The Four Domains for enhanced appraisal

1. Knowledge Skills and performance

As a GP you must maintain your knowledge and skill and keep up to date. You must keep legible and accurate clinical records, be able to communicate effectively with your patients and work with your colleagues.

You need to be able to asses a patient, examine them appropriately, carry out appropriate investigations and refer, admit or prescribe safely.

Sounds all pretty straight forward so how do you provide evidence for revalidation?

Well this involves:

Annual appraisals, with an agreed PDP and appropriate number of credits
MSF
Patient satisfaction survey
Clinical audit
Significant event audit

2. Safety and Quality

Recognise your own limitations and ensure patient safety is paramount. Also sick doctors can pose a significant risk to patients so demonstrate how your patients are protected in such circumstances:

The evidence will include:

Participation in enhanced appraisal
An annual PDP
Reflection on previous PDP and ensure plan has been completed
Participation in significant event monitoring
Review of complaints to include reflection and action
Clinical audit
Health declaration
MSF

3. Communication, Partnership and teamwork

One of the most import skills a GP must possess, is the ability not only to communicate with their patients but also with their colleagues. General Practice is not just about one single GP - it is only really effective if we work as part of a team.

The evidence will include:

o MSF
o Patient surveys
o Review of formal complaints

4. Maintaining Trust

We need to be considerate, polite, respect patients and above all be honest and if not, we cannot expect their trust. We must also respect patients' dignity and their right to privacy. Patient confidentiality has always been and remains a cornerstone of the trust at the centre of the doctor-patient relationship. We must not discriminate against patients.

We must act with honesty and integrity.

The evidence will include: