behind
- Reads one NICE CKS page after a relevant consult
- Logs it in FourteenFish ePortfolio the same day
- Discusses it in the next tutorial
- Returns to it again when the topic recurs
- Portfolio grows naturally and richly
- Arrives at ARCP feeling prepared
π Theme 4 β Specific Insights for International Medical Graduates (IMGs)
IMGs make up a significant and growing proportion of UK GP trainees. The patterns below reflect what IMGs themselves have shared about their experience with resources and learning tools β and what they wish someone had told them earlier.
- Bradford VTS was frequently mentioned as a go-to resource for IMGs, particularly because it explains UK-specific NHS context alongside clinical content β rather than assuming the reader already understands how the NHS works.
- NICE CKS changed their practice. Many IMGs trained in healthcare systems where clinical guidelines are less structured. Discovering NICE CKS early β and using it actively in consultations β was described as a turning point in adapting to UK practice.
- Consultation books unlocked the "GP mindset." IMGs frequently describe a transition from a hospital-based, diagnosis-focused approach to a more holistic, person-centred style. Consultation books accelerate this transition.
- The FourteenFish ePortfolio felt daunting at first. Many IMGs found it unfamiliar and spent weeks avoiding it. Those who got support in week one β from their trainer or at the VTS induction day β found it became manageable quickly. The key is early engagement, not perfection.
- Local knowledge matters as much as national knowledge. IMGs who actively sought out local referral criteria, local formulary guidance, and their deanery's specific expectations found that their confidence grew much faster than those who relied solely on national resources.
β οΈ Theme 5 β Common Mistakes Around Resources (and How to Avoid Them)
These are patterns observed across UK GP training communities β things that trainees commonly get wrong with their resources, that their trainers notice, and that are worth being aware of from the start.
| The Mistake | Why It Happens | What to Do Instead |
|---|---|---|
| Using Google instead of NICE CKS | Faster and familiar β but results are unreliable and not UK-specific | Default to NICE CKS for management questions. Use Google only to find the CKS page faster |
| Relying on memory for drug doses | Habit from hospital training where doses were memorised | Always check the BNF for doses in GP β especially for less common drugs and in children |
| Treating the physical library as "the library" | Physical shelves are visible; digital resources feel invisible | Make your digital toolkit as visible as the bookshelf β pin it, print it, share it |
| Not linking learning to the RCGP curriculum | It takes extra effort; trainees often skip it in FourteenFish | Every FourteenFish log entry should be tagged to at least one curriculum capability area |
| Leaving OpenAthens registration until needed | Feels like an admin task that can wait | Register in week one β it is free, quick, and unlocks a huge range of resources immediately |
| Reading clinical books for the SCA | Familiarity with clinical revision from previous exams | The SCA tests consultation skills β read consultation books, not clinical textbooks, as your priority |
| Building a library nobody knows about | Curating resources without telling anyone | Share your resource list with all learners in the practice β a shared folder, a notice board, a WhatsApp message |
π§ Theme 6 β Audio and Video Learning for Busy Trainees
A growing number of UK GP trainees use podcasts and short videos as part of their regular learning β particularly during commutes, runs, or lunch breaks. The key is choosing high-quality, UK-focused content.
- RCGP eLearning Podcast β over 100 episodes, 20 minutes each, covering clinical and professional topics. Free to RCGP members. Accessible on Spotify and Apple Podcasts.
- InnovAiT Podcast β the audio version of the RCGP's training journal. Short, clinically focused, and GP-specific. Free to access.
- Primary Care Knowledge Boost β a practical UK primary care podcast aimed at clinicians, covering clinical topics with GP-focused commentary.
- GP TiPS (Training in Practice Scotland) β produced by NHS Education for Scotland. Accessible and GP training-focused.
- RCGP YouTube channel β official teaching videos including SCA preparation webinars and curriculum explainers.
- Virtual Primary Care (available to ST1 trainees) β 150 real GP consultation videos, all tagged by clinical topic and learning points. One of the most powerful resources for developing consultation skills by watching real practice.
- GPnotebook channel β short, structured clinical teaching videos relevant to UK primary care.
