Know the duties, rights and responsibilities of an employer and (e.g. looking occupational safety of fellow staff). Understand how occupation health and safety is organised in the UK. Develop interviewing techniques and those required for performance review Awareness of how to prepare rotas, delegate and organise a team and run a unit relevant to the specialty Write a simple business case Contribute towards staff development and training, including mentoring, supervision and appraisal Use clinical audit to highlight resources required Manage time and resources effectively to ensure service delivery Recognises situations it is appropriate to involve professional and regulatory bodies Deals with inappropriate patient and family behaviour Respects the rights of children, elderly, people with physical, mental, learning or communication difficulties Adopts an approach to eliminate discrimination against patients from diverse backgrounds including age, gender, race, culture, disability, spirituality and sexuality Places of patients above own convenience Behaves with honesty and probity Acts with honesty and sensitivity in a non-confrontational manner Accepts mentoring as a positive contribution to promote personal professional development Participates in professional regulation and professional development Takes part in 360 degree feedback as part of appraisal Promotes the for equity of access to healthcare Demonstrates reliability and accessibility throughout the healthcare team MAINTAINING TRUST worker
Be aware of the limitations of competence Understand the section in Good Medical Practice on Working with Colleagues, in particular: The roles played by all members of a multidisciplinary team The features of good team dynamics The principles of effective collaboration to optimise patient or population care Understand the principles of confidentiality that provide boundaries to communicate Know techniques to manage anger and aggression in self and colleagues Know responsibility of the doctor in the management of physical and/or mental ill health in self and colleagues ensuring when delegating responsibility that appropriate supervision is maintained Participate in, and co-ordinates, an effective hospital at night or hospital out of hours team where relevant; or participates in General Practice out of hours effectively Communicate effectively with administrative bodies and support organisations Employ behavioural management skills with colleagues to prevent and resolve conflict, and enhance collaboration transparent communication between all team members Ensure appropriate confidentiality is maintained during communication with any member of the team Recognises the need for a healthy work/life balance for the whole team. only takes any leave after giving appropriate notice to ensure that cover is in place Accept additional duties in situations of unavoidable and unpredictable absence of colleagues ensuring that the best interests of the patient are paramount ADMINISTRATION AND MANAGEMENT OF THE SERVICE Demonstrate knowledge of the responsibilities of the various Executive Board members and Clinical Directors or leaders Demonstrate knowledge of the function and responsibilities of national bodies such as DH, HCC, NICE, NPSA, NCAS; , Faculties, specialty bodies, representative bodies; regulatory bodies; educational and training bodies Understand the guidance on management and doctors by the GMC 1,2 Demonstrate the ability to: Discuss the local, national and health priorities and how they impact on the delivery of health care relevant to obstetrics and gynaecology Develop and implement organizational change: development of strategy formulate a business plan manage a project Demonstrate ability to: Question existing practice in order to improve services 1,2 Ability to develop and implement organizational change, aware of the effects on systems and people Demonstrate compliance with national guidelines that influence healthcare provision Demonstrate a willingness to articulate strategic ideas and use effective influencing skills Ability to collaborate with: other professions other agencies 1,2,3 3 3 Observation of and discussion with senior medical and management staff Attendance at Directorate management meetings Management course Equal opportunities course Management course MSF (TO1 and TO2) Mini CEX Case-based discussion Logbook Reflective Diary
Understand the local structure of NHS systems in own locality recognising the potential differences between the four countries of the UK Know the principles of service development Understand the structure and function of healthcare systems as they to obstetrics and gynaecology and within the country that they work Understand the consistent debates and changes that occur in the NHS, including the political, social, technical, economic, organisational and professional aspects that can impact on provision of service Understand the importance of local demographic, socio-economic and health data and its use to improve system performance Understand the principles of: Clinical coding European Working Time Regulation including rest provisions National Service Frameworks Health regulatory agencies e.g. NICE, Scottish Government NHS Structure and relationships NHS finance and budgeting Consultant contract and the contracting process Resource allocation The role of the Independent sector as providers of healthcare Patient and public involvement processes and role Understand the principles of recruitment and appointment procedures Apply creative thinking approaches (or methodologies or techniques) in order to propose solution to service issues Identify trends, future options and strategy relevant to obstetrics and gynaecology ,and delivering patient services Ensure professionalism by: preparing for meetings- reading agendas, understanding minutes, action points and background research on agenda items Work collegiately and collaboratively with a wide range of people outside the immediate clinical setting Evaluate outcomes and re-assess the solutions through research, audit and quality assurance activities Understand the wider impact of implementing change in healthcare provision and the potential for opportunity costs Appreciate the importance of involving the public and communities in developing health services Be willing to participate in decision making processes beyond the immediate clinical care setting Be open minded to new ideas Support colleagues to voice new ideas Take a proactive approach to new technologies and treatments- strive for continuing improvement in delivering patient care services and be prepared to change practice to achieve this Participates in managerial meetings Works with stakeholders to create and sustain a patient-centred service Employs new technologies appropriately, including information technology Conducts assessments of the community needs for specific health improvement measures Demonstrate commitment to implementing proven improvements in clinical practice and services Obtain an effective evidence base before declaring effectiveness of changes Maintain an attitude and behaviour that assists with the dissemination of good practice European Working Time Directive. Department of Health website.
