Commitment to Professionalism

2018 ◽  
Author(s):  
David Metcalfe ◽  
Harveer Dev
Keyword(s):  
Continuous Improvement ◽  
Quality Care ◽  
General Medical Council ◽  
Medical Council ◽  
Knowledge And Skills ◽  
The Public ◽  
The Difference ◽  
High Standards ◽  
Continued Learning ◽  
Situational Judgement

The Royal College of Physicians (RCP) has defined professionalism as a ‘set of values, behaviours, and relationships that underpins the trust the public has in doctors’. Dame Janet Smith has described professionalism as ‘a basket of qualities that enables us to trust our advisors’. The RCP has imagined some of the qualities that might be included within Dame Janet’s basket as ‘integrity, compassion, altruism, continuous improvement, excellence, and working in partnership’. The General Medical Council (GMC) has taken this further in the ‘Professionalism in action’ section of Good Medical Practice (2013). According to the GMC, good doctors ‘make the care of their patients their first concern: they are competent, keep their knowledge and skills up to date, establish and maintain good relationships with patients and colleagues, are honest and trustworthy, and act with integrity and within the law. They also work in partnership with patients and respect their rights to privacy and dignity. They treat each patient as an individual. They do their best to make sure all patients receive good care and treatment that will support them to live as well as possible, whatever their illness or disability’. The Medical Protection Society (MPS) has, however, been clear that ‘professionalism’ is not the same as ‘perfectionism’. Although professionalism encompasses the ambition to provide high- quality care, mistakes are an inevitable part of working as a doctor. For the MPS, ‘true professionalism comes into play when mistakes are made . . . knowing what to do when things go wrong and how to react appropriately can make all the difference in ensuring high standards of patient care are maintained and a speedy resolution is reached’. Situational judgement questions within this section will test your probity by exploring responses to scenarios that might require you to challenge unacceptable behaviour, maintain confidentiality, and, as always, prioritize patient safety. You need to demonstrate a commitment to achieving your various clinical responsibilities, as well as a desire for continued learning and a commitment to helping the development of others. These scenarios test your honesty towards patients and colleagues, and a willingness to admit mistakes.

Healthcare Management

2018 ◽  
pp. 157-168
Author(s):  
William R. Roche
Keyword(s):  
Intellectual Property ◽  
Judicial Review ◽  
Civil Law ◽  
General Medical Council ◽  
Healthcare Management ◽  
Medical Council ◽  
Due Diligence ◽  
Professional Regulation ◽  
The Public ◽  
Corporate Manslaughter

Doctors are familiar with the professional regulation of their practice and behaviour through the General Medical Council and for their liabilities under civil law in the event that a patient comes to harm. The public outcry in response to a series of reports into healthcare failings and wrongdoing has led to legislation that criminalizes certain acts and omissions. Increased resort to judicial review has also produced a series of key judgments that have more sharply defined the duties and liabilities of those commissioning and providing healthcare. Medical managers need to be aware of the increased range of professional expectations of them as individuals and the statutory duties of healthcare commissioners and providers. This chapter will discuss issues in relation to this, such as rationing, corporate manslaughter, due diligence, duty of candour, intellectual property, exploiting commercial interests, and trainee liability.

scholarly journals Mental health law training should be mandatory for all doctors

2011 ◽  
Vol 35 (12) ◽  
pp. 466-468 ◽  
Author(s):  
Christopher Schofield
Keyword(s):  
Mental Health ◽  
Quality Care ◽  
General Medical Council ◽  
Medical Schools ◽  
Training Programme ◽  
Medical Council ◽  
Health Law ◽  
Mental Health Law ◽  
Law Training ◽  
Good Quality Care

SummaryOver many years and with various pieces of new legislation there are significant gaps in doctors' knowledge about mental health law. It is time to ensure that doctors know the law and can apply it to the patients they see. Practising legally and not detaining or allowing people to leave hospital inappropriately should be a mandatory part of training for every doctor no matter what the specialty. Medical schools, deaneries, training programme directors and the General Medical Council should take up the challenge and ensure good-quality training for all doctors to ensure good-quality care in this area is given to all patients.

scholarly journals Confidence and conflicts of duty in surgery

2010 ◽  
Vol 92 (2) ◽  
pp. 113-117 ◽  
Author(s):  
John Coggon ◽  
Robert Wheeler
Keyword(s):  
Public Interest ◽  
Private Information ◽  
General Medical Council ◽  
Medical Council ◽  
Potential Conflict ◽  
High Importance ◽  
The Public ◽  
Moral Importance ◽  
The Right ◽  
Very High

This paper offers an exploration of the right to confidentiality, considering the moral importance of private information. It is shown that the legitimate value that individuals derive from confidentiality stems from the public interest. It is re-assuring, therefore, that public interest arguments must be made to justify breaches of confidentiality. The General Medical Council&s guidance gives very high importance to duties to maintain confidences, but also rightly acknowledges that, at times, there are more important duties that must be met. Nevertheless, this potential conflict of obligations may place the surgeon in difficult clinical situations, and examples of these are described, together with suggestions for resolution.

scholarly journals The new undergraduate curriculum: implementing the changes in Nottingham

1995 ◽  
Vol 19 (8) ◽  
pp. 482-484 ◽  
Author(s):  
Roch Cantwell ◽  
John Brewin
Keyword(s):  
General Medical Council ◽  
Undergraduate Curriculum ◽  
Undergraduate Teaching ◽  
Medical Council ◽  
Core Knowledge ◽  
Knowledge And Skills

