FURTHER DEVELOPMENT COMPETENT EXCELLENT POSSIBLE QUESTIONS MANAGING MEDICAL COMPLEXITY Manages health problems separately, without Simultaneously manages the patient’s health Accepts responsibility for co-ordinating the What did you discuss with the patient re their This competency is about aspects of care beyond necessarily considering the implications of co- problems, both acute and chronic. management of the patient’s acute and chronic condition? managing straightforward problems, including the morbidity. Is able to tolerate uncertainty, including that problems over time. Patient specific questions management of co-morbidity, uncertainty and risk, Draws conclusions when it is appropriate to do so. experience by the patient, where this is unavoidable. Anticipates and uses strategies for managing and the approach to health rather than just illness. Appropriately prioritises management approaches, Communicates risk effectively t patients and involves uncertainty. How do you see the disease progressing over based on an assessment of patient risk. them in its management to the appropriate degree. Uses strategies such as monitoring outcomes time? Maintains a positive attitude to the patient’s health Consistently encourages improvement and assessment and feedback to minimise the adverse rehabilitation, where appropriate, recovery. effects of risk. Encourages the patient to participate in appropriate Coordinates a team based approach to health health promotion and disease prevention strategies. promotion, prevention, cure, care and palliation and rehabilitation. PRIMARY CARE ADMINISTRATION AND IMT Demonstrates a rudimentary understanding of the Uses the primary care organisational and IMT systems Uses and modifies organisational and IMT systems to Looking at the coding and diagnosing how This competency is about the appropriate use of organisation of primary care and the use of primary routinely and appropriately in patient care. facilitate: could this have been improved? primary care administration systems, effective care computer systems. Uses the computer during the consultation whilst Clinical care to individuals and communities Talk to me a bout practice alerts? recordkeeping and information technology for the Uses the computer record and online information maintaining rapport with the patient. Clinical governance benefit of patient care. during the consultation Produces records that are coherent and Practice administration. How confident are you that the notes reflect the Routinely records and codes clinical contact in a comprehensible, appropriately and securely sharing Incorporates the computer record and online patient? timely manner and follows the record-keeping these with others who have legitimate access to them. information in the consultation to improve How would you access NICE guidelines? convention of the practice. communication with the patient How did you get the ….?X-ray result? Seeks to improve the quality and usefulness of the medical record e.g. through audit WORKING WITH COLLEAGUES AND IN TEAMS Meets contractual obligations to be available for Provides appropriate availability to colleagues Anticipates situations that might interfere with Who could you involve in this patients care? This competency is working effectively with other patient care. Works co-operatively with the other members of the availability and ensures that patient care is not You go off sick……….what happens? professionals to ensure patient care, including the Appropriately utilises the roles and abilities of other team, seeking their views, acknowledging their compromised. Is there a team forum? sharing of information with colleagues. team members. contribution and using their skills appropriately. When requested to do so, appropriately provides Communicates proactively with team members so that How do you ensure other people are aware of information to others involved in the care of the patient care is not compromised. your concerns and treatment plans? patient. In relation to the circumstances, chose an appropriate Encourages the contribution of colleagues and mode of communication to share information with contributes to the development of the team. colleagues and uses it effectively. COMMUNITY ORIENTATION Identifies how the services of health care providers Reconciles the health needs of individual patients and Contributes to development and delivery of local Patient relevant questions….(Why prescribe This competency is about the management of the and self-help groups can be used appropriately by the health needs of the community in which they live policy related to health. ramipril?) health and social care of the practice population and patient and doctor. in balance with available resources. Applies an understanding of the resources and the What other resources??? Cardiologist local community Identifies the socioeconomic, geographic and cultural Applies an understanding of these features to improve financial and regulatory frameworks within which features of the community that might affect health. the care of patients and the health of the community. primary care operates, to improve community What are the effects on the practice Identifies the features of the doctor’s personal healthcare. population……….(resources, finances, PBC) circumstances and workload that might affect health care delivery MAINTAINING AN ETHICAL APPROACH TO Observes the professional codes of practice, showing Identifies and discusses ethical conflicts in clinical Anticipates and avoids situations where personal and Do you feel there was discrimination in this PRACTICE awareness of his/her own values, attitudes and ethics practice. professional interests might be brought into conflict. case- Good or bad? This competency is about practising ethically with and how these might influence professional behaviour. Actively promotes equality of opportunity for patients What are the patients’ rights in management integrity and a respect for diversity Treats patients, colleagues and others equitably and Recognises and takes action to address prejudice, to access health care and for individuals to achieve with respect for their beliefs, preferences ,dignity and oppression and unfair discrimination within the self, their potential. plans? rights. other individuals and within systems. Values diversity by harnessing differences between people for the benefit of practice and patients alike. FITNESS TO PRACTICE Understands and maintains awareness of the GMC Observes the accepted cods of practise in order to Encourages scrutiny and justifies professional You find you have a lack of knowledge to deal This competency is about the doctor’s awareness of duties of a doctor. minimise the risk of disciplinary action or litigation. behaviour to colleagues. with this case- how would you address this? when his/her own performance, conduct or health, or Attends to professional demands whilst showing Achieves a balance between professional and personal Anticipates situations that might damage the work’ Can you think of anyway your own health that of others might put patients at risk and the action awareness of the importance of addressing personal demands that protects professional obligations and life balance and seeks to minimise the adverse effects. taken to protect patients needs. preserves health. Promotes an organisational culture in which the health would interfere with your performance as a Attends to physical or mental illness or habit that Proactive in taking steps to maintain personal health of its members is valued and supported. doctor- How do you deal with this? might interfere seriously with the competent delivery Promptly, discreetly and impartially ascertains the Provides positive support to colleagues who have Tell me about an SEA you have been involved of patient care. facts of the case, takes advice from colleagues and, if made mistakes or whose performance gives cause for in? Notifies when his/her own or a colleague’s appropriate, engages in a referral procedure. concern. performance, conduct or health might be putting Where personal performance is an issue, seeks advice Uses mechanisms to learn from performance issues patients at risk. and engages in remedial action. and to prevent them from occurring in the Responds to complaints appropriately organisation.