Get documents about "OOH Log Book
Shared by: HC120727051119
-
Stats
- views:
- 0
- posted:
- 7/26/2012
- language:
- pages:
- 31
Document Sample
Department of Postgraduate Education for
General Practice
Wales College of Medicine, Biology and Life
& Health Sciences
GP Registrar
Out of Hours Training
Workbook
February 2005
GP Registrar Name:____________________________________________________
WORKBOOK FOR OUT OF HOURS (OOH) TRAINING FOR GP REGISTRARS
This workbook has been designed to help GP registrars to develop the necessary skills for
competence in out of hours care. It is intended to be used electronically to avoid further
accumulation of paperwork. There are three parts:
1. an attribute guide (p.2)
2. a competency assessment tool to inform and supplement the Trainer Report.(p.5)
3. a record of each out of hours session. (p.16)
How to use this workbook.
The book is intended to encourage self-reflection and assessment. For each OOH session
there is a record sheet, this should be completed with the clinical supervisor for that session, to
reflect on experiences with regard to the competences and attributes required.
For this workbook, the OOH curriculum is condensed into five key competences. At intervals
during the GP registrar’s training there should be an assessment of competence for each area
by the educational supervisor (usually the trainer). Before each review, the GP registrar should
a) consider the attributes and competencies in each section,
b) complete a self assessment rating scale for discussion with their educational supervisor and
c) collect and present any evidence to demonstrate that competence.
The evidence 7may include some clinical case reviews or scenarios that reflect the experience
and differences between daytime normal GP care and OOH care, e.g.
Referring a patient as a medical or surgical emergency or to the community services
e.g. arranging OOH district nursing.
Dealing with a death, contrasting an expected death with a sudden death and the
personnel and services involved.
Problems of terminal care managed by OOH provider.
Psychiatric problem dealt with out of hours e.g. a risk assessment/ MHA section.
Commentary on a management/organisational issue e.g. arrangements for OOH care
for Christmas/ Bank holiday weekend, a local flu/meningitis outbreak.
Critical Event and complaints report (if relevant).
Welsh OOH Workbook Oct 04 Page 1 of 31
GP Registrar Name:____________________________________________________
1. Attribute Guide
The attribute list is meant only as a guide. It is not intended to be comprehensive but
summarises the core elements of each competency, along with some examples of how that
might be demonstrated. The RCGP is in the process of developing a definitive GP training
curriculum within the context of Good Medical Practice, which will encompass the competences
and attributes required for training in OOH care.
There are five key competences for OOH care.
1. Ability to manage common medical, surgical and psychiatric emergencies.
2. Understanding the organisational aspects of NHS out of hours care, nationally and at local
level.
3. The ability to make appropriate referral to hospitals and other professionals.
4. The demonstration of communication and consultation skills required for out of hours care.
5. Individual personal time and stress management.
1. Ability to manage common medical, surgical and psychiatric emergencies.
GP registrars should be able to manage common medical, psychiatric and social
emergencies they are likely to encounter during OOH experience. They should be able
to recognise and manage critical situations using available resources and facilities.
Examples are listed below.
Chest pain & MI
Heart failure
CVA
Sudden collapse
Fits faints & funny turns
Acute asthma or COPD exacerbation
GI bleed – upper & lower
The acute abdomen
Vascular emergencies including
hypovolaemic shock
Renal colic, pyelonephritis and urinary
retention
Ectopic pregnancy/PID/ bleeding in
early pregnancy, (including miscarriage)
Obstetric emergencies – APH/PPH/ pre
eclampsia, reduced fetal movements
etc.
Acute confusion state and psychoses
Allergy & anaphylaxis
The ill child
Infection such as septicaemia and
meningitis
Orthopaedic emergencies e.g. cord
compression injuries/back pain
Acute eye pain/loss of vision
Welsh OOH Workbook Oct 04 Page 2 of 31
GP Registrar Name:____________________________________________________
GP registrars should be able to recognise the ill child and manage common
paediatric emergencies such as meningitis; croup/asthma; febrile convulsion;
gastro-enteritis and dehydration; and non-accidental injury.
GP registrars should be able to manage such mental health problems as often
present as a crisis during OOH. They should be competent to perform a suicide
risk assessment and be aware of the procedures for assessment and
implementation of detaining /admitting patients under the Mental Health Act.
GP registrars should competent in basic life support. They should be aware of the
need for maintenance of any emergency drugs and equipment they use during OOH.
2. Understanding the organisational aspects of NHS out of hours care,
nationally and at local level.
GP registrars should be aware of the processes that are in place both locally and
nationally and understand the context of the provision of OOH care in the Primary
Care setting. They should understand the relationship between GP practices, OOH
providers and PCTs, their roles and responsibilities.
GP registrars should have an understanding of how emergencies and health
initiatives can impact on OOH care providers and be aware of procedures and
policies in place to deal with them, for example, the CMO cascade system for
national drug/infection alerts, how to deal with a local outbreak of an infectious
disease, flu epidemics and managing a winter bed crisis.
They should be aware of the communication channels required for OOH care and the
IT systems to support them.
3. The ability to make appropriate referral to hospitals and other professionals.
The GP registrar should be aware of the range of and referral facilities and
professionals available to patients out of hours. They should be able to communicate
effectively and with courtesy to all other professionals involved with the care of the
patient making prompt and appropriate referrals with clear documentation and
arrangements for follow up.
The GP registrar should respect the roles and skills of others, and can engage
effectively and refer to other sources of care, such as ambulance and paramedic
services, and those in secondary care (hospital where appropriate).
4. The demonstration of communication and consultation skills required for out
of hours care.
The GP registrar should be competent in communication and consultation skills for
the different types of consultations required in the context of out of hours care e.g.
telephone consultations and triage skills. They should be patient centred and should
demonstrate understanding of consultation models and their relevance to OOH care,
such as breaking bad news, the limitations of telephone consultations and the
absence of non verbal communication.
Welsh OOH Workbook Oct 04 Page 3 of 31
GP Registrar Name:____________________________________________________
The GP registrar should have some understanding of teamwork, be aware of the
roles and responsibilities of the OOH team and be able to work and communicate
with them effectively.
5. Individual personal time and stress management.
The GP registrar should be able to manage their time and workload effectively;
demonstrating good timekeeping, problem solving and the ability to prioritise cases
appropriately.
GP registrars should be aware of the difficulties working OOH, working antisocial and
long hours and sometimes with overnight shifts. They should recognise when they
are not fit to work because of tiredness, physical or mental ill health and take
appropriate action. They should be aware of their personal needs and abilities and
learn to develop the necessary strategies to avoid stress and burnout and maintain
good health.
GP registrars should be aware of their duties and responsibilities regarding the
health, safety and performance of their colleagues.
Welsh OOH Workbook Oct 04 Page 4 of 31
GP Registrar Name:____________________________________________________
2. Competency Assessment workbook
Ability to manage common medical, surgical and psychiatric
1 emergencies
a) Knowledge of clinical conditions
Novice Competent Proficient
The doctor is easily able to recognise
the manifestations of acute serious
The doctor is aware of the common
The doctor consistently fails to recognise disease and can act appropriately,
presentations of acute serious illness and
common medical, surgical and psychiatric effectively and with speed to manage
the implications of appropriate
emergencies and is not aware of those clinical these.
symptoms and can act on these.
conditions, disorders and problems that The doctor has a comprehensive
present as emergencies in the context of out The doctor can demonstrate that
working knowledge of these conditions
awareness by description or
of hours care. and has demonstrated management of at
demonstration.
least one important condition in each
area.
GPR Self Comments from
Review Evidence
Assessment Trainer
Initial review
Date N
_________
C
P
N
Mid-point
Review
Date C
________
P
N
Final Review
Date C
_________
P
Welsh OOH Workbook Oct 04 Page 5 of 31
GP Registrar Name:____________________________________________________
1 b) Knowledge of symptoms
Novice Competent Proficient
The doctor is aware of the significance
The doctor is not aware of, or consistently of these symptoms, and can demonstrate
fails to recognise the significance of, The doctor is aware of the significance of this through actions and decision
symptoms of clinical conditions, disorders these symptoms and can demonstrate this by making.
and problems that need urgent attention or description or demonstration. The doctor can demonstrate how to
assessment. appropriately assess patients with these
symptoms
GPR Self Comments from
Review Evidence
Assessment trainer
Initial review
Date N
_________
C
P
N
Mid-point
Review
Date C
________
P
N
Final Review
Date C
_________
P
Welsh OOH Workbook Oct 04 Page 6 of 31
GP Registrar Name:____________________________________________________
1 c) Ability to carry out basic life support
Novice Competent Proficient
The doctor has had training in BLS and can The doctor has had recent training in BLS and
The doctor has no skills to carry out basic life
describe how this should be done and when it has planned refresher training, and has been
support
should be appropriately applied. able to demonstrate these skills.
GPR Self Comments from
Review Evidence
Assessment Trainer
Initial review
Date N
_________
C
P
N
Mid-point
Review
Date C
________
P
N
Final Review
Date C
_________
P
Welsh OOH Workbook Oct 04 Page 7 of 31
GP Registrar Name:____________________________________________________
Understanding of the organisational aspects of NHS out of
2
hours care, nationally and at local level.
Novice Competent Proficient
The doctor understands how the OOH The doctor is aware of the processes that
services are organised both in their are in place both locally and nationally,
locality and generally and can describe and can understand the context of the
the different routes that provide medical provision of OOH care in Primary Care.
care OOH. The relationship of all those other
The doctor does not understand how the OOH
There is an adequate awareness of the organisations that provide care in the
services are organised.
other organisations that provide medical community OOH is well understood,
The doctor has no understanding of office and
,nursing and social care OOH. along with the relationship of these
management procedures of the OOH
organisation and does not attempt to become The doctor knows the office and organisations to the PCT and the role
operating procedures for the OOH and responsibilities of the PCT in
familiar with this information.
organisation. This will include how to supporting and monitoring these
use any communication equipment services.
(such as phones, radios, etc.), and There is appropriate awareness of the
recording processes (computers, forms, complaint and Clinical Governance
etc.). processes for the organisation.
GPR Self Comments from
Review Evidence
Assessment Trainer
Initial review
Date N
_________
C
P
N
Mid-point
Review
Date C
________
P
N
Final Review
Date C
_________
P
Welsh OOH Workbook Oct 04 Page 8 of 31
GP Registrar Name:____________________________________________________
Ability to make appropriate referrals to hospitals and other
3
professionals
Novice Competent Proficient
The doctor is able to communicate
effectively and courteously to all other
professionals who are involved with, or
The doctor does not know the roles of
need to be involved with, the care of the
professionals or carers who can be involved in The doctor understands these roles and
patient.
the care of patients OOH and does not engages other people appropriately in the care
The doctor respects the roles and skills
communicate with them where this is of the patient.
indicated. of others, and can effectively engage
and refer to other sources of care, such
as ambulance and paramedic services,
and those in secondary care.
GPR Self Comments from
Review Evidence
Assessment Trainer
Initial review
Date N
_________
C
P
N
Mid-point
Review
Date C
________
P
N
Final Review
C
Date
_________
P
Welsh OOH Workbook Oct 04 Page 9 of 31
GP Registrar Name:____________________________________________________
Demonstration of communication skills required for out of
4 hours care
a) Communication skills with patients
Novice Competent Proficient
The doctor can communicate The doctor is able to elicit the
effectively with patients and appropriate information effectively
demonstrates an ability to gain the from patients whatever the mode of
The doctor is unable to effectively appropriate information needed to contact, and is able to check all
communicate with, or elicit appropriate make decisions from both face to relevant areas when there is no prior
information from patients. face and telephone consultations. information available.
The doctor does not demonstrate tact, The doctor deals with patients and The doctor is able to make an
sensitivity or understanding in their relatives or carers with tact and appropriate management decision
communication with patients or their sensitivity. within an appropriate timescale.
relatives or carers. The doctor demonstrates the appropriate The doctor shares with the patient
skills and ability to deal with their thinking and allows the patient
emotionally difficult situations (e.g. to be involved in the decision
sudden bereavement) . making where appropriate.
GPR Self Comments from
Review Evidence
Assessment Trainer
Initial review
Date N
_________
C
P
N
Mid-point
Review
Date C
________
P
N
Final Review
Date C
_________
P
Welsh OOH Workbook Oct 04 Page 10 of 31
GP Registrar Name:____________________________________________________
4 b) Communication skills with other professionals (teamwork)
Novice Competent Proficient
The doctor respects others in the
The doctor is unable to effectively
team in which he is working and
communicate with other
deals with them professionally and
professionals (who may include the The doctor is able to work well in a
courteously.
patients own GP) who are involved team and recognises the roles and
The doctor can effectively record
in the care of the patient in the OOH responsibilities of others.
and transmit necessary information
context. The doctor shares appropriate
about the patient to others who will
The doctor does not recognise the information about the care of
be involved in their care.
contribution of other professionals patients with others involved in their
The doctor is willing to learn and be
and staff, or work with them as a care.
involved in the work at all times
team, in the OOH context. The doctor is prepared to receive
during the session and is prepared
The doctor consistently fails to feedback and information about their
to support colleagues who may be
demonstrate professional courtesy performance as a doctor in the OOH
having difficulties during their shift.
and respect when dealing with all context.
The doctor understands the duties of
others involved in the care of the
a medical practitioner in relation to
patient.
working with their colleagues.
GPR Self Comments from
Review Evidence
Assessment Trainer
Initial review
Date N
_________
C
P
N
Mid-point
Review
Date C
________
P
N
Final Review
Date C
_________
P
Welsh OOH Workbook Oct 04 Page 11 of 31
GP Registrar Name:____________________________________________________
Individual personal time and stress management
5 a) Problem solving and triage skills, prioritising the management of
presentations
Novice Competent Proficient
The doctor makes effective use of time
during the period of work and can
quickly assess the severity of
presentations appropriately.
The doctor is able to organise the
The doctor has a robust and effective
workload and appropriately assess
structure for prioritising patient
which presentations need to be dealt
The doctor is not able to effectively presentations and demonstrates well-
with more urgently.
prioritise and deal with patient developed problem solving and triage
The doctor has a structure and
presentations in the OOH context. skills.
framework for assessing patient
The doctor is unable to manage their He or she knows when to ask for more
presentations from the information
time effectively during the OOH information if not enough is provided
given to him or her.
session. and demonstrates effective methods for
The doctor is able to demonstrate
dealing with the uncertainty that arises
effective problem solving, and triage
from dealing with large numbers of case
skills.
presentations in a short period of time.
The doctor understands the management
of uncertainty related to triage processes
and is able to deal with this effectively
and with safety for patients.
GPR Self Comments from
Review Evidence
Assessment Trainer
Initial review
Date N
_________
C
P
N
Mid-point
Review
Date C
________
P
N
Final Review
Date C
_________
P
Welsh OOH Workbook Oct 04 Page 12 of 31
GP Registrar Name:____________________________________________________
5 b) Managing the medical record
Novice Competent Proficient
The doctor provides a clear, legible and
The doctor provides a clear and concise record of the patient interaction
The doctor consistently makes no, or
legible record of the patient contact. that includes all the salient points
inadequate, records as a result of patient
The doctor understands to need to relating to the diagnosis and
contacts.
maintain patient confidentiality whilst management of the situation.
The doctor consistently does not provide
ensuring that others can access this The doctor ensures that this record will
adequate information or clinical records,
record. be transmitted to any other professional
that can be transmitted to others
The doctor ensures that others who may who will need to see it.
involved in the care of the patient.
need to deal with the patient later are The doctor can share his or her decision
The doctor consistently makes no
appropriately briefed or informed. making with other members of the
arrangements for appropriate follow-up
The doctor understands the duties of organisation and will make
for patients.
confidentiality in relation to patient care. arrangements to do so for appropriate
further management of the patient.
GPR Self Comments from
Review Evidence
Assessment Trainer
Initial review
Date N
_________
C
P
N
Mid-point
Review
Date C
________
P
N
Final Review
Date C
_________
P
Welsh OOH Workbook Oct 04 Page 13 of 31
GP Registrar Name:____________________________________________________
5 c) Time management, awareness of personal limitations and self-care.
Novice Competent Proficient
The doctor consistently takes no steps to
The doctor arrives for work on the
ensure that they are physically and
majority of occasions with both the
mentally able to cope with work in the The doctor organises his or her life so as
physical and mental energy to perform
OOH context. to be able to work effectively when
effectively.
The doctor is consistently unable to required.
The doctor can recognise when personal
recognise when they are too tired or ill The doctor is able to recognise when
stress during a session will diminish
to function effectively in the OOH they are, or likely to be, ineffective in
their effectiveness as a doctor and a
context. the OOH situation and knows how to
learner, and will obtain support for
The doctor consistently does not deal with this appropriately.
themselves when appropriate.
recognise the need for, or make The doctor is a good timekeeper and on
The doctor is prepared to come early, or
arrangements for, effective rest and the whole arrives for and finishes
stay late, for OOH sessions if necessary
relaxation following OOH. sessions on time.
to support colleagues avoid reduction in
The doctor consistently fails to observe
patient care.
good timekeeping for the OOH sessions.
