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Summary of Evidence 4 Domains

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					Summary of Evidence in Meeting the Four GMC Domains
Domain 1 – Knowledge, Skills and Performance

Attribute         Standard                             Evidence
Maintain your     •Maintain knowledge of the law       Click here to enter text.
professional      and other
performance       regulation relevant to practice
                  (13)
                  • Keep knowledge and skills up to
                  date (13)
                  • Participate in professional
                  development and
                  educational activities (12)
                  • Take part in regular and
                  systematic audit (14)



                                                       Click here to enter text.
Apply             Recognise and work within the
knowledge and     limits of your competence (3a)
experience to     • Provide or arrange advice,
practice          investigations or
                  treatment where necessary (2b)
                  • Prescribe drugs or treatment,
                  including repeat
                  prescriptions, safely and
                  appropriately (3b)
                  • Provide effective treatments
                  based on the
                  best available evidence (3c)
                  • Take steps to alleviate pain and
                  distress
                  whether or not a cure may be
                  possible (3d)
                  • Consult colleagues, or refer
                  patients to
                  colleagues, when this is in the
                  patient’s best
                  interests (2c, 3a, 3i, 54,55)
                  • Support patients in caring for
                  themselves
                  (21e)

Keep clear,       • Keep clear, accurate and legible
accurate and      records (3f)                         Click here to enter text.
legible records   • Make records at the same time
                  as the events
                  you are recording or as soon as
                  possible
                  afterwards (3f)
                  • Record clinical findings,
                  decisions, information
                  given to patients, drugs
                  prescribed and other
                  information or treatment (3f)
Domain 1: Self Rating of the supporting information and own clinical practice

                                                                         1       2       3    4   5   6

Maintain your                            Supporting Information
professional performance
                                         Practice


Apply knowledge and                      Supporting Information
experience to practice
                                         Practice


Keep clear, accurate and                 Supporting Information
legible records
                                         Practice
Supporting Information     1 = None                        6 = Comprehensive & Triangulated
Practice                   1= Not Competent                6 = Exceptionally Competent

Domain 1 – Reflections (Knowledge, Skills and Performance)
How has your ability to maintain your professional performance, apply knowledge and experience
to practice and to keep clear, accurate and legible records improved in the last year?
Click here to enter text.




What do you think are your knowledge, skills and performance development needs for future?
Click here to enter text.




What factors in your workplace, or more widely, constrained you significantly in achieving what you
aim for in your medical work?
Click here to enter text.
Domain 2 – Safety and Quality

Attribute          Standard                              Evidence
                                                         Click here to enter text.
Put into effect    • Respond constructively to the
systems to         outcome of audit, appraisals
protect patients   and performance reviews (14e)
and improve        • Take part in systems of quality
care               assurance and quality
                   improvement (14)
                   • Co-operate with risk
                   management and clinical
                   governance
                   procedures
                   • Co-operate with legitimate
                   requests for information from
                   organisations monitoring public
                   health (14i)
                   • Provide information for
                   confidential inquiries, significant
                   event reporting (14g)
                   • Report suspected adverse drug
                   reactions (14h)
                   • Ensure arrangements are made
                   for the continuing care of
                   the patient where necessary (40,
                   48)

                                                         Click here to enter text.
Respond to         • Report risks in the health care
risks to safety    environment to your
                   employing or contracting bodies
                   (6)
                   • Safeguard and protect the
                   health and well-being of
                   vulnerable people, including
                   children and the elderly and
                   those with learning disabilities
                   (26, 28)
                   • Take action where there is
                   evidence that a colleague’s
                   conduct, performance or health
                   may be putting patients
                   at risk (43, 44)
                   • Respond promptly to risks
                   posed by patients
                   • Follow infection control
                   procedures and regulations

                                                         Click here to enter text.
Protect patients   • Make arrangements for
and colleagues     accessing independent medical
from any risk      advice when necessary (77)
posed by your      • Be immunised against common
health             serious communicable
                   diseases where vaccines are
                   available (78)
Domain 2 Self Assessment : Safety and Quality

                                                                            1       2       3    4   5   6

                                           Supporting Information
Put into effect systems to protect
patients and improve care
                                           Practice

                                           Supporting Information
Respond to risks to safety
                                           Practice

                                           Supporting Information
Protect patients and colleagues from
any risk posed by your health
                                           Practice
Supporting Information       1 = None                         6 = Comprehensive & Triangulated
Practice                     1= Not Competent                 6 = Exceptionally Competent

Domain 2 Reflections (Safety and Quality)
How have you put into effect assistance to protect patients and improve care, respond to risks to
safety and protect patients and colleagues from any risk posed by your health?
Click here to enter text.




What do you think are your safety and quality development needs for the future?
Click here to enter text.




