scholarly journals EP.TH.507An Audit of Consent Documentation and Chaperone Use in Patients Presenting to Acute Settings with Breast Complaints

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Hannah Dunlop
Keyword(s):  
Royal College ◽  
General Medical Council ◽  
Time Frame ◽  
Medical Council ◽  
Acute Setting ◽  
Standards Of Practice ◽  
Assessment Unit ◽  
Regulatory Bodies ◽  
And Gender

Abstract Aim To compare current practice of documenting consent and offering chaperones when performing breast examinations in the acute setting, with standards set by regulatory bodies (General Medical Council, Royal College of Emergency Medicine and Royal College of Surgeons). Method Data was collected retrospectively from all patients presenting with breast complaints to either the emergency department (ED) or the surgical assessment unit (SAU) over a 34-month period. From the clerk-in notes, the role (Dr/Nurse), grade (FY1 to consultant) and gender of the examiner was noted, as well as whether consent was documented and if a chaperone was offered. Results Of the 64 patients presenting in this time frame, consent was documented in 7 sets of notes (11%). Furthermore, 17 were offered a chaperone (27%), of which examiners correctly documented the name and role of the chaperone on 11 occasions. Results also demonstrated that ED trainees were most likely to offer a chaperone and GP trainees were the best at recording consent. It also revealed that although male examiners offered a chaperone 50% of the time compared to 6% of female examiners, women examiners were better at documenting consent when compared to their male counterparts. Conclusion The audit results indicate that there is significant room for improvement across all roles, grades and genders with regards to documentation of consent and the use of chaperones within the acute setting, in order to meet current standards of practice as set out by regulatory bodies.

scholarly journals Complaints against psychiatrists

2000 ◽  
Vol 24 (4) ◽  
pp. 142-146 ◽  
Author(s):  
David Barbenel ◽  
George Ikkos
Keyword(s):  
Clinical Supervision ◽  
Royal College ◽  
General Medical Council ◽  
Ethical Standards ◽  
Medical Council ◽  
Standards Of Practice ◽  
Poor Practice

Psychiatrists need to maintain demonstrably good standards of practice. They are guided in this by clinical supervision and consultation, by Duties of a Doctor, (General Medical Council; GMC, (1995)) and by guidelines from the Royal College of Psychiatrists (Royal College of Psychiatrists, 1984). The ethical standards to which psychiatrists should adhere are made explicit in The Declaration of Madrid (World Psychiatric Association, 1997). Procedures exist to address poor practice and irresponsible conduct.It is important that psychiatrists actively support and participate in these.

scholarly journals Teaching psychiatrists to teach: qualifications in clinical education for psychiatrists

2007 ◽  
Vol 31 (3) ◽  
pp. 107-109 ◽  
Author(s):  
Stephen Dinniss ◽  
Richard Bowers ◽  
Antony Christopher
Keyword(s):  
Medical Students ◽  
Royal College ◽  
Clinical Education ◽  
Teaching Methods ◽  
Core Competency ◽  
General Medical Council ◽  
Medical Council ◽  
Attitudes And Practices ◽  
And Training

The education and training of medical students and trainees is a key role of senior clinicians, and the General Medical Council states we ‘must develop the skills, attitudes and practices of a competent teacher’ (General Medical Council, 2005). The Royal College of Psychiatrists places the role of educator as a core competency for psychiatrists (Bhugra, 2005) and believes we should understand ‘the principles of education and use teaching methods appropriate to educational objectives' (Royal College of Psychiatrists, 2004).

scholarly journals Redesigning the psychiatry induction

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S162-S162
Author(s):  
Sharadha Wisidagama ◽  
Martin Schmidt
Keyword(s):  
Junior Doctor ◽  
General Medical Council ◽  
Electronic Record ◽  
Junior Doctors ◽  
Medical Council ◽  
Education Department ◽  
Record System ◽  
Training Requirements ◽  
Regulatory Bodies ◽  
Service Gap

AimsTo analyse the current psychiatry induction programme with regards to national guidance, local requirements, trainee and trainer feedback and implement recommendations to streamline where possible.BackgroundJunior doctors in training rotate every 4 or 6 months depending on the grade/programme group. GP and FY trainees are often new to psychiatry therefore require a comprehensive induction.Our Trust has had a three day induction for new junior doctors comprised of 1 day Corporate Induction, 1 day Electronic Records Training and 1 day Local induction.During the 3 day induction programme there is often a service gap with covering out of hours and acute services. Trainees and trainers have expressed concern regarding the service gap.We therefore embarked on a review of the induction programme to investigate whether it could be improved in content and length of time to deliver.MethodReview the regulatory bodies requirements for junior doctor induction.Gain an understanding of the trainees and trainers perspective of the induction programme.Review the items in the induction programme according to the requirements of the regulatory bodies.Tailor the induction programme for junior doctors’ needs whilst complying with the regulatory bodies requirements.ResultThe General Medical Council (GMC), British Medical Association (BMA), Gold Guide, Health Education England (HEE) and National Health Service (NHS) employment have no specific statutory and mandatory training requirements for induction.The regulatory bodies have generic standards for junior doctor induction.Induction is the responsibility of the Trust.Trainee perspective: Electronic record system, Mental Health Act (MHA) and pharmacy training were agreed as needing review in terms of its content and length.Trainees also requested extra items to be included in the induction programme to support successful transition in to their work placements.The education department met with the Digital Team, MHA Team and Pharmacy Team to develop new and more relevant course content and add in the requested items.The new induction programme was launched in December 2019 and was reduced in length from 3 to 2 and a half days. Trainee satisfaction improved as evidence by trainee feedback.ConclusionThe review was helpful in establishing the requirements for a good induction and highlighting areas for improvement.The new induction was more focussed, shorter in duration and had improved trainee feedback.The Medical Education Department will assess the changes following the December 2019 induction and continue to review its induction programme.

scholarly journals Working with MAPPA: ethics and pragmatics

2019 ◽  
Vol 25 (3) ◽  
pp. 157-165 ◽  
Author(s):  
Richard Taylor ◽  
Jessica Yakeley
Keyword(s):  
General Medical Council ◽  
Legal Framework ◽  
Learning Objectives ◽  
Guidance Document ◽  
Medical Council ◽  
List Type ◽  
Management Board ◽  
Political Background ◽  
And Function

SUMMARYMulti-agency public protection arrangements (MAPPA) have been in operation for around 18 years in England and Wales. The primary purpose is for the sharing of information between agencies regarding the risk management of offenders returning to the community from custodial and hospital settings. The legal framework regarding information by psychiatrists is not dealt with in one single policy or guidance document. Psychiatrists must use their clinical and professional judgement when engaging with the MAPPA process, mindful of guidance available from professional bodies such as the Royal College of Psychiatrists, General Medical Council and British Medical Association.LEARNING OBJECTIVESAfter reading this article you will be able to: •Learn the legal and political background that led to the formation of MAPPA•Understand the structure and function of MAPPA•Understand the role of psychiatrists in the MAPPA processDECLARATION OF INTERESTR.T. is a member of the London Strategic Management Board for MAPPA.

Fraud and misconduct in medical research Summary of the report of the Royal College of Physicians

1992 ◽  
Vol 16 (10) ◽  
pp. 628-629
Author(s):  
Brian Ferguson
Keyword(s):  
Medical Research ◽  
Royal College ◽  
Working Party ◽  
General Medical Council ◽  
District General Hospital ◽  
The United States ◽  
Northern Region ◽  
Financial Fraud ◽  
Medical Council ◽  
Research Committee

In February 1991 the Royal College of Physicians produced a report entitled ‘Fraud and Misconduct in Medical Research’. Most of the cases documented have come from the United States but by the end of 1988 five cases had been formally reported in Britain. One of these was a financial fraud perpetrated by a psychiatrist who worked in a district general hospital in the Northern Region and who forged data for a drug company. He was subsequently reported to the General Medical Council by the Association of the British Pharmaceutical Industry and had his name removed from the medical register. Informal investigations, however, suggest that fraudulent research might be more widespread and as a result the Royal College of Physicians established a working party to look at this issue in detail. They recommended that a twin track approach of prevention and thorough management of complaints of misconduct be adopted. The report was kindly forwarded to the Research Committee of the Royal College of Psychiatrists which felt that a summary of these recommendations should be widely published among researchers in psychiatry.

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