1. Evidence to use for Appraisal Good Medical Practice 2006

2. Appraisal Forms
Form 1 – Basic details; demographics, qualifications, job history
Form 2 – Current Medical Activities; where you work, hours, roles, OOH, on call, Meetings
Form 3 – The Biggie
Form 4 – Summary of discussion and agreed PDP, appraiser fills in, you sign off
Form 5 – Confidential section not released in documents but accessible to appraiser and appraisee

3. Form 3 Meat of the appraisal Supporting documents Each section:
Strengths and weaknesses and docs
Improvements
Development needs
Constraints

4. Good Clinical Care Adequately assess patients condition
Arrange advice, investigations or treatment
Work within your limits of competence
Refer if in the patients best interests
Prescribe only if you have adequate knowledge of the patient
Provide effective treatments based on evidence
Take advice from colleagues as appropriate
Keep clear records
Alleviate pain and distress whether or not cure is possible
Make good use of resources
Do not allow your beliefs to prejudice care
Prioritise on the basis of clinical need

5. Good Clinical Care Offer emergency assistance if required
Not refuse to treat a patient because of personal risk
Be readily available when on duty
Support self care
Avoid providing medical care to anyone with whom you have a close personal relationship

6. Maintaining Good Medical Practice
Keep your knowledge and skills up to date
Keep up to date with laws and codes of practice relevant to your work
Maintain a folder of information and evidence drawn from your practice
Reflect regularly on your standards of medical practice – in line with requirements for relicensing and recertification
Promote patient safety
Take part in regular audit, appraisals and performance reviews
Respond constructively to the above, undertaking further training as appropriate
Contribute to confidential inquires and adverse event recognition to help reduce risk to patients

7. Relationships with Patients
Establish a good doctor-patient partnership
Communicate effectively
Safeguard children, young people and vulnerable groups
Be honest with patients if things go wrong
Maintain trust in the profession
Obtain valid consent where needed
Respect confidentiality and privacy
Be fair about ending your professional relationship with a patient if the trust between you breaks down for justifiable reason

8. Working with Colleagues
Respect the skills and contributions of your colleagues
Communicate effectively within and outside the team
Make sure others understand your role within the team
Join in regular reviews and audit of the team
Support colleagues
Prioritise patient safety and take action if you have concerns
Treat colleagues fairly and with respect
Ensure adequate cover when off duty and effective handover
Take up any post you have accepted; work any notice
Provide all relevant information when handing over
Be satisfied anyone you delegate to has the necessary skills
Be satisfied anyone you refer to is accountable and managed

9. Teaching and Training
Be honest and objective when assessing or appraising
Contribute to teaching, training, assessing willingly
Develop the skills of a competent teacher if you do so
Ensure that students and staff for whom you are responsible are properly supervised

10. Probity Be honest and trustworthy in all that you do
Inform the GMC if you accept a caution or are charged with an offence
Inform other organisations for whom you work if you are suspended
Be able to justify that information you publish about your medical services is factual and verifiable
Be honest and trustworthy when writing reports
Provide honest, justifiable and accurate comments when giving references
Cooperate with any formal inquiry
Act with honesty and integrity if you are involved in research
Be honest and open in any financial arrangements with patients
Discourage patients to give, lend or bequeath money or gifts

11. Probity
Be honest in financial and commercial dealings with employers, insurers and other organisations or individuals
Act in your patients best interest when making referrals and when providing care; declare any financial or commercial interests

12. Research
Put the care and safety of patients first when participating in research
Ensure you have ethics approval and informed consent
Conduct all research in an ethical manner, with honesty and integrity
Be satisfied the foreseeable risks will not outweigh the benefits
Ensure patients or volunteers understand they are being asked to participate in research and the results are not predictable
Record and interpret results accurately
Follow national research governance guidelines
Do your best to complete research projects or ensure they are completed by others
Follow the research protocol approved by the ethics committee

13. Health Register with a GP that is not a member of your family
Do not treat yourself
Be immunised against serious communicable diseases
Take and follow advice from colleagues on whether and how you should modify your practice if you know that you have/think you might have a serious condition which you could pass on to patients, or if your judgement or performance could be significantly affected by a condition or treatment