What factors in your workplace, or more widely, constrain you significantly in delivering safe, high-
quality care
Click here to enter text.
Domain 3 – Communication, Partnership and Teamwork

Attribute        Standard                             Evidence
Communicate      • Communicate effectively with       Click here to enter text.
effectively      colleagues within and outside the
                 team (41b)
                 • Explain to patients when
                 something has gone wrong
                 •Encourage colleagues to
                 contribute to discussions and to
                 communicate effectively with
                 each other (MfD 50)
                 •Listen to patients and respect
                 their views about health (22a,
                 27a)
                 •Give patients the information
                 they need in order to make
                 informed decisions about their
                 care in a way they can
                 understand (22b, 27)
                 •Respond to patients questions
                 (22c, 27b)
                 •Keep patients informed about
                 the progress of their care (22c)
                 •Treat those close to the patient
                 considerably (29)
                 •Pass on information to
                 colleagues involved in, or taking
                 over, your patients care (40, 51-
                 53)

                                                      Click here to enter text.
Work             •Treat colleagues fairly and with
constructively   respect (46)
with             •Support colleagues who have
colleagues and   problems with their performance,
delegate         conduct or health (41d)
effectively      •Act as a positive role model for
                 colleagues (41)
                 •Ensure colleagues to whom you
                 delegate have appropriate
                 qualifications and experience (54)
                 •Provide effective Leadership
                 (MfD 50)

                                                      Click here to enter text.
Establish and    •Encourage patients to take an
maintain         interest in their health and take
partnerships     action to improve and maintain it
with patients    (4, 21f)
                 •Be satisfied that you have
                 consent or other valid authority
                 before you undertake any
                 examination or investigation,
                 provide treatment or involve
                 patients in teaching or research
                 (36)
Domain 3: Self Assessment : Communication, Partnership and Teamwork

                                                                           1       2       3        4   5   6

                                           Supporting Information
Communicate effectively

                                           Practice

Work constructively with                   Supporting Information
colleagues and delegate
effectively
                                           Practice


Establish and maintain                     Supporting Information
partnerships with patients
                                           Practice

Supporting Information          1 = None                         6 = Comprehensive & Triangulated
Practice                     1= Not Competent                6 = Exceptionally Competent

Domain 3 Reflections (Communication, Partnership and Teamwork)
How have you demonstrated your ability to communicate effectively, work constructively with
colleagues and delegate effectively, and establish and maintain partnerships with patients?
Click here to enter text.




What do you think are your communication, partnership and teamwork development needs for the
future?
Click here to enter text.




What factors in your workplace, or more widely, constrain you significantly in communicating well,
and working successfully in partnership and with your team?
Click here to enter text.
Domain 4 – Maintaining Trust

Attribute          Standard                             Evidence
Show respect       • Implement and comply with          Click here to enter text.
for patients       systems to protect patient
                   confidentiality (37)
                   • Be polite, considerate and
                   honest and respect patients’
                   dignity and privacy (21a, b, d)
                   • Treat each patient fairly and as
                   an individual (38-39, 21c)




Treat patients     • Be honest and objective when       Click here to enter text.
and colleagues     appraising or assessing
fairly and         colleagues and when writing
without            references (18-19)
discrimination     • Respond promptly and fully to
                   complaints (31)
                   • Provide care on the basis of the
                   patient’s needs and the
                   likely effect of treatment (7-10)




                                                        Click here to enter text.
Act with honesty   • Ensure you have adequate
and integrity      indemnity or insurance cover for
                   your practice (34)
                   • Be honest in financial and
                   commercial dealings (73)
                   • Ensure any published
                   information about your services is
                   factual and verifiable (60, 61)
                   • Be honest in any formal
                   statement or report, whether
                   written or oral, making clear the
                   limits of you knowledge or
                   competence (63-65, 67-68)
                   • Inform patients about any fees
                   and charges before starting
                   treatment (72a)
Domain 4 Self Assessment : Maintaining Trust

                                                                           1       2       3    4   5   6

                                           Supporting Information
Show respect for patients
                                           Practice

                                           Supporting Information
Treat patients and colleagues fairly and
without discrimination
                                           Practice

                                           Supporting Information
Act with honesty and integrity
                                           Practice
Supporting Information       1 = None                        6 = Comprehensive & Triangulated
Practice                     1= Not Competent                6 = Exceptionally Competent

Domain 4 Reflections (Maintaining Trust)
How have you demonstrated respect for patients, treated patients and colleagues fairly and without
discrimination, and acted with honesty and integrity in the past year?
Click here to enter text.




What do you think are your maintaining trust development needs for the future?
Click here to enter text.




What factors in your work place, or more widely, constrain you significantly in maintaining your
medical work?
Click here to enter text.

				
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