Capability in Practice 5: The doctor takes an active role in helping self and others to develop themselves.
This CiP is grouped under Professional Identity 1: Healthcare Professional.
Maintains situational awareness
- Understands and applies the three critical stages of situation awareness.
- Understands and applies the techniques to maintain situation awareness, both team and individual factors – e.g. minimising interruptions and distractions.
- Maintains situation awareness in safety-critical environments.
Demonstrates insight into decision making
- Understands the psychological theories on how we make decisions under pressure.
- Understands the different types of decision making (intuitive, rule-based, analytical and creative).
- Demonstrates insight into own decision-making process.
- Can review and analyse the decisions of others.
- Progresses from analytical to intuitive decision making and is able to articulate this as experience develops.
- Reflects on unconscious biases which may influence our interaction and behaviour
- Demonstrates when making clinical decisions the ability to consider a person’s perspective and the reasons for choices and perception of safety.
Ability to respond to human performance within adverse clinical events
- Demonstrates knowledge and effects of various types of human error/violations on outcomes.
- Demonstrates knowledge and effects of unconscious and cognitive biases (e.g. fixation, normalcy, confirmation etc.).
- Reviews effects of human error and biases in clinical practice.
- Understands team working in complex dynamic situations.
- Ability to adapt to changing teams.
- Works effectively as part of a multiprofessional team in different roles.
- Communicates effectively within the multiprofessional team and with patients, relatives and members of the public. Understands that multiple methods of communication are required
- Demonstrates appropriate assertiveness and challenges constructively.
- Reflects on breakdowns in team working and communication.
- Recognises and celebrates effective multiprofessional team working
Understands systems and organisational factors
- Recognises how equipment and environment contribute to outcomes and patient safety.
- Is aware of latent and active failures within healthcare systems and the effects on safety eg. Reason’s model (Swiss cheese).
- Promotes a safety culture by role modelling ideal behaviours.
- Knows how to escalate safety concerns.
- Understands the concept of ‘high reliability’ organisations and the relevance to improving outcomes in healthcare.
Evidence to inform decision
- Reflective practice
- TO2 (including SO)
- Local and Deanery Teaching
- RCOG e-learning
Mapping to GPCs
Domain 1: Professional values and behaviours
Domain 2: Professional skills
- Practical skills
- Communication and interpersonal skills
- Dealing with complexity and uncertainty
Domain 3: Professional knowledge
- Professional requirements
- National legislative structure
- The health service and healthcare systems in the four countries
Domain 5: Capabilities in leadership and teamworking
Domain 6: Capabilities in patient safety and quality improvement
- Patient safety
- Quality improvement