developmental recognise their examination and able to examination, basing scale significance interpret physical further examinations accurately on what is known already and is later discovered Suggests appropriate Varies options of Demonstrates a wide procedures related to procedures according to range of procedural the patient’s circumstances and the skills to a high problem(s) preferences of the standard patient Demonstrates limited Refers on appropriately Actively promotes fine motor skills when when a procedure is safe practice with carrying out simple outside their level of skill regard to procedures examination and procedural skills Observes the Identifies and discusses Engages with audit professional codes 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 clues 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.
developmental scale recognise their significance examination and able to interpret physical accurately examination, basing further examinations on what is known already and is later discovered Suggests appropriate procedures related to the patient’s problem(s) Varies options of procedures according to circumstances and the preferences of the patient Demonstrates a wide range of procedural skills to a high standard Demonstrates limited fine motor skills when carrying out simple procedures Refers on appropriately when a procedure is outside their level of skill Actively promotes safe practice with regard to examination and procedural skills Observes the professional codes 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 clues 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.
ceps_training_manual_14_12_15_final.docx