Personally witnessed Initials of witnessing colleague Unable to confirm 4. Ethical and legal issues Medical ethical principles and confidentiality Practises in accordance with the principles of Good Medical Practice (2013), The Trainee Doctor (2011) and Confidentiality (2009) framework of medical practice Takes personal responsibility for and is able to justify decisions and actions Comprehension of relevance of outside bodies to professional life Recognises many organisations and bodies that are involved in medical education and regulation of medical practice 5. Teaching and training Delivers presentations and teaching sessions which support learning Participates in the assessment of medical students or other healthcare professionals and provides constructive feedback Reflects on feedback from learners and supervisors to improve own teaching and training skills 6. Maintaining good medical practice Lifelong learning Maintains personal development portfolio by recording learning needs and personal reflection including career development and planning Recognises personal learning needs, addresses these proactively and sets SMART (specific, measurable, achievable, realistic, time limited) goals Evidence, guidelines, care protocols and research Recognises, understands and follows appropriate guidelines Finds and interprets evidence relating to clinical questions Demonstrates the use of literature, guidelines and experience in the development of clinical skills over the previous year Verifying consultant’s signature confirming details above: Applicants name: Date of completion: Section 2: The foundation doctor as a safe and effective practitioner Personally witnessed Initials of witnessing colleague Unable to confirm 7. Good clinical care
Safe use of medical devices Demonstrates correct use of relevant medical devices and interpretation of non-invasive monitoring Infection control and hygiene Demonstrates continuously high standard of practice in infection control techniques Complies with local requirements for learning related to infection control Complies with local requirements for immunisation against communicable disease Medical record keeping and correspondence Maintains accurate, contemporaneous notes Seeks out and records results of investigations and tests in a timely manner Formulates accurate and succinct clinic letters and discharge summaries Interface with different specialties and with other professionals Makes appropriate referrals within the hospital Takes part in the process of referral from primary to secondary and/or tertiary care and vice versa Able to make referrals across boundaries and through networks of care 8. Recognition and management of the acutely ill patient Promptly assesses the acutely ill, collapsed or unconscious patient Uses an Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach to assessing acutely unwell or collapsed patients Recognises patients with acute illness requiring urgent/emergency treatment and initiates early management Rapidly performs primary assessment, evaluates and recognises the severity of illness in acutely ill or collapsed patients Recognises the different prognostic significance of the component elements of Glasgow Coma Scale (GCS) or equivalent and takes appropriate action Responds to acutely abnormal physiology Takes appropriate timely action to treat a patient with abnormal physiology Anticipates and plans appropriate action to prevent deterioration in vital signs Manages patients with impaired consciousness including seizures Investigates causes of impaired/deteriorating consciousness and seizures and commences treatment to correct them Manages / treats the unconscious or convulsing patient Understands the impact on the activities of daily living of convulsions and communicates these to patients and their carers/relatives Verifying consultant’s signature confirming details above: Applicants name: Date of completion:
Personally witnessed Initials of witnessing colleague Unable to confirm Manages pain Safely prescribes and administers common analgesic drugs including patient controlled analgesia Anticipates and prevents pain whenever possible Ensures safe prescribing, tailoring to changing requirements throughout patient’s care journey Manages sepsis Identifies and manages sepsis early in accordance with local protocols Identifies and treats the focus of infection in accordance with sepsis resuscitation bundle e.g. Manages acute mental disorder and self-harm Assesses and manages patients’ mental health including the risk of harm to self and others Describes when and how to apply the relevant mental health and capacity legislation 9. Resuscitation and end of life care N.B. ALL applicants must submit a valid ALS certificate either at Assessment Centre or to their first employer before they can begin ST/CT1 training Resuscitation Knows how to initiate and respond to a crash call Is trained in advanced life support (ALS or equivalent) Not verified by this certificate Initiates ALS resuscitation and leads the team where necessary End of life care and appropriate use of Do Not Attempt Resuscitation (DNAR) orders/ advanced decisions Understands the principles of providing high quality end of life care including the use of DNAR orders as outlined in Treatment and care towards the end of life: good practice in decision making (GMC, 2010) Takes part in discussions regarding end of life care and DNAR orders Uses the local protocol for deciding when not to resuscitate patients 10. Patients with long-term conditions Manages patients with long-term conditions Accurately re-prescribes long-term medications checking for side effects and significant interactions in the context of the current illness (see Good Clinical Care: Safe Prescribing,2008) Manages long-term conditions during episodes of acute care Verifying consultant’s signature confirming details above: Applicants name: Date of completion: