“FrequentlyAsked Questions” document from The BADforCESR(CCTspecialty) applications
Whatisthefirstquestion I shouldaskmyselfbeforeconsideringapplyingfor a CESR(CCTspecialty– Dermatology)?
Do I feelmytrainingandexperiencetodateisequaltothatof a newlyappointedConsultantintheNHS? Onlyproceedwithyourapplicationifyouareconfidentthattheanswerisyes.
Whatisthefirstthing I should dowhenapplyingfor a CESR(CCTspecialty-Dermatology)?
Readalltherelevantdocumentsindetail. ThedocumentsincludethisdocumentandtheRCPdocument“2011updateforCESRapplicantsforCCTspecialty – Dermatology”andlookattheSpecialtySpecificGuidance(SSG)andotherguidanceontheGMCwebsite. TheevaluationisbasedonthecurrentDermatologycurriculumandcore Medical Training Curriculum. KeepcheckingtheGMCandRCPwebsitesforthelatestinformationandguidance.
Whatisthestandardfor a CESR (CCTspecialty)application?
The standard is set by a post-graduate Order of 2012 Parliament(nottheCollegeorGMC)andisatthelevelofsomeonewhohasjustcompleted a CCT(CertificateofCompletion of Training) programme inDermatology and is about to be appointedasanNHSConsultant.
My training is very different to thatof a UKbasedtrainingprogramme,does this matter?
CESR (CCT specialty) applications areaboutequivalenceoftrainingandnotidenticaltraining.Trainingandexperience (that is to say time spent in non-trainingposts)cancounttowardsprovidingtheevidencerequiredfortheCCTstandard.
What is theminimumrequirementfor aCESR (CCT specialty-Dermatology) application?
Theminimumrequirementisinfactverylittle. Youneedtohavespecialisttrainingfor a minimumof 6 monthsor a specialistpost-graduate Dermatologyqualification(thisdoesnothavetobeMRCP). Itwouldbe veryunlikelyhoweverthatyouwouldobtain a CESRwiththisminimumrequirementonly. Itisveryimportantthatyoufeelconfidentthatyoucanprovideevidenceofalllearningoutcomes of the Dermatology curriculum beforecontemplatinganapplication. A failedCESR (CCTspecialty)applicationisanexpensiveprocessandattentiontodetailisthebestwayofensuringsuccess.Itislikelythatthe“minimumrequirement”maychangeinthenearfuturesokeepcheckingtheGMCwebsiteforuptodateinformation.
Couldyougivemeanoverviewoftheapplicationprocess?
Readalltherelevantdocumentsindetail. Collecttheevidenceneededandensureithasbeenappropriately validated. Inform yourreferees that theirinput is needed for the structured reports.Submit relevantdocumentationandevidencetotheGMC. A CertificationAdviserwillbe appointed by the GMC toassistintheapplicationandobtainthestructuredreports.
WhentheapplicationisthoughttobecompleteitissubmittedtoTheRoyalCollegeofPhysiciansforevaluation. A decisionontheapplicationhastobemadewithinthreemonthsoftheapplicationarrivingattheCollege.
Theapplicationisgiventokeepassessorswhoaremembersof the RCP and BAD.
Theassessorsinitiallyperformanindependentevaluationusing astandardformbasedonthefourdomainsoftheGMC’s“GoodMedicalPractice”document.Theythenconvene (usuallyvia a teleconference)anddiscusstheapplicationindetailandmake a recommendationthatissenttotheGMCfromtheCollege.
TheGMCreviewtheevaluationandiftherecommendationappearsclearandunambiguousmaketheappropriatedecision. IftheGMCfeelthattherecommendationisunclearordoesnot takealltheevidenceintoconsideration,thenthecaseisreferredto a GMCCertificationPanelforfurtherevaluationand a decisionmade.
How is theevidence organised?
TheapplicationanddocumentationinsupportoftheapplicationisbasedontheGMC’sfourdomainsof“GoodMedicalPractice”.Thestructuredreportsandtheevaluationformarealsobasedonthis four domain system. The tablebelowsummarisesthefourdomainsandthetypeofevidenceassociatedwitheachdomain.A moredetailedsummaryoftheevidenceisavailableinAppendix1:
Domain 1Knowledge,SkillsandPerformance
Qualifications AssessmentsandAppraisals
Logbooks / Recordsofdailyclinicalpractice
Detailsofpostandduties
Research,publicationsandpresentations
CPD / CME
Teaching and Training
Domain 2Safety and Quality
Participationinaudit,serviceimprovement
Clinicalgovernance
Safety
Domain 3Communication,PartnershipandTeamwork
Domain 4MaintainingTrust
Whatarethecurriculumrequirements?
AllnewCESR(CCTspecialty - Dermatology)applicationsareassessedagainsttheDermatologycurriculumasthisisthestandardforobtaining a CCT. ItisveryimportantthattheDermatologycurriculumisstudiedindetail. Itis a web-basedCollege document and is divided into a totalofsectionedlearningoutcomes. Ifyoucanshowvalidatedevidenceofcompetence in all these learning outcomes,thenyouwillbesuccessfulinyourapplication. Theweb-baseddocumentalsohasdetailedguidanceonhoweachlearningoutcomeisevaluated(lookattheStudyGuidelinks).
What if my training has not includedWork-placeBasedAssessments?
Work-placeBasedAssessments(WpBA’s)are a relativelynewwayofassessingcompetenceandwereintroducedintheUKaspartoftheFoundationProgrammeoftrainingfordoctorsinthefirst 2 yearsafterqualification. This form of assessmenthasnottodatebeencommonplaceinotherpartsoftheworldorintheUKpriortotheestablishmentoftheFoundationTrainingprogramme.Itcan thereforebedifficultforapplicantstoretrospectivelyobtainevidenceinthisway. ItmustbeemphasisedhoweverthatWpBA’sareonlyonewayofobtaining evidence of competencies. It maybemoreappropriateforsomeapplicantsto provide evidence in the more“traditional”formatassociatedwiththeBST(1999)/HST(March2003)curriculumor a combinationofthis formatandtheWpBAformat(seebelow).Evidence ofnon-surgicalcompetenciescanincludecompiling a logbookofcasesseenin a particularspecialistclinicwithdetailsofthepatient(butnotthepatient’sname),date,diagnosisand a statement of thenatureofyourinvolvementinthemanagementofthecases.Thislogbook(casebook)mustbevalidatedbythesupervisingconsultant.
Whatformatshouldthelogbookofprocedurestake?
Logbooksandcumulativedatasheets(calledconsolidatedrecordsheetbytheGMC)are a veryimportantpartoftheevidencethatshouldbesuppliedtothe GMC. Photocopies of operatinglistsandphotocopiesoftheatreandlaserrecordbooksarenotsatisfactoryevidenceofprocedures.Properlogbooksshouldbesuppliedcoveringbothsurgicalandlaserprocedures.Ifyoudidnotkeep a logbookatthetime, a logbookshouldbecreatedfrom the appropriatesourcesofinformationandthenvalidatedonceyouhavemadethelogbook.Thelogbookshouldcontainthefollowinginformation:
Onlyproceduresthat youwerepersonallyinvolvedin
Patient record number but not the name ofthe patient
Nameofthehospitalorclinicwhereprocedurewasperformed
Dateoftheprocedure
Fullnameoftheprocedure
Yourroleintheprocedurei.e.assistedintheoperation(A),performedyourself(P),performedunderthedirectsupervisionofsomeonemoresenior(PS),supervised a junior(SJ).Beingintheatreandobserving aprocedurewithoutassistingcannotbecountedasevidenceoftraining.
Thelogbookshouldstartwith a consolidatedrecordsheetsummarisingthetotalnumberofthevariousproceduresmentionedinthelogbook. Ifyousupplymorethanonelogbookeachlogbook shouldhaveitsownconsolidatedrecordsheet.Everypageofthelogbook needs validation. Logbooks provideprimaryevidenceintheCESR(CCTspecialty - Dermatology)applicationprocessanditisthereforeveryimportantfortheapplicanttoprovidetheevidenceinthecorrectformat. TheCollegewebsitehasusefulsuggestionsastothedetailedformatoflogbooksandcumulativedatasheets.
Whatisthedifferencebetweenprimaryevidenceandsecondaryevidence?
Therearenohardandfastrulesatpresentonthisterminologybutprimaryevidencecarriesmore“weight”thansecondaryevidence. Primary evidencewouldincludevalidatedlogbooksofsurgicalorlaserprocedures,WpBA’s,casebooksofpatientsseenandyour involvement in their management,evidenceofparticipationinaudit,researchandpublicationsetc(thislistisforexample only and is not exhaustive).Secondaryevidenceisinformationfromstructuredreports,testimonialsetc.
Whatdoestheterm“triangulationofevidence”mean?
Traineesin“run-throughtraining”inDermatologyintheUKareassessedina varietyofwaystochecktheyhavethenecessarycompetenciesfortheawardofCCT.TheyhavetopasstheMRCP and exitexaminationandhavetokeepanuptodateportfoliowithevidenceof their training. This evidence isreviewedindetaileveryyearattheARCP(AnnualReviewofCompetenceProgression). Evidenceofcompetence forlearningoutcomesisderivedfroma variety of independent sources (suchaslogbookevidence,educationalsupervisor’sreportsandWpBA’s).Theterm“triangulationofevidence”relatestoobtainingevidencefromindependentsources,assessingthe“weightofevidence”anddegreeof concordancebetweensources,thenmaking a judgmentregardingthetrainee’scompetenceforthatlearningoutcome.
A similarprocessoccurswithCESR (CCT specialty - Dermatology)evaluations. Theassessorsaremorelikelytopasstheapplicantascompetent with a particularlearningoutcomeifevidenceisobtainedfromseveralsourcesandinparticularifevidenceisprimaryrather than secondary.
AreWork-placeBasedAssessmentscountedasprimaryorsecondaryevidence?
A completedWpBAintheformatrequestedbytheCollegerelatingto aspecificlearningoutcomewillcountasprimaryevidencetowardscompetenceinthatlearningoutcome. Many ARCPpanelsrequest a minimumof 2WpBA’sfromindependentsourcestoprovideevidencetowardscompetencein a specificlearningoutcomeandthiswouldalsostrengthenthe“weightofevidence”fortheCESR(CCTspecialty - Dermatology)applicant.
A simplelistofallDermatologylearningoutcomesindividuallycountersignedby aConsultantsaying“meetsexpectations” is secondary evidence of competenceintheselearningoutcomesonly. A globalstatementbytherefereeinthestructuredreportsayingthat“theapplicantiscompetentinalllearningoutcomes of the Dermatology curriculum” is secondaryevidencewithrelativelyweak“weightofevidence”Boththeseexamplesofevidencewillnotinthemselvesbe sufficient to show competence andfurtherprimaryevidencewillbeneeded. Anapplicantthatprovidesa longlistofCasebasedDiscussion(CbD)typeWpBA’sallobtainedwithin a veryshortperiodoftime(afewdays)isunlikelytohavespentsufficienttimebeingengagedintheassessmentprocessandthe“weightofevidence”fromsuch a listwouldbelessthanCbD’sobtainedover a greaterperiodof time with different assessors. AnyapplicationsubmittedafterOctober2011hastohavethefreetextboxesat theendoftheCbDformstatingwhatfeedbackhasbeengiven(anythingespeciallygood,suggestionsfordevelopment,actionagreed)filledinwiththeappropriatefeedbackfromtheassessor. Thisisnow a mandatoryrequirementforCCTcandidatesandasCESRapplicantshavethesamestandarditisalsoobligatoryforyou. Ifyousubmit aformwithoutthisfreetextincludeditwillnotbecountedasevidence.
I understandthatthe curriculumdoesnotspecifynumbersofoperationsneedingtobeperformed?
Thecurriculumisoutcomebasedandnottimeornumberbased. ThereishoweveranimportantdocumentontheCollegeweb-sitethatshouldbereadbytheapplicantasitalsoguidestheevaluationof a CESR (CCTspecialty-Dermatology) application. Thisdocument isentitled“GuidetotheDeliveryofDermatology”(Version2.2,February2009)andgivessuggestedminimum numbers of proceduresperformedleadinguptoCCTthisdocumentisbasedonthenumbersrequiredintheoldBST/HSTcurricula. Itisstronglyadvisedthatapplicantsshouldhavereachedtheminimumnumberofproceduressuggested inthisdocumentpriortoapplyingfor a CESR(CCTspecialty - Dermatology). Attentionshouldalsobegiventotheadviceaboutwhichproceduresshouldbeperformedbytheapplicantandthoseinwhichtherequirementistohaveassistedonly.
WhatabouttheoldBST / HSTcurriculum, is thisstillrelevant?
CESR(CCTspecialty - Dermatology) applications were assessed againstthe BST (Basic Specialist Training) andHST(HigherSpecialistTraining)curricula until August 2007 when it changedtothecurriculum. TheBST/HSTcurriculawerebasedon a moreprescriptiveapproachwithspecificmandatorycompetenciesandessentialclinicalexperiencesbeingrequiredineachofthesevensub-specialityareaswithminimumnumbersofoperations,clinicsetcstipulatedinordertoobtaintheCCT. Thesehavebeensummarizedin
IfanapplicantcanshowthatallthemandatorycompetenciesandessentialclinicalexperiencesoftheBST/HSTcurriculaaremet,thenasthecurriculumisequivalenttotheBST/HSTcurricula, a CESRwillbegranted.
Thegreatestproportionofevidencesubmittedin a CESR(CCTspecialty -Dermatology)applicationwillrelatetoDomain 1 “Knowledge,SkillsandPerformance”. Havingthesevensub-specialityareasremainingontheevaluationformfacilitatestheevaluationprocessbyhelpingorganisingtheevidencein a logicalway. Asthe CESR(CCTspecialty - Dermatology)applicationisnowevaluatedagainstthecurriculumitisusefulto“map”thevariouslearningoutcomesinthecurriculumtothesevensub-specialityareasand a suggestedmappingisshownin
I donothavetheMRCP,whatcan I do?
TheMRCPexaminationis a requirementforCCTandthereforeCESR(CCTspecialty - Dermatology)applicantsneedtoshowanequivalentbodyofknowledgeandskillstotheMRCPexamination.Ifyoudonothaveanexaminationthatisautomaticallyequivalentthenalternativeevidenceofequivalentskillsandknowledgeisrequired. Thisisusuallyintheformof a post-graduatespecialistqualificationbuttheGMCstateshoweverthatthisevidencedoes nothavetobeintheformofanexamination(althoughitwillbeveryunusualforsomeonetoprovideevidencewithoutsomeformofpost-graduatespecialistqualification). OnesuggestedmappingofthelearningoutcomesinthecurriculumthatrelatetotheMRCPexaminationisfound in
What if my of my evidenceismorethan 5 yearsold?
ThestandardforCESR(CCTspecialty - Dermatology)applicantsrelatestosomeoneabouttoobtainCCTandbeappointed a ConsultantintheUK. As aresult of this standard the GMC placegreatemphasisonthecompetenciesbeing“currentandmaintained”. Evidenceoftrainingorexperiencewithinthelast 5 yearswillthereforecarrygreater“weightofevidence”thanmoredistanttrainingorexperience.Ifallsurgicalexperienceincertainsubspecialtyareasis a considerabletimeagoitisunlikelythattheapplicantwillpassasthecompetenceintheseareaswillnotbe“currentandmaintained”. Theapplicantisadvisedinthissituationto ensurethatsomesurgicalexperience inthesesubspecialtyareastakesplacewithin 5 yearsofsubmittingtheapplication. Natural career progression of competence and skill base, applications cannot be based on the last five years alone particularly if the applicant has narrowed their field of interest after meeting all the general competencies. Applicants must demonstrate all competencies in curriculum and may need to go outside the five years to present evidence.
I haveevidencefromtheCollegee-portfolio.Do I needtodownloadthisevidencetopaperformatandhaveitvalidated?
TheGMCstatesthate-portfolioevidencedoesneedtobedownloadedintopaperformatandthenvalidatedbytherelevantsupervisingconsultant. TheGMCisoftheopinionthatthereis potentialfordownloadeddocumentstobefraudulentlyadjustedandhencetheneedforseparatevalidationdespitethesecuritymeasuresthattheCollegehasin place for its e-portfolio information.Downloaded e-portfolio documents suchas WpBA’s that arenotvalidatedwith a ConsultantsignatureandhospitalstampcannotbeconsideredasevidenceofcompetencebytheCollegeassessors
Whoshould I asktobemystructuredreferees?
Youshouldask 6 personswhohavefirst-hand knowledge of your work /training/experiencetobeyourreferees. Itispreferablethatyouhaveworkedwiththemwithinthelast 5 years. OneoftherefereesshouldbeyourcurrentMedical / ClinicalDirector.TheGMCplaceemphasisintheinstructionstorefereesthattheymusthave“directknowledgeoftheapplicant’sworkortraining”. Thereislittlepointthereforeinaskingsomeonewhomyoumayhavemetbrieflyat a conferencetobea refereeorsomeonewhomyouknewmanyyearsagoandhassinceretired.PleaseinformtherefereesinadvancethatyouhaveaskedtheGMCtocontactthemtoprovide a reference.Pleasealso ask them to type ratherthanwritebyhandtheinformationintothereport!The structured report asks the referee to provideinformationontheapplicantsexperience and ability from directobservationbutdoesnotaskthemtocomparethistothecurriculum;thisistheroleoftheCollegeevaluation.ThestructuredreportisbasedonthefourdomainsofGMP.
Structured reports provideimportantevidenceinall four domains of GMP butinparticulararerelieduponfordomains 2 to4.It is therefore very importantthatyouchooserefereeswhocanprovidethenecessaryevidencetosupportyourapplication.
Mytraininghasnotincluded a greatdeal of audit. Does this matter?
A veryimportantpartofUKtrainingincludesclinicalgovernanceactivitiesandinparticularaudit.Aswithanyauditprogramme,thereshouldbeevidencethatconclusionsfromauditsessionshavebeenproperlydocumentedandactedupon”. Evidenceofauditisthereforeveryimportant.
Whatif I havehad a careerinacademicDermatology?
CESR(AcademicorResearchMedicine) relatestoobtaining a CESRhavingfollowedanacademiccareer. It wouldbeexpectedthat a successful applicant would hold a relevant post-graduatedegree(e.g.researchMDorPhD)andhave a trackrecordofbeinganindependentandfullytrainedresearchworkerwithpublicationsinhigh-impact, peer reviewed journals. Inaddition a successfulapplicantwouldberequiredtodemonstratetheknowledgeandskillsof a consultantDermatologistintheNHSandthereforebeabletoindependentlymanagepatientsaspartofthe“oncall”rotaandalsoindependentlymanagepatientsin a generalDermatologyclinic.
Whatif I havehad a careerin a non-CCTspecialtyoutsidetheUK?
CESR(non-CCTspecialty)relatestocandidatesin a non-CCTspecialtywithtrainingandexperienceoutsidetheUK. Dermatology is arecognisedCCTspecialitythatrelatestoCESR(CCT specialty). Any applicant with sub-specialityexperiencethatdoesnot relatetotheseareasshouldapply throughtheCESR(non-CCTspecialty)route. Itshouldberememberedhoweverthatinadditiontothesub-specialtyexperiencethesuccessfulapplicantwouldberequiredtodemonstratetheknowledgeandskillsof a consultantDermatologistintheNHSandthereforebeabletoindependentlymanageemergencypatientsaspartofthe“oncall”rotaandalsoindependentlymanagepatientsin a generalDermatologyclinic.
I amanSASdoctorintheUK – whathelpcan I receivetoobtainfurtherexperienceandtrainingfor my CESR application?
Ifyouworkin a largeunititispossiblethatthewholerangeofdermatology competenciesarecoveredwithintheunit. It is important to make yourrequirementsknownassoonaspossiblebothinformallyandformallyatannualappraisalasitmaybepossiblethatall“topup”trainingneedscanbecoveredinyourpresenthospital.
Ifyouworkin a smallerunititmaystillbepossibletoobtaintrainingwithinyourregion. TheCollege RegionalAdvisershaverecentlybeengiven a roleinassistingdoctorsconsidering a CESRapplication. TheymaybeabletoliaisewithCollegeTutorsintheregionaboutlocaltrainingopportunitiesavailable to you.
Ifyourequire a substantialamountof extratrainingthenitmaybeadvisabletoapplyforLATpostsbutagainyouneedto targetthetrainingavailableintheses posts to your specific requirements.
I amUKbasedandhave a Collegee-portfolio. TheGMCrequiresthatalldocumentationisdownloadedandvalidated in paperformat. Whathappensif I havemovedto a differenthospitalormyoriginalWpBAassessorhasretired?
TheGMChasstatedthat providedyourcurrentConsultanthasviewedthedocumentationdirectlyfromyoure-portfolioconfirmingthatthedownloadedpaper documents are identical to the e-documents, he orshecanthenvalidatethesedocumentswith asignatureandhospitalstamp.
Can I applyfor a ConsultantpostwhilstpreparingformyCESR(CCTDermatology)application?
TheCollegerecommendstotheAdvisoryAppointmentsCommitteethatcandidateshavetobeontheSpecialistRegister to be eligible to apply forfixedterm,substantiveorhonoraryConsultantposts. Thisdoesnotapplytolocum Consultant posts with appointmentbeingatthediscretionoftheemployingauthority.TheonlyflexibilityrelatestoCCTcandidateswhocanapplyforfixedterm,substantiveorhonoraryConsultantpostswithin 6 monthsoftheirproposedCCTdate. SuchflexibilityisnotavailabletoCESRcandidateswhomusthaveobtainedtheirCESRandbeontheSpecialistRegister before applying for fixed term,substantiveorhonoraryposts.
Whathappensif I amsuccessful?
IftheGMCconcludethat yourapplicationisequivalenttothatofsomeoneabouttoobtainCCTthentheywillawardyou a CertificateofEligibilityforSpecialistRegistration(CESR). This willenableyoutoapplytobeplacedontheSpecialistRegister.OnlypersonsontheSpecialistRegisterareabletoapplyforfixedterm,substantiveor honoraryConsultant appointmentsintheUK.TheroutetotheSpecialistRegister(CCTorCESR)isnotspecifiedwhenontheSpecialistRegister.
Whatarethecommonreasonsforbeingunsuccessful?
Lackofattentiontodetailisthemostcommonreasonfornotbeingsuccessful. Anexcellentapplicationcanfailduetoomissionof a singlepieceofevidence. ThissinglepieceofevidencecannotbesubmittedduringtheCollegeevaluationprocessandcanonlybesubmittedfollowing areapplicationorreview(seebelow). Thiscanproveexpensiveandhencetheimportanceofgettingitright firsttimearound. Itisimportanttoensurethatallsubspecialtyareasare“currentandmaintained”andifallevidenceincertainsubspecialtyareasrelatedtotrainingorexperiencemanyyearsagothentheapplicantisunlikelytosucceed.
Whatarethecommonareasofomissioninfailedapplications?
Commonomissions of evidence include lackof hyper specialist training completion in ST5 & 6. Itis importantthatallareasoftheCMT curriculumarecovered.MoredetailedinformationaboutareaswhereevidenceismissingisgivenintheCollege“2011updateforCESRapplicants.
Whatcan I doif I amunsuccessful?
A decisionletterwillbesentstatinglackofsuccessbutalsoinformingtheapplicantoffurthertrainingandorexperiencerequiredtoreachtheCCTstandardasstatedintheevaluation document. The applicant then has thefollowingoptions,re-submission,revieworappeal.
A re-submissionis a newapplicationwithnewevidencefollowingfurthertrainingandorexperienceasrequestedintheGMCdecisionletterandevaluationdocument. A reducedfeefor a re-submissionoccursifitiswithin 3yearsoftheoriginalapplication.
A reviewis a requesttotheGMCtoreconsideritsdecisionandhastobewithin 3 monthsofthedecisionletter. A reviewcanberequestediffurtherevidence(notpreviouslysubmitted)is nowavailableandtheapplicantisof theopinionthatthisextraevidenceissufficienttofulfiltheCCTstandard. Thereviewprocessinvolvestheoriginal Collegeevaluatorsbeinggiventhenewevidence,producing a recommendationandsubmittingthistotheGMCfor afinaldecision. Itincurs a furtherfee.
Anappealhastobemadewithin 3 monthsofthedecisionletterorreviewoutcomeletter.Itisindependentof theGMCandcanbeanoralhearingorwrittensubmission. Itincurs a further fee.
Appendix1
A detailedlistofthefourdomainsincludingsuggesteddocumentationtosupport the application:
Domain 1 – Knowledge,SkillsandPerformance
Qualifications
Primarymedicalqualification
Specialistmedicalqualification
Curriculum / Syllabus(ifoutsideUK)
SpecialistRegistration(ifoutsideUK)
Honours / Prizes
AssessmentsandAppraisals
Appraisals / assessments
RITA / ARCP / Trainingassessments
360 degree / Multi-source feedback
Awards / Discretionarypointsletters
ParticipationinAssessment / Appraisalandappointment process
Logbooks / Recordsofdailyclinicalpractice
Logbooks
Consolidation / Cumulativedatasheets / Summarylists
Medical reports
Casehistories
Referrallettersdiscussingpatienthandling
Patient lists
WorkloadStatistics / AnnualCaseloadStatistics
Rotas / Timetables / Jobplans
Detailsofpostsandduties
Employmentletters/ Contracts of employment
Jobdescriptions
Jobplans
Research,publicationsandpresentations
Research papers, grants, patent designs
Publicationswithinspecialityfield
Presentations, posterpresentations
CPD/CME
CPDrecordcertificates
CPDregistrationpoints
Certificatesofattendanceat courses,meetings,conferences
Membershipofprofessionalbodiesandorganisations
TeachingandTraining
TeachingtimetablesLectures
Feedback / Evaluationformsfromthosetaught
Letters fromColleagues
Attendanceatteaching / appraisalcourses
ParticipationinAssessment / AppraisalandAppointmentprocess
Domain 2 – Safetyand Quality
Participationinaudit,serviceimprovement
Auditswrittenbyapplicant
Serviceimprovement meetings
Clinicalgovernancemeetings
Probityandhealth
Statementofprobityandhealth
Domain 3 – Communication,PartnershipandTeamwork
Participation in directorateandmanagementmeetings
Attendanceatmultidisciplinarymeetings
Letters fromColleague
Leadership
Chairingmeetings / leadingprojects
Domain 4 – Maintaining Trust
ActingwithHonestyandIntegrity
EqualityandHumanRightsDataprotection
Relationshipwithpatients
Testimonials / letters from colleagues
Thankyouletters / cardsfromcolleagues / patients
Complaintsandresponsetocomplaints