carrying out simple examination and procedures procedural skills Observes the Identifies and discusses Engages with audit professional of ethical issues with quality improvement practice including the regard to examination initiatives with regard use of chaperones and procedural skills to examination and procedural skills Performs procedures Shows awareness of Helps to develop and examinations the medico-legal systems that reduce with the patient’s background to informed risk in clinical consent and with a consent, mental examination and clinically justifiable capacity and the best procedural skills reason to do so interests of the patient The intimate Ensures that the patient Recognises the examination is understands the verbal and conducted in a way purpose of an intimate that the that does not allow a examination, describes patient is not full assessment by what will happen and comfortable with an inspection or explains the role of the intrusion into their palpation. The doctor chaperone. Arranges personal space proceeds without due the place of examination especially the attention to the to give the patient prospect or conduct patient’s perspective privacy and to respect of intimate and feelings their dignity. examinations. Is able Inspection and palpation to help the patient to is appropriate and accept and feel safe clinically effective. during the examination. Indicators of potential underperformance (IPU): Fails to examine when the history suggests conditions that might be confirmed or excluded by examination Patient appears unnecessarily by the examination Inappropriate over - examination Fails to obtain informed consent for the procedure Patient shows no understanding as to the purpose of examination. Appendix B
carrying out simple procedures examination and procedural skills Observes the professional of practice including the use of chaperones Identifies and discusses ethical issues with regard to examination and procedural skills Engages with audit quality improvement initiatives with regard to examination and procedural skills Performs procedures and examinations with the patient’s consent and with a clinically justifiable reason to do so Shows awareness of the medico-legal background to informed consent, mental capacity and the best interests of the patient Helps to develop systems that reduce risk in clinical examination and procedural skills The intimate examination is conducted in a way that does not allow a full assessment by inspection or palpation. The doctor proceeds without due attention to the patient’s perspective and feelings Ensures that the patient understands the purpose of an intimate examination, describes what will happen and explains the role of the chaperone. Arranges the place of examination to give the patient privacy and to respect their dignity. Inspection and palpation is appropriate and clinically effective. Recognises the verbal and that the patient is not comfortable with an intrusion into their personal space especially the prospect or conduct of intimate examinations. Is able to help the patient to accept and feel safe during the examination. Indicators of potential underperformance (IPU): Fails to examine when the history suggests conditions that might be confirmed or excluded by examination Patient appears unnecessarily by the examination Inappropriate over - examination Fails to obtain informed consent for the procedure Patient shows no understanding as to the purpose of examination. Appendix B
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