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Core Curriculum: CiP 1

Capability in Practice 1: The doctor is able to apply medical knowledge, clinical skills and professional values for the provision of high quality and safe patient-centred care.

This CiP is grouped under Professional Identity 1: Healthcare Professional.

 

Key Skills

Descriptors

Able to take history and perform clinical examination and use appropriate investigations to establish diagnosis

 

  • Can take a detailed, focused history including details of current medication.
  • Conducts appropriate clinical examinations.
  • Documents clinical encounters in an accurate, complete, timely and accessible manner, in compliance with legal requirements.
  • Can select appropriate investigations and interpret results.
  • Lists possible diagnoses and applies clinical judgement to arrive at a working diagnosis.

Facilitates discussions

  • Uses empathy, respect and compassion when communicating with a patient to build trust and independence.
  • Modifies their approach to the patient when cultural background or personal values may have an impact on engagement and care.

Ability to facilitate women’s decision making

  • Considers views, preferences and expectations when working with patients and their families to establish patient-centered management plan.
  • Shares information with patients and their families clearly, in a timely, non-judgmental fashion and facilitates communication (including use of a translator, advocate or supporter when needed).
  • Recognises limitations and escalates care where appropriate.
  • Creates the conditions for informed consent to be given, explaining the risks and benefits of, or the rationale for, a proposed procedure or treatment.

Provides treatment

  • Demonstrates a commitment to high quality care, which is safe and effective and delivers a good patient experience.
  • Prescribes medicines, blood products and fluids correctly, accurately and unambiguously in accordance with GMC and other guidance.
  • Demonstrates ability to deal with complex situations including drug contra-indications and side effects
  • Determines responsibility for follow up, including appropriate intervals for monitoring, location of care, instructions on accessing emergency help and changing or cancelling appointments.
  • Works effectively within a multiprofessional team to meet the needs of the individual
  • Can make referrals for complex cases.

 

Evidence to inform decision 

  • CbD
  • Mini-CEX
  • Reflective practice
  • TO2 (includes SO)
  • NOTSS
  • MRCOG Part 3

 

Mapping to GPCs

Domain 1: Professional values and behaviours

Domain 2: Professional skills

  • Practical skills
  • Communication and interpersonal skills dealing with complexity and uncertainty
  • Clinical skills (history taking, diagnosis and management, consent; humane interventions; prescribing medicines safely; using medical devices safely; infection control and communicable diseases)

Domain 3: Professional knowledge

  • Professional requirements
  • National legislative requirements

Domain 5: Capabilities in leadership and teamworking

Domain 6: Patient safety and quality improvement

  • Patient safety