PRACTICAL GUIDANCE AND TIPS ON CESR APPLICATION DR JUDE ARCHIBALD 18 TH APRIL 2013
CESR APPLICATION Domain 1 - knowledge, skills and performance qualifications assessments and appraisals logbooks medical reports and case histories details of posts and duties research, publications and presentations CPD and CME teaching and training
CESR APPLICATION Domain 2- safety and quality participation in audit health and safety (including risk assessment and management) Domain 3 - communication, partnership and teamwork communication with colleagues letters/testimonials on shared cases letters/testimonials on management involvement feedback on presentations appraisals and references for others (anonymised) 360 feedback/mini-pat from 360 degree appraisal
CESR APPLICATION communication with patients thank you letters 360 feedback complaints and responses to complaints partnership and teamwork Domain 4 - maintaining trust acting with honesty and integrity showing strong therapeutic relationships with patients Qualification details Registration and licensing history Professional experience Referee details Your declaration of fitness to practise
INTENDED CURRICULUM OUTCOMES Evidence to address Intended Learning Outcomes ILO as per college curriculum( Feb 2010) Ensure all ILOs are covered Robust several evidences All evidences to be fully anonymised and validated on every page
DOMAIN ONE Specialist assessment of patients, document relevant history and examination (including personality disorder, substance misuse, medicolegal,cultural diversity etc) Independent assessment of most complex cases Range of clinical settings home visits, outpatient clinics, inpatient wards, intensive care, police stations/ sec 136 suites
DOMAIN ONE Ability to construct formulations of patient problems,differential diagnosis,appropriate referrals reports, formulation meetings, referral letters to other agencies Ability to recommend relevant investigations and treatment Anonymised documents patient clinic letters, admission summaries/letters to GPs, court reports Inpatients Anonymised assessments, entries Can be supplemented by workplace based assessments, case based discussion and ACE/mini ACE
DOMAIN ONE Ability to comprehensively assess and document patient potential for self harm or harm to others Risk assessments done in variety of setting Psychological ability to conduct therapeutic interviews, range of individual, group and family therapies (standard accepted models), integration in every day treatment Ability to carry out specialist assessment and treatment of patients with chronic and severe mental disorders/ demonstrate management
DOMAIN ONE Ability to concisely, accurately and legibly record appropriate, describe structure, function and legal implications of medical records and medico-legal reports Time management and decision making reports, on call rotas, Mental health act work Communication with colleagues, requirements of outside agencies reports that are timely, accurate and appropriate, letters Maintaining good medical practice- regular uptodate CPD certificates from Royal college,pdp summaries, CPD activities and attendance certificates(life long learning), local teaching programme timetables and evidence of participation/attendance, Peer group attendances
DOMAIN ONE Ability to teach, assess and appraise- evidence of involvement of any teaching (medical students, junior doctor, nurses etc) Feedback from students, trainees Assessor in examination, supervision of juniors, being mentor ( non medical prescribing etc) Research activities- understanding of basic research methodology,critical appraisal, papers if any
DOMAIN 2 SAFETY AND QUALITY Ability to do comprehensive assessment of self harm,assessment of risk, knowledge of involuntary standards and procedures, ability to intervene effectively to minimise risk whenever appropriate including in emergencies and ability to implement prevention methods against self harm and harm to others Participation in duty rotas, emergency situations, examples of risk management, attendance in training, courses ( safeguarding adults, children, risk assessment etc) Mental health legislation- attendance in tribunals, Mental health assessments, appropriate use/decisions for formal, informal admissions, CTO etc, appropriate training in and use of MHA, MCA etc
DOMAIN 2 SAFETY AND QUALITY Audit Evidence of conducting and completing audit cycle in clinical practice Understanding of the implementation of clinical governacestructured reports from supervisors, appraisals, appropriate response/actions to SUI reports Quality improvement activities,medical scrutinies, awareness of appropriate national guidelines, training on Information Governace etc
DOMAIN 3 COMMUNICATION, PARTNERSHIP AND TEAMWORK Evidences of effective communication with patients,relatives and other health professionals ( therapeutic relationship, diagnosis, treatment options, 2 way dialogue) 360 degree feedback, thankyou, farewell cards, letters (patients, relatives,colleagues), examples of team working, structured reports Leadership skills-clinical leadership of team, any leadership roles Ability to inform and educate patients effectively-advise treatment options, coping techniques, abstinence etc
DOMAIN 4- MAINTAINING TRUST To act in professional manner at all times-doctor patient relationship-feedback from patients,carers, cards and letters, patient satisfaction questionnaires, involvement in any complaints. Patient confidentiality structured reports, anonymised patient records ( considerate, no discrimination,respect ) Risk Management- audits (patient safety), records of risk assessment, admission to hospital when necessary, courses on Patient safety etc
DOMAIN 4- MAINTAINING TRUST Recognition of own limitations- Complaints- lessons learnt, willingness to further knowledge CPD events, peer meetings, request for help when needed, referral to specialists Relevance of outside bodies, continued GMC regsitration- GMC registration, section12 approval, MDU
All the best.