Substantial changes are taking place to undergraduate psychiatric curricula, in response to recent General Medical Council recommendations. The overall aim is to provide a training in core knowledge and skills that enables students to become competent junior house officers. These developments will inevitably affect clinicians' involvement in undergraduate teaching. How change is being implemented in Nottingham –and the success and challenges so far – is discussed.

scholarly journals 1469 Audit of Clinical Notes Filing in Vascular Surgery

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
M Griffiths ◽  
A Perusseau-Lambert ◽  
A Bush ◽  
D Mittapalli
Keyword(s):  
Vascular Surgery ◽  
Medical Practice ◽  
Royal College ◽  
Quality Care ◽  
General Medical Council ◽  
Medical Council ◽  
Chronological Order ◽  
Record Keeping ◽  
Clinical Notes ◽  
Good Medical Practice

Abstract Aim Assess the correctness of patient's notes filing following the Royal College of Physicians, Record Keeping Standards, and the General Medical Council, Good Medical Practice, guidance: medical notes must be filed in the correct section, in a chronological order, three key identifiers on each page. Method Over 3 months, the general surgical wards, using case notes and those using folders for the current admission were assessed to identify loose notes. The vascular surgery patients’ notes were reviewed for the following criteria: not loose, filed in the correct section, in chronological order, and had three key identifiers. Results Surgical wards using case notes had 28.6% of the notes filed (n = 21) compared with 78.9% filed on wards with admission folders (n = 57). Within vascular surgery (n = 15), 13.3% had all notes filed, 20% were in chronological order, 6.7% had notes filed in the correct section, and 20% had key identifiers on every page. Conclusions The filing of case notes on the vascular ward resulted in loose notes more than other wards that use admission folders. To resolve this, “Admission Folders” were introduced (alongside full case notes) to assist with filing and label sheets used to assist with fast identification of current admission documents. After implementation of Admission Folders, the staff found notes easier to access and follow, according to the staff surveys, and notes were correctly filed and given identifiers, ensuring continued quality care for the patients.

scholarly journals Responding to the Kerr/Haslam Inquiry

2006 ◽  
Vol 30 (6) ◽  
pp. 207-209 ◽  
Author(s):  
Fiona Subotsky
Keyword(s):  
Psychiatric Hospitals ◽  
Sexual Misconduct ◽  
General Medical Council ◽  
Medical Council ◽  
Professional Conduct ◽  
Professional Misconduct ◽  
The Public

In 2004 I was asked by the College first to respond to the Inquiry's questions and later to attend a ‘stakeholders' meeting’. This was not so much in my capacity as Treasurer but as an officer with an interest in the issue of risk and professional difficulties for psychiatrists. A review of the public reports from the General Medical Council (GMC) of their determinations in the Professional Conduct Committee had made it evident that sexual misconduct was probably the single greatest cause of a finding of serious professional misconduct against a psychiatrist. In addition, I had contributed to an earlier debate on sexual safety for women in psychiatric hospitals (Subotsky, 1991, 1993).

Investigation of Allegations

2019 ◽  
Author(s):  
Kenneth Hamer
Keyword(s):  
Public Interest ◽  
General Medical Council ◽  
Medical Council ◽  
The Public

General Medical Council (Fitness to Practise) Rules 2004, Part 2 (Investigation of allegations) (initial consideration by the registrar and referral of allegations, consideration by case examiners, consideration by the Investigation Committee, and review of decisions), especially rule 4(5) (‘no allegation shall proceed further if, at the time it is first made or first comes to the attention of the GMC, more than five years have elapsed since the most recent events giving rise to the allegation, unless the Registrar considers that it is in the public interest for it to proceed’)

scholarly journals Relicensing, recertification and regulation

2008 ◽  
Vol 14 (1) ◽  
pp. 1-2 ◽  
Author(s):  
Graeme Catto
Keyword(s):  
Medical Practice ◽  
Healthcare Professionals ◽  
General Medical Council ◽  
Medical Council ◽  
The Public ◽  
Good Medical Practice ◽  
Patient Questionnaires ◽  
The Uk ◽  
New System

Proposed changes to the regulation of healthcare professionals in the UK set regulators a considerable challenge. Here I examine the nature of the challenge and what the General Medical Council (GMC) and its partners are doing to meet it. Relicensing and recertification are crucial. Revalidation is the sum of their parts and the duty of any responsible regulator. Effective revalidation will provide affirmation of doctors' entitlement to practise, and give the public the assurance that the doctors who treat them are up to date and fit to practise. The GMC's Good Medical Practice is central to any new system, and I outline the GMC's long-term thinking and immediate priorities, including the development of colleague and patient questionnaires and plans to introduce licences to practise.

scholarly journals Improving the Quality of Operation Notes by Using a Mnemonic and Proforma

2013 ◽  
Vol 95 (6) ◽  
pp. 200-202
Author(s):  
NJG Bauer ◽  
A Wilson ◽  
RJ Grimer
Keyword(s):  
Medical Records ◽  
General Medical Council ◽  
Professional Standards ◽  
Medical Council ◽  
The Public ◽  
Health And Wellbeing ◽  
Standards And Regulations ◽  
The Uk

The General Medical Council is assigned the role of safeguarding and maintaining the health and wellbeing of the public by the Medical Act 1983. All doctors and surgeons in the UK are bound by their professional standards and regulations. Surgeons have to abide by the standards set by The Royal College of Surgeons of England (RCS), which are deemed 'reasonable, assessable and achievable by all competent surgeons'. One of these standards is the overriding duty to ensure that 'all medical records are legible, complete and contemporaneous'. It is vital that all medical and surgical notes document each consultation or procedure that the patient has undergone during his or her stay in hospital.

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