- Search for UK GP training educators who create content specifically about consultation skills, SCA preparation, or the RCGP curriculum β there are several active channels by UK GP trainers.
π Theme 7 β A Library Is a Habit, Not a Room
Perhaps the most important insight from UK GP training communities is this: the trainees who develop into the best doctors are not those with the most resources β they are those who use a small number of resources regularly and reflectively. A library is only as good as the habits built around it.
- They built small learning habits early and maintained them.
- They read at least one consultation skills book properly β not skimmed it.
- They used NICE CKS regularly and linked their lookups to real consultations.
- They engaged with their FourteenFish ePortfolio consistently, not in panicked bursts.
- They asked their trainer for help with resources β not as a sign of weakness, but as a sign of engagement.
- They treated the practice library β digital and physical β as a living tool, not a piece of furniture.
β Frequently Asked Questions
No β a dedicated room is lovely but not essential. What matters is a visible, accessible, organised learning space. That could be a corner of a common room with a few good books and two computers. The key is that learners know it exists and how to use it.
If it could only be one: The Naked Consultation by Liz Moulton. It is practical, accessible, directly SCA-relevant, and written by a GP trainer who understands the pressures of UK training. Read it cover to cover, then dip into it again before your SCA.
Organise it by learner group, not by topic. Create separate sections for GP trainees, nursing students, ANP trainees, pharmacist trainees, and medical students. Each section should list 5β10 core resources for that group, plus point to the shared resources everyone uses (NICE CKS, BNF). Keep it short β a list of 50 links is rarely used. A list of 10 brilliant ones is used daily.
NHS OpenAthens is a free authentication service that gives NHS staff and trainees access to a vast range of clinical resources including BMJ Best Practice, thousands of journals, and e-book libraries. Register at openathens.net using your NHS email address. If you don't yet have an NHS email, ask your practice manager β this is usually set up in your first week. It takes about 5 minutes and unlocks resources that would cost hundreds of pounds commercially.
Every time you read something that changes how you think or practice, log it in your 14Fish ePortfolio as a learning log entry. Link it to the relevant RCGP curriculum area. Over time, this builds a rich, evidence-based record of your learning journey β which is exactly what ARCP panels and educational supervisor reviews expect to see. Reading without reflecting rarely counts for much in GP training. Reflecting well on what you read counts for a great deal.
π§ Memory Aid A framework to remember
The SHELVES Framework β Building Your GP Library
A simple mnemonic to remember the elements of a well-designed practice library:
| Letter | Principle | What It Means in Practice |
|---|---|---|
| S | Small and curated | 20 excellent resources beat 200 mediocre ones |
| H | Human skills first | Consultation skills books sit at the heart of any good GP library |
| E | Everyone is served | Multi-professional learners all have a place in your library |
| L | Links beat volumes | A digital resource list is more useful than a shelf of outdated books |
| V | Visible | If learners don't know it exists, it doesn't exist |
| E | Embed reflection | Reading + reflecting in 14Fish ePortfolio = real learning |
| S | Scan and update regularly | Review your library at least annually β remove the outdated, add the new |
π Final Take-Home Points
π The Bits to Remember Tomorrow
- A modern GP practice library is primarily digital β a curated list of signposted resources, not a shelf of books.
- Keep a small, high-quality physical collection β consultation skills books, narrative texts, and one or two clinical references. Remove everything outdated.
- NHS OpenAthens unlocks free access to a staggering range of resources. Every trainee should activate this in their first week.
- Your library must serve multiple learner groups β GP trainees, nursing students, ANP trainees, pharmacist trainees, medical students, and PAs.
- Consultation skills books are the highest-yield investment for GP trainees. Read at least one properly before your SCA.
- The best learning environments are those where curiosity is modelled by the trainer β not just encouraged in the trainee.
- Log what you learn in your 14Fish ePortfolio. Reading without reflection is just passing time. Reading with reflection is training.
π Bradford VTS β Free for all UK GP trainees, trainers, and TPDs since 2002. Created by Dr Ramesh Mehay.
Do we need to redefine the concept of a library rather than seeing it as a place packed with books? Have a look at these videos. What do you think?