CBD MAPPING PERIOD: TRAINEE’S NAME:
· Please review your CbD cases and mark boxes with “NFD” “C” on “E”. If a box was not explored, leave it blank.
· NFD = needs further development C = competent E = excellent
· Cases need to demonstrate a variety of contexts (such as seeing a child, older person, mental health problem, a cancer or palliative care case) in a wide range of settings (such as in the surgery, on a home visit or at out of hours). Bring this form with you to your educational supervision meeting.
Case1 / Case2 / Case3 / Case4 / Case5 / Case6 / Case7 / Case8 / Case9 / Case10 / Case11 / Case121. Practising Holistically / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE
2. Data Gathering & Interpretation / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE
3. Making diagnoses/decisions / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE
4. Clinical management / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE
5. Medical complexity / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE
6. Primary Care Admin/IMT / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE
7. Teams/colleagues / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE
8. Community orientation / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE
9. Ethical approach / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE
10. Fitness to practice / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE
11. Overall Assessment / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE / NFDCE
Context (child, older person, mental health, palliative care, other) / childelderlymental h.palliativeother / childelderlymental h.palliativeother / childelderlymental h.palliativeother / childelderlymental h.palliativeother / childelderlymental h.palliativeother / childelderlymental h.palliativeother / childelderlymental h.palliativeother / childelderlymental h.palliativeother / childelderlymental h.palliativeother / childelderlymental h.palliativeother / childelderlymental h.palliativeother / childelderlymental h.palliativeother
Setting (surgery, home, OOH) / surgeryhometelephoneOOHhospitalcommunity / surgeryhometelephoneOOHhospitalcommunity / surgeryhometelephoneOOHhospitalcommunity / surgeryhometelephoneOOHhospitalcommunity / surgeryhometelephoneOOHhospitalcommunity / surgeryhometelephoneOOHhospitalcommunity / surgeryhometelephoneOOHhospitalcommunity / surgeryhometelephoneOOHhospitalcommunity / surgeryhometelephoneOOHhospitalcommunity / surgeryhometelephoneOOHhospitalcommunity / surgeryhometelephoneOOHhospitalcommunity / surgeryhometelephoneOOHhospitalcommunity
Falsifying information with intent to deceive is a serious probity issue that will result in referral to the GMC.
Developed by Dr. Ramesh Mehay, Programme Director, Bradford VTS, Aug 2008 (updated March 2009)