Acknowledgement: to North Western Deanery Department of Postgraduate General Practice and Dr Julian Page for developing the outline of this logbook. Developed from the 9 Point Rating Scale, it incorporates the GMC’s 14 “Duties of a Doctor” 1 History taking and examination 1 2 3 4 5 6 7 8 9 Incomplete, inaccurate, confusing history taking, cannot get patient co- operation for examination, technique poor Clear history taking, appreciates the importance of clinical, psychological and social factors, performs adequate and appropriate examinations Accomplished and concise history taker; including clinical, psychological and social factors. Skilled examination technique, effective listener Date Score Comment 2 Investigations 1 2 3 4 5 6 7 8 9 Inappropriate, random, unnecessary investigations no thought given. Often fails to perform investigations requested Investigates appropriately, ensures all investigations requested by the team are completed, knows what to do with abnormal results Arranges, completes and acts on investigations intelligently, economically and diligently Date Score Comment 3 Record Keeping 1 2 3 4 5 6 7 8 9 Poor, confusing records. Inadequate, illegible records made in notes, medico-legally sound, others are able to understand Records his/her information accurately and efficiently. Easy for others to follow Date Score Comment 4 Problem solving / Making a diagnosis 1 2 3 4 5 6 7 8 9
Unable to make decisions, or even make a working diagnosis. Fails to involve patients in decision making. Unaware of own limits Can make a diagnosis, and produce safe, appropriate management plans. Involves patients in decision making. Good recognition of own limits Plus – shows intelligent interpretation of available data to form an effective hypothesis, understands the importance of probability in diagnosis Date Score Comment 5 Multimorbidity and medical complexity 1 2 3 4 5 6 7 8 9 Manages health problems separately, without considering implications of multimorbidity. Maintains positive approach to patient’s health. Simultaneously manages both and chronic health problems. Can tolerate uncertainty, including that of the patient where appropriate. Communicates risk effectively to patients. Encourages patient involvement in health promotion and disease prevention. Accepts a key role in and management of acute and chronic problems. Anticipates and uses strategies to manage uncertainty. team-based approach to health promotion, prevention, cure, care and palliation and rehabilitation. Date Score Comment 6 Emergency care 1 2 3 4 5 6 7 8 9 Does not respond to emergency calls, chaos and panic in emergency situations Responds quickly to emergency calls, works well within team, appropriate management of situation Shows ability in evaluating the emergency situation calmly and intelligently, establishes priorities correctly, organises assistance and treatment promptly. Date Score Comment 7 Attitude to and relationship with patients 1 2 3 4 5 6 7 8 9 Discourteous, inconsiderate of patients views, dignity & privacy. Unable to reassure, subject of repeated complaints Courteous & polite, communicates well with patients, shows appropriate level of emotional involvement in the patient and family. Respects privacy & dignity Excellent bedside manner, able to anticipate patients’ emotional and physical needs and plans to meet them. Explains clearly and Checks understanding. Date Score Comment
1 2 3 4 5 6 7 8 9 No awareness of the NHS systems, unable to adapt to new ways of working Coping well with the NHS systems, can overcome teething problems and is learning the new ways of working Working well within the confines of the NHS, aware and correct use of its systems. Good awareness on professional etiquette Date Score Comment 17 Case-based discussion (CBD) 1 2 3 4 5 6 7 8 9 Significant concerns/learning identified Some concerns/learning needs noted Good reflection, no concerns no Date Comment 18 Clinical Examination & Procedural Skills Assessment (CEP) 1 2 3 4 5 6 7 8 9 Significant concerns/learning needs identified Some concerns/learning needs noted No concerns noted Date Comment 19 Multi-source feedback (MSF) Please use a recommended tool for detailed feedback as no specific tool is mandatory. Expectation is one per six placement (i.e. if over 12 months then two MSFs expected) 1 2 3 4 5 6 7 8 9 Significant concerns/learning needs identified Some concerns/learning needs noted No concerns Date Score Comment 20 Patient satisfaction questionnaire (PSQ) Please use a recommended tool for detailed feedback as no specific tool is mandatory. Expectation is one per six placement (i.e. if over 12 months then two PSQs expected) 1 2 3 4 5 6 7 8 9 Significant concerns/learning needs identified Some concerns/learning needs noted No concerns noted