GPR Self Comments from
Review Evidence
Assessment Trainer
Initial review
Date N
_________
C
P
N
Mid-point
Review
Date C
________
P
N
Final Review
Date C
_________
P
Welsh OOH Workbook Oct 04 Page 14 of 31
GP Registrar Name:____________________________________________________
3. Record of OOH session
Type of session (e.g. base doctor (including walk-in centre), visiting doctor,
telephone triage, minor injuries centre)
Date of session:
Time of session and length (hours):
Type of cases seen and significant events
Competencies demonstrated (see below)
Learning areas and needs identified (to be discussed with GP Trainer)
Debriefing notes from Clinical Supervisor
Name of Clinical Supervisor ___________________________________________
Signature of Clinical Supervisor ________________________________________
Signature of GP Registrar
Competences of OOH Care
1. Ability to 2. Understand the 3. Ability to make 4. Demonstrate 5. Time and stress
manage common organisation of appropriate communication management
emergencies OOH care referrals skills required
Welsh OOH Workbook Oct 04 Page 15 of 31
GP Registrar Name:____________________________________________________
3. Record of OOH session
Type of session (e.g. base doctor (including walk-in centre), visiting doctor,
telephone triage, minor injuries centre)
Date of session:
Time of session and length (hours):
Type of cases seen and significant events
Competencies demonstrated (see below)
Learning areas and needs identified (to be discussed with GP Trainer)
Debriefing notes from Clinical Supervisor
Name of Clinical Supervisor ___________________________________________
Signature of Clinical Supervisor ________________________________________
Signature of GP Registrar
Competences of OOH Care
1. Ability to 2. Understand the 3. Ability to make 4. Demonstrate 5. Time and stress
manage common organisation of appropriate communication management
emergencies OOH care referrals skills required
Welsh OOH Workbook Oct 04 Page 16 of 31
GP Registrar Name:____________________________________________________
3. Record of OOH session
Type of session (e.g. base doctor (including walk-in centre), visiting doctor,
telephone triage, minor injuries centre)
Date of session:
Time of session and length (hours):
Type of cases seen and significant events
Competencies demonstrated (see below)
Learning areas and needs identified (to be discussed with GP Trainer)
Debriefing notes from Clinical Supervisor
Name of Clinical Supervisor ___________________________________________
Signature of Clinical Supervisor ________________________________________
Signature of GP Registrar
Competences of OOH Care
1. Ability to 2. Understand the 3. Ability to make 4. Demonstrate 5. Time and stress
manage common organisation of appropriate communication management
emergencies OOH care referrals skills required
Welsh OOH Workbook Oct 04 Page 17 of 31
GP Registrar Name:____________________________________________________
3. Record of OOH session
Type of session (e.g. base doctor (including walk-in centre), visiting doctor,
telephone triage, minor injuries centre)
Date of session:
Time of session and length (hours):
Type of cases seen and significant events
Competencies demonstrated (see below)
Learning areas and needs identified (to be discussed with GP Trainer)
Debriefing notes from Clinical Supervisor
Name of Clinical Supervisor ___________________________________________
Signature of Clinical Supervisor ________________________________________
Signature of GP Registrar
Competences of OOH Care
1. Ability to 2. Understand the 3. Ability to make 4. Demonstrate 5. Time and stress
manage common organisation of appropriate communication management
emergencies OOH care referrals skills required
Welsh OOH Workbook Oct 04 Page 18 of 31
GP Registrar Name:____________________________________________________
3. Record of OOH session
Type of session (e.g. base doctor (including walk-in centre), visiting doctor,
telephone triage, minor injuries centre)
Date of session:
Time of session and length (hours):
Type of cases seen and significant events
Competencies demonstrated (see below)
Learning areas and needs identified (to be discussed with GP Trainer)
Debriefing notes from Clinical Supervisor
Name of Clinical Supervisor ___________________________________________
Signature of Clinical Supervisor ________________________________________
Signature of GP Registrar
Competences of OOH Care
1. Ability to 2. Understand the 3. Ability to make 4. Demonstrate 5. Time and stress
manage common organisation of appropriate communication management
emergencies OOH care referrals skills required
Welsh OOH Workbook Oct 04 Page 19 of 31
GP Registrar Name:____________________________________________________
3. Record of OOH session
Type of session (e.g. base doctor (including walk-in centre), visiting doctor,
