CLINICAL SKILLS

Clinical preparation

·       cursory review of patient notes

·       no/little background reading

·       identify key issues from case notes

·       utilises information from any pre-clinic contacts

·       appropriately reviews literature

·       consultant makes no/little additional input

·       literature review leads to appropriate management plan before clinic

Pedigree drawing

·       illegible

·       inaccurate

·       legible

·       accurate

·       computer drawn

·       complex pedigrees

History taking

·       incomplete

·       adequate

·       additional information sought re differential diagnoses

Physical examination

·       cursory

·       competent

·       experienced - knows when can cut corners

Differential diagnosis

·       often suggests only one, or no diagnoses

·       can suggest 2 or 3 possibilities

·       can draw up comprehensive and appropriate differential diagnosis

Choice of   
investigations

·       omits major investigations

·       includes most appropriate investigations

·       uses comprehensive investigations appropriately

Molecular and cytogenetic laboratory results

·       unable to interpret even straightforward laboratory reports

·       does not recognise need for any family follow up if indicated by result

·       adequate interpretation of straightforward reports

·       recognises need for family follow up

·       able to interpret all reports

·       organises appropriate follow up unsupervised

Risk assessment

·       inaccurate

·       accurate risks quoted

·       complex risks conveyed well

Letter to referrer/GP

·       not sent

·       delayed

·       fail to give appropriate information

·       deals with genetic issues adequately

·       comprehensive

·       prompt

Letter to patients

·       not sent

·       delayed

·       difficult to understand

·       manages to get main messages across

·       comprehensive

·       prompt

Appropriate follow up (FU)

·       poor FU arrangements

·       usually appropriate

·       always appropriate

Discussion with colleagues

·       never asks for help

·       always asks for help

·       knows when to ask for help

·       manages most situations independently and discusses appropriately

Appropriate use of
clinical co-workers

·       finds working with co-workers difficult

·       does not utilise their pre-clinic information

·       recognises role of co-workers

·       utilises information appropriately

·       beginning to co-counsel

·       both professional skills and knowledge utilised to maximum benefits

Able to prioritise

caseload according to
clinical need

·       fails to distinguish between urgent and routine cases

·       does not seek assistance when falling behind/cannot deal with a particular problem

·       prioritises majority of cases appropriately

·       seeks appropriate assistance

·       clinical work never needs consultant intervention

·       organises work so problems do not arise

Record keeping

·       illegible

·       many omissions

·       undated

·       unsigned

·       legible, dated and signed

·       follow up arrangements indicated

·       information easily retrievable by others

·       content of discussion noted

KNOWLEDGE

Clinical genetic 
knowledge

·       unable to demonstrate adequate knowledge base

·       continually acquiring new knowledge appropriately

·       extensive knowledge of dysmorphic syndromes and inherited disorders

Literature searches

·       uses references supplied by others

·       does not use relevant genetic databases

·       performs own literature review

·       uses LDDB, OMIM etc. appropriately

·       competent and up to date with on-line literature searches

Case presentations

·       poorly presented

·       clear and accurate

·       high standards including good topic review

Problem solving skills

·       does not apply knowledge learnt

·       applies knowledge to clinical situations

·       uses knowledge to gain new insights

PERSONAL QUALITIES

Thoroughness

·       little attention to detail

·       good attention to detail

·       consistently very thorough

Reliability

·       unreliable

·       undertakes duties allocated

·       takes on additional responsibilities

Motivation

·       little enthusiasm

·       sets achievable targets

·       needs occasional prompting

·       dynamic, self-motivated

·       sets high targets and achieves them

Initiative

·       always requires guidance

·       seeks advice appropriately

·       ability to work independently

Application

·       leaves work undone

·       unable to keep commitments

·       disorganised working procedure

·       generally completes jobs

·       learning to prioritise workload

·       consistently completes tasks and helps others to do so

·       manages many tasks simultaneously

Moral and ethical
behaviour

·       shows lack of appreciation of ethical dilemmas raised by the families counselled

·       directive counselling style in all situations

·       aware of dilemma, beginning to develop approaches to them

·       appreciate difference as to whether directive/non directive approach is appropriate in most situations

·       deals appropriately with complex situations

·       counsels appropriately in the majority of situations

Tact and co-operation

·       unwilling to co-operate with others

·       criticises inappropriately

·       offends others

·       co-operates when asked to

·       tries to give positive feedback

·       initiates co-operative working practices

·       easily approached by others

·       problem solver

WORKING RELATIONSHIPS/MANAGEMENT SKILLS

Laboratories

·       little liaison

·       liaison when appropriate

·       good working relationship

·       good appreciation of laboratory working

·       confident handling of enquiries

Attitude to departmental staff

·       poor working relationship

·       good working relationship

·       established and productive relationships

Attitude to patients

·       lack of professionalism

·       deals well with patients

·       makes extra efforts on behalf of patients

Contribution to department activities  in general

·       nil apart from minimum to satisfy training needs

·       willing to undertake tasks if volunteered

·       makes significant contributions through suggestions for development, assisting in problem areas

EDUCATION

CONTINUING EDUCATION

·       little enthusiasm

·       attends London dysmorphology meeting

·       attends local lecturers/seminars

·       attends National Scientific meetings

·       attends International Scientific meetings

TEACHING

·       none

·       reluctant to teach

·       some experience

·       undergraduates and non-medical groups only

·       enthusiastic approach

·       attended teaching course

·       experience teaching varied groups

JOURNAL CLUB

·       fails to attend

·       attends

·       contributes

·       major contribution

AUDIT

·       fails to attend

·       attends

·       contributes actively

RESEARCH/PRESENTATIONS/CASE REPORTS

PRESENTATIONS

·       internal only

·       dysmorphology club

·       post grad meetings

·       CGS

·       International meetings

PUBLICATIONS/

CASE REPORTS

·       no published papers

·       case reports for assessments

·       published case reports

·       published research reports

·       MD or PhD thesis

RESEARCH

·       no experience

·       participated in research projects

·       undertaken small case orientated research projects

·       undertaken major research project

·       submitted ethical committee proposal

·       submitted grant application

COMMENTS (see guidance notes, not for routine completion)

Completed by __________________________________________ Consultant’s signature

                       __________________________________________  Trainee’s signature