Key:

   
Common  competency  framework  competencies      Medical  leadership  framework  competencies      Health  inequality  framework  competencies  

 
Core  Module  3:  Information  Technology,  Clinical  Governance  and  Research  
 
Learning  outcomes:  
§ To  understand  and  demonstrate  the  appropriate  knowledge,  skills  and  attitudes  in  the  use  and  management  of  health  information.  
§ To  have  an  understanding  of  the  context,  meaning  and  implementation  of  clinical  standards  and  governance.  
§ To  know  and  understand  the  audit  cycle,  and  to  have  knowledge  of  research  methodology.  
 
Knowledge  criteria   GMP   Clinical  competency   GMP   Professional  skills  and  attitudes   GMP   Training  support   Evidence/assessment  
USE  OF  INFORMATION  TECHNOLOGY  
               
Understand  the  principles  of  storage,   1,2,   Retrieve  and  use  data  recorded  in  clinical  systems   1   Demonstrate  the  ability  to  apply  IT   1   Local  IT  training   Use  of  ePortfolio  
retrieval,  analysis  and  presentation  of  data       solutions  in  the  management  of  patients   courses    
    Search  medical  literature  including  use  of  PubMed,       MRCOG  Part  One  
Understand  the  effective  use  of  computing     Medline,  Cochrane  Reviews  and  the  internet   Adopt  a  proactive  and  enquiring  attitude   StratOG.net:  The    
systems  including  ePortfolios  to  support       to  new  technology   obstetrician  and   MRCOG  Part  Two  
training     Demonstrate  appropriate  use  of  IT  for  patient  care   gynaecologist  as  a    
    and  for  personal  development   Teacher  and   Mini  CEX  
Understand  the  range  of  uses  of  clinical  data       Researcher:  Data    
and  its  effective  interpretation     Demonstrate  competent  use  of  databases,  word   handling.  Research  and    
    processing  techniques,  statistics  programmes  and   Assessing  evidence  e-­‐
Be  aware  of  the  confidentiality  issues   1,2,4   electronic  mail   tutorials  
   
Undertake  searches,  and  access  web  sites,  and  health-­‐ NHS  Connecting  for  
related  databases   Health  website  
 
Present  data  in  an  understandable  manner  
 
Engage  with  ePortfolios  as  required  
 
CLINICAL  GOVERNANCE:  AUDIT  
               
Understand  the  audit  cycle   1   Perform  an  audit  project:   2   Show  how  the  use  of  audit  can  improve   2   RCOG.  Understanding   Audit  project  
  § Define  standard   clinical  practice   Audit  RCOG  website.    
Understand  clinical  effectiveness:   § Prepare  project       Presentation  at  audit  meeting  
§ Principles  of  evidence-­‐based   § Collate  data   Listen  to  and  reflect  on  the  views  of   National  Institute  for    
practice   § Formulate  policy   patients  and  carers,  dealing  with   Clinical  Excellence   Logbook  
§ Types  of  clinical  trial/evidence     complaints  in  a  sensitive  and  cooperative   (NICE).  Principles  for    
classification     Repeat  audit  cycle;  perform  clinical  audit   manner   best  practice  in  audit   Reflective  diary  
§ Grades  of  recommendation   § Define  standard  based  on  evidence        
  § Prepare  project  and  collate  data   Recognise  the  need  for  audit  in  clinical   Ability  to  perform  a    
Understand  guidelines  and  integrated  care   § Re-­‐audit  and  close  audit  loop   practice  to  promote  standard  setting  and   clinical  audit  

GMC Good Medical Practice (GMP) Domains: Domain 1: Knowledge, skills and Performance Domain 2: Safety and quality Domain 3: Communication, Partnership and Teamwork. Domain 4: Maintaining Trust
 Key:    
Common  competency  framework  competencies      Medical  leadership  framework  competencies      Health  inequality  framework  competencies  

Knowledge  criteria   GMP   Clinical  competency   GMP   Professional  skills  and  attitudes   GMP   Training  support   Evidence/assessment  
pathways.  Know  how  to  formulate  these  and   § Formulate  policy   quality  assurance    
be  aware  of  the  advantages  and      
disadvantages      
    StratOG.net:  The  
Understand  the  different  methods  of   Develop  and  implement  a  clinical  guideline   Obstetrician  and  
obtaining  data  for  audit  including  patient   § Purpose  and  scope   Gynaecologist  as  a  
feedback  questionnaires,  hospital  sources   § Identify  and  classify  evidence     Professional.  Clinical  
and  national  reference  data   § Formulate  recommendations     governance  e-­‐tutorial.  
  § Identify  auditable  standards  
Understand  the  role  of  audit  i.e.  improving    
patient  care  and  services,  risk  management   Contribute  to  the  construction,  review  and  updating  of  
etc   local  (and  national)  guidelines  of  good  practice  using  
  the  principles  of  evidence  based  medicine  
Understand  the  steps  involved  in  completing    
the  audit  cycle   Contributes  to  local  and  national  audit  projects  as  
  appropriate  e.g.  NCEPOD,  SASM  
Describe  the  working  uses  of  national  and    
local  databases  used  for  audit  such  as   Support  audits  being  undertaken  by  junior  medical  
specialty  data  collection  systems,  cancer   trainees  and  within  the  multidisciplinary  team  
registries  etc,  and  for  reporting  and  learning  
from  clinical  incidents  and  near  misses  in  the  
UK  
 
CLINICAL  GOVERNANCE:  CLINICAL  STANDARDS  
               
Understand  the  definitions  and  relevance  of   1   Review  evidence   1,3   Have  the  skills  to  be  able  to  discuss  the   1,3   RCOG.  Searching  for   Logbook  
levels  of  evidence       relevance  of  evidence  in  the  clinical     Evidence  guideline.      
    Evaluate  guidelines   situation       Reflective  diary  
Understand  the  development  and   1,2         StratOG.net:  The    
implementation  of  clinical  guidelines,     Prepare  a  protocol   Aims  for  the  best  clinical  practice  (clinical     Obstetrician  and   Presentation  to  colleagues  
integrated  care  pathways  and  protocols       effectiveness)  at  all  times,  as  informed  by     Gynaecologist  as  