Some Ideas about Case Based Discussions updated 2017 — CBD and RCGP Curriculum The Domains Related competency areas Assessments AKT CSA WPBA knows shows does Primary care management Clinical management Working with colleagues and in teams Organisation, management, leadership Person-centred care Communication and consulting skills Specific problem-solving Data gathering and interpretation skills Clinical Examination, Procedural Skills Making a diagnosis/making decisions A comprehensive approach Managing medical complexity Community orientation Community orientation A holistic approach Practising holistically Essential Features Contextual features Community orientation Attitudinal features Maintaining an ethical approach Fitness to practise Scientific features Maintaining performance, learning, teaching Competencies: developing skills Managing medical complexity (this is a selection from the word pictures) This is about aspects of care beyond the acute problem, including the management of co-morbidity, uncertainty, risk and health promotion. Needs Further Competent Excellent Development Managing Manages health problems Simultaneously manages Accepts responsibility for several separately, without the patient’s health coordinating the problems necessarily considering the problems, both acute management of the implications of and chronic. patient’s and chronic together co-morbidity. problems over time. Assessing Identifies and tolerates Is able to manage Anticipates and employs a and uncertainties in the uncertainty including that variety of strategies for managing consultation, but struggles experienced by the managing uncertainty. clinical risk to reassure the patient or patient. to manage it independently. Health Considers the impact of Consistently encourages Coordinates a team based promotion the patient’s lifestyle on improvement and approach to health their health. rehabilitation and, where promotion in its widest appropriate, recovery. sense.
Some Ideas about Case Based Discussions — updated 2017 CBD and RCGP Curriculum The Domains Related competency areas Assessments AKT CSA WPBA knows shows does Primary care management Clinical management Working with colleagues and in teams Organisation, management, leadership Person-centred care Communication and consulting skills Specific problem-solving skills Data gathering and interpretation Clinical Examination, Procedural Skills Making a diagnosis/making decisions A comprehensive approach Managing medical complexity Community orientation Community orientation A holistic approach Practising holistically Essential Features Contextual features Community orientation Attitudinal features Maintaining an ethical approach Fitness to practise Scientific features Maintaining performance, learning, teaching Competencies: developing skills Managing medical complexity (this is a selection from the word pictures) This is about aspects of care beyond the acute problem, including the management of co-morbidity, uncertainty, risk and health promotion. Needs Further Development Competent Excellent Managing several problems together Manages health problems separately, without necessarily considering the implications of co-morbidity. Simultaneously manages the patient’s health problems, both acute and chronic. Accepts responsibility for coordinating the management of the patient’s and chronic problems over time. Assessing and managing clinical risk Identifies and tolerates uncertainties in the consultation, but struggles to reassure the patient or to manage it independently. Is able to manage uncertainty including that experienced by the patient. Anticipates and employs a variety of strategies for managing uncertainty. Health promotion Considers the impact of the patient’s lifestyle on their health. Consistently encourages improvement and rehabilitation and, where appropriate, recovery. Coordinates a team based approach to health promotion in its widest sense.