CBD MAPPINGPERIOD: Select Here ST1-1 ST1-2 ST2-1 ST2-2 ST3-1 ST3-2 ST1 - LTFTT ST2 - LTFTT

CBD MAPPINGPERIOD:select hereST1-1ST1-2ST2-1ST2-2ST3-1ST3-2ST1 - LTFTTST2 - LTFTTST3 - LTFTTST1 - extendedST2 - extendedST3 - extendedOTHER TRAINEE’S NAME:

• Please review your CbD cases and mark boxes with “NFD” “C” on “E”. If a box was not explored, leave it blank.
• NFD = needs further development C = competent E = excellent
• Cases need to demonstrate a variety of contexts (such as seeing a child, older person, mental health problem, a cancer or palliative care case) in a wide range of settings (such as in the surgery, on a home visit or at out of hours).
• Bring this form with you to your educational supervision meeting.

Case1 / Case2 / Case3 / Case4 / Case5 / Case6 / Case7 / Case8 / Case9 / Case10 / Case11 / Case12

1. Practising Holistically

/ NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE

1. Data Gathering & Interpretation

/ NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE

1. Making diagnoses/decisions

/ NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE

1. Clinical management

/ NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE

1. Medical complexity

/ NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE

1. Primary Care Admin/IMT

/ NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE

1. Teams/colleagues

/ NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE

1. Community orientation

/ NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE

1. Ethical approach

/ NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE

1. Fitness to practice

/ NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE
Context (child, older person, mental health, palliative care, other) / childelderlymental h.palliativeother / childelderlymental h.palliativeother / childelderlymental h.palliativeother / childelderlymental h.palliativeother / childelderlymental h.palliativeother / childelderlymental h.palliativeother / childelderlymental h.palliativeother / childelderlymental h.palliativeother / childelderlymental h.palliativeother / childelderlymental h.palliativeother / childelderlymental h.palliativeother / childelderlymental h.palliativeother
Setting (surgery, home, OOH) / surgeryhometelephoneOOHhospitalcommunity / surgeryhometelephoneOOHhospitalcommunity / surgeryhometelephoneOOHhospitalcommunity / surgeryhometelephoneOOHhospitalcommunity / surgeryhometelephoneOOHhospitalcommunity / surgeryhometelephoneOOHhospitalcommunity / surgeryhometelephoneOOHhospitalcommunity / surgeryhometelephoneOOHhospitalcommunity / surgeryhometelephoneOOHhospitalcommunity / surgeryhometelephoneOOHhospitalcommunity / surgeryhometelephoneOOHhospitalcommunity / surgeryhometelephoneOOHhospitalcommunity

Falsifying information with intent to deceive is a serious probity issue that will result in referral to the GMC.

Developed by Dr. Ramesh Mehay, Programme Director, Bradford VTS, Aug 2008 (updated March 2009)