telephone triage, minor injuries centre)
Date of session:
Time of session and length (hours):
Type of cases seen and significant events
Competencies demonstrated (see below)
Learning areas and needs identified (to be discussed with GP Trainer)
Debriefing notes from Clinical Supervisor
Name of Clinical Supervisor ___________________________________________
Signature of Clinical Supervisor ________________________________________
Signature of GP Registrar
Competences of OOH Care
1. Ability to 2. Understand the 3. Ability to make 4. Demonstrate 5. Time and stress
manage common organisation of appropriate communication management
emergencies OOH care referrals skills required
Welsh OOH Workbook Oct 04 Page 20 of 31
GP Registrar Name:____________________________________________________
3. Record of OOH session
Type of session (e.g. base doctor (including walk-in centre), visiting doctor,
telephone triage, minor injuries centre)
Date of session:
Time of session and length (hours):
Type of cases seen and significant events
Competencies demonstrated (see below)
Learning areas and needs identified (to be discussed with GP Trainer)
Debriefing notes from Clinical Supervisor
Name of Clinical Supervisor ___________________________________________
Signature of Clinical Supervisor ________________________________________
Signature of GP Registrar
Competences of OOH Care
1. Ability to 2. Understand the 3. Ability to make 4. Demonstrate 5. Time and stress
manage common organisation of appropriate communication management
emergencies OOH care referrals skills required
Welsh OOH Workbook Oct 04 Page 21 of 31
GP Registrar Name:____________________________________________________
3. Record of OOH session
Type of session (e.g. base doctor (including walk-in centre), visiting doctor,
telephone triage, minor injuries centre)
Date of session:
Time of session and length (hours):
Type of cases seen and significant events
Competencies demonstrated (see below)
Learning areas and needs identified (to be discussed with GP Trainer)
Debriefing notes from Clinical Supervisor
Name of Clinical Supervisor ___________________________________________
Signature of Clinical Supervisor ________________________________________
Signature of GP Registrar
Competences of OOH Care
1. Ability to 2. Understand the 3. Ability to make 4. Demonstrate 5. Time and stress
manage common organisation of appropriate communication management
emergencies OOH care referrals skills required
Welsh OOH Workbook Oct 04 Page 22 of 31
GP Registrar Name:____________________________________________________
3. Record of OOH session
Type of session (e.g. base doctor (including walk-in centre), visiting doctor,
telephone triage, minor injuries centre)
Date of session:
Time of session and length (hours):
Type of cases seen and significant events
Competencies demonstrated (see below)
Learning areas and needs identified (to be discussed with GP Trainer)
Debriefing notes from Clinical Supervisor
Name of Clinical Supervisor ___________________________________________
Signature of Clinical Supervisor ________________________________________
Signature of GP Registrar
Competences of OOH Care
1. Ability to 2. Understand the 3. Ability to make 4. Demonstrate 5. Time and stress
manage common organisation of appropriate communication management
emergencies OOH care referrals skills required
Welsh OOH Workbook Oct 04 Page 23 of 31
GP Registrar Name:____________________________________________________
3. Record of OOH session
Type of session (e.g. base doctor (including walk-in centre), visiting doctor,
telephone triage, minor injuries centre)
Date of session:
Time of session and length (hours):
Type of cases seen and significant events
Competencies demonstrated (see below)
Learning areas and needs identified (to be discussed with GP Trainer)
Debriefing notes from Clinical Supervisor
Name of Clinical Supervisor ___________________________________________
Signature of Clinical Supervisor ________________________________________
Signature of GP Registrar
Competences of OOH Care
1. Ability to 2. Understand the 3. Ability to make 4. Demonstrate 5. Time and stress
manage common organisation of appropriate communication management
emergencies OOH care referrals skills required
Welsh OOH Workbook Oct 04 Page 24 of 31
GP Registrar Name:____________________________________________________
3. Record of OOH session
Type of session (e.g. base doctor (including walk-in centre), visiting doctor,
telephone triage, minor injuries centre)
Date of session:
Time of session and length (hours):
Type of cases seen and significant events
Competencies demonstrated (see below)
Learning areas and needs identified (to be discussed with GP Trainer)
Debriefing notes from Clinical Supervisor
Name of Clinical Supervisor ___________________________________________
