The trainee should ask the assessor to observe the clinical encounter with the patient. The assessor should observe the trainee’s performance only interfering if it is necessary (e.g. patient safety is compromised, help to manage the patient is required...etc). It is best to mark sheet and write notes while the trainee is being observed. The assessor then scores the trainee in each of the nine domains described above, using the standard form. It may be appropriate only to score three or four domains at a single event. Discussion and feedback should be given as soon as possible after the observation in a quiet and private place. Feedback and discussion are mandatory. Curriculum Competency Level Descriptors The following Competency Level Descriptors are excerpted from Part II of The CCT in Intensive Care Medicine and are presented here for indicative ease of reference when completing the ACCP ‘Competencies Assessed’ section (over). Task orientated Knowledge orientated Patient management Level competence competence competence 1 Performs task under direct Very limited knowledge; Can take history, examine and arrange supervision. requires considerable investigations for straight forward case guidance to solve a (limited differential diagnosis). Can initiate problem within the area. emergency management and continue a management plan, recognising acute divergences from the plan. Will need help to deal with these. 2 Performs task in Sound basic knowledge; Can take history, examine and arrange straightforward requires some guidance to investigations in a more complicated case. circumstances, requires solve a problem within the Can initiate emergency management. In a help for more difficult area. Will have knowledge straightforward case, can plan situations. Understands of appropriate guidelines management and manage any divergences indications and and protocols. in short term. Will need help with more complications of task. complicated cases. 3 Performs task in most Advanced knowledge and Can take history, examine and arrange circumstances, will need understanding; only investigations in a more complex case in a some guidance in complex requires occasional advice focused manner. Can initiate emergency situations. Can manage and assistance to solve a management. In a most cases, can plan most complications, has a problem. Will be able to management and manage any divergences. good understanding of assess evidence critically. May need specialist help for some cases. contraindications and alternatives. 4 Independent (consultant) Expert level of knowledge. Specialist. practice.
The trainee should ask the assessor to observe the clinical encounter with the patient. The assessor should observe the trainee’s performance only interfering if it is necessary (e.g. patient safety is compromised, help to manage the patient is required...etc). It is best to mark sheet and write notes while the trainee is being observed. The assessor then scores the trainee in each of the nine domains described above, using the standard form. It may be appropriate only to score three or four domains at a single event. Discussion and feedback should be given as soon as possible after the observation in a quiet and private place. Feedback and discussion are mandatory. Curriculum Competency Level Descriptors The following Competency Level Descriptors are excerpted from Part II of The CCT in Intensive Care Medicine and are presented here for indicative ease of reference when completing the ACCP ‘Competencies Assessed’ section (over). Level Task orientated competence Knowledge orientated competence Patient management competence 1 Performs task under direct supervision. Very limited knowledge; requires considerable guidance to solve a problem within the area. Can take history, examine and arrange investigations for straight forward case (limited differential diagnosis). Can initiate emergency management and continue a management plan, recognising acute divergences from the plan. Will need help to deal with these. 2 Performs task in straightforward circumstances, requires help for more difficult situations. Understands indications and complications of task. Sound basic knowledge; requires some guidance to solve a problem within the area. Will have knowledge of appropriate guidelines and protocols. Can take history, examine and arrange investigations in a more complicated case. Can initiate emergency management. In a straightforward case, can plan management and manage any divergences in short term. Will need help with more complicated cases. 3 Performs task in most circumstances, will need some guidance in complex situations. Can manage most complications, has a good understanding of contraindications and alternatives. Advanced knowledge and understanding; only requires occasional advice and assistance to solve a problem. Will be able to assess evidence critically. Can take history, examine and arrange investigations in a more complex case in a focused manner. Can initiate emergency management. In a most cases, can plan management and manage any divergences. May need specialist help for some cases. 4 Independent (consultant) practice. Expert level of knowledge. Specialist.
accp_cpd_apprasial_pathway_-_documents_-_version_1_july_2016.docx