status, household poverty, employment status and social capital in taking a medical history Assess the patient’s ability to access various services in the health and social system and appropriate assistance Help to empower patients and negotiate complex systems to improve health and welfare including, where appropriate, the right to work Where values and perceptions of health and health promotion conflict, facilitate balanced and mutually respectful decision-making Identify and communicate effectively with influential decision-makers/ facilitators of change. Inequality and discrimination/ stigmatising Understand the implications of disability discrimination legislation for healthcare Recognise how health systems can discriminate against patients from diverse backgrounds, and how to work to minimise this discrimination. For example in respect of age, gender, race, culture, disability, spirituality, religion, and sexuality Health promotion and disease prevention 4 3 1,3 Assess the patient’s ability to access various services in the health and social system and offer appropriate assistance Help to empower patients and negotiate complex systems to improve health and welfare including, where appropriate, the right to work Where values and perceptions of health and health promotion conflict, facilitate balanced and mutually respectful decision-making Identify and communicate effectively with influential decision-makers/ facilitators of change. Advanced communication skills Communicate effectively with patients from diverse backgrounds and with special communication needs, such as the need for interpreters etc Communicate effectively and respectfully with parents, carers etc. Accessing information and services Be able to access and make use of appropriate population, demographic, socio-economic and health data Conduct an assessment of community health needs, and where appropriate apply these in practice. 3 1 Use appropriate methods of ethical reasoning to come to a balanced decision complex and conflicting issues are involved Accept uncertainty Be aware of one’s own behaviour and how it might impact on patients’ health issues Adopt assessments and interventions that are inclusive, respectful of diversity and patient-centred. GMC. Valuing diversity guide. GMC website.
Understand the factors which influence the incidence and prevalence of common conditions Understand the factors which influence health and illness – psychological, biological, social, political, cultural and economic (especially poverty) Understand the influence of lifestyle on health and the factors that influence an individual patient to change their lifestyle Understand the influence of culture and beliefs on patients perceptions of health Understand the possible positive and negative implications of health promotion activities e.g. immunisation Understand the relationship between the health of an individual and that of a community, and vice versa Know the key local concerns about health of communities Have an awareness of the role of other agencies and factors including the impact of globalisation (including climate change) in increasing disease, and in protecting and promoting health. Have an awareness of the determinants of health worldwide and strategies to influence policy relating to health issues including the impact of more economically developed countries’ strategies on less economically developed countries Identify opportunities to prevent ill health and disease in patients and other actions which will positively improve health and/or disease outcomes Identify the interaction between mental, physical and social wellbeing in relation to health Counsel patients appropriately on the benefits and risks of screening and health promotion activities Identify patients’ ideas, concerns and health beliefs regarding screening and health promotion programmes and is capable of appropriately responding to these Work collaboratively with other agencies to improve the health of communities Recognise and be able to balance autonomy with social justice Follow practices of health promotion specialists Engage effective team-working around the improvement of health Encourage and support (where relevant) screening to facilitate early intervention Remain non- judgemental, and respect patient’s ideas, concerns and health beliefs Awareness of the psychological component of disease and illness RCOG webcast: Climate Change and its Impact on Women's and Children's Health. RCOG website UK Faculty of Public Health website World Health Organisation (WHO) climate change. WHO website. World Health Organisation (WHO) Health Promotion. WHO website. Global Health Council website RCOG International Development. RCOG website Reflective learning ENVIRONMENTAL PROTECTION AND EMERGENCY PLANNING 1,2 1,2 1,2,3 CbD,
Understand and outline the mechanisms by which environmental chemicals have an impact on human health Understand and outline the mechanisms by adverse chemical exposure can be mitigated e.g. decontamination, specific antidotes. Understand how to seek a second opinion and appropriate expert advice Know the potential sources of information and guidance to manage a case of chemical etc exposure, including local, regional and national sources Recognises the potential for chemical or other hazardous environmental exposure in relation to an individual patient and manages patients in an appropriate manner according to guidance Recognises the importance of evidence-based practice in relation to clinical effectiveness Actively engages in emergency planning arrangements including exercises in accordance with Trust plans Openly considers the possibility of chemical or environmental exposure in clinical work Reflective learning Log of experiences Core Module 19 Logbook Competence level Basic level Intermediate level Advanced level Not required Level 1 Level 2 Level 3 Date Signature Date Signature Date Signature Demonstrate effective team working Show evidence of team leadership Written communication Signing perinatal death certificates Leadership in acute emergency Training Courses or sessions