Signature of Clinical Supervisor ________________________________________
Signature of GP Registrar
Competences of OOH Care
1. Ability to 2. Understand the 3. Ability to make 4. Demonstrate 5. Time and stress
manage common organisation of appropriate communication management
emergencies OOH care referrals skills required
Welsh OOH Workbook Oct 04 Page 25 of 31
GP Registrar Name:____________________________________________________
3. Record of OOH session
Type of session (e.g. base doctor (including walk-in centre), visiting doctor,
telephone triage, minor injuries centre)
Date of session:
Time of session and length (hours):
Type of cases seen and significant events
Competencies demonstrated (see below)
Learning areas and needs identified (to be discussed with GP Trainer)
Debriefing notes from Clinical Supervisor
Name of Clinical Supervisor ___________________________________________
Signature of Clinical Supervisor ________________________________________
Signature of GP Registrar
Competences of OOH Care
1. Ability to 2. Understand the 3. Ability to make 4. Demonstrate 5. Time and stress
manage common organisation of appropriate communication management
emergencies OOH care referrals skills required
Welsh OOH Workbook Oct 04 Page 26 of 31
GP Registrar Name:____________________________________________________
3. Record of OOH session
Type of session (e.g. base doctor (including walk-in centre), visiting doctor,
telephone triage, minor injuries centre)
Date of session:
Time of session and length (hours):
Type of cases seen and significant events
Competencies demonstrated (see below)
Learning areas and needs identified (to be discussed with GP Trainer)
Debriefing notes from Clinical Supervisor
Name of Clinical Supervisor ___________________________________________
Signature of Clinical Supervisor ________________________________________
Signature of GP Registrar
Competences of OOH Care
1. Ability to 2. Understand the 3. Ability to make 4. Demonstrate 5. Time and stress
manage common organisation of appropriate communication management
emergencies OOH care referrals skills required
Welsh OOH Workbook Oct 04 Page 27 of 31
GP Registrar Name:____________________________________________________
3. Record of OOH session
Type of session (e.g. base doctor (including walk-in centre), visiting doctor,
telephone triage, minor injuries centre)
Date of session:
Time of session and length (hours):
Type of cases seen and significant events
Competencies demonstrated (see below)
Learning areas and needs identified (to be discussed with GP Trainer)
Debriefing notes from Clinical Supervisor
Name of Clinical Supervisor ___________________________________________
Signature of Clinical Supervisor ________________________________________
Signature of GP Registrar
Competences of OOH Care
1. Ability to 2. Understand the 3. Ability to make 4. Demonstrate 5. Time and stress
manage common organisation of appropriate communication management
emergencies OOH care referrals skills required
Welsh OOH Workbook Oct 04 Page 28 of 31
GP Registrar Name:____________________________________________________
3. Record of OOH session
Type of session (e.g. base doctor (including walk-in centre), visiting doctor,
telephone triage, minor injuries centre)
Date of session:
Time of session and length (hours):
Type of cases seen and significant events
Competencies demonstrated (see below)
Learning areas and needs identified (to be discussed with GP Trainer)
Debriefing notes from Clinical Supervisor
Name of Clinical Supervisor ___________________________________________
Signature of Clinical Supervisor ________________________________________
Signature of GP Registrar
Competences of OOH Care
1. Ability to 2. Understand the 3. Ability to make 4. Demonstrate 5. Time and stress
manage common organisation of appropriate communication management
emergencies OOH care referrals skills required
Welsh OOH Workbook Oct 04 Page 29 of 31
GP Registrar Name:____________________________________________________
3. Record of OOH session
Type of session (e.g. base doctor (including walk-in centre), visiting doctor,
telephone triage, minor injuries centre)
Date of session:
Time of session and length (hours):
Type of cases seen and significant events
Competencies demonstrated (see below)
Learning areas and needs identified (to be discussed with GP Trainer)
Debriefing notes from Clinical Supervisor
Name of Clinical Supervisor ___________________________________________
Signature of Clinical Supervisor ________________________________________
Signature of GP Registrar
Competences of OOH Care
1. Ability to 2. Understand the 3. Ability to make 4. Demonstrate 5. Time and stress
manage common organisation of appropriate communication management
emergencies OOH care referrals skills required
Welsh OOH Workbook Oct 04 Page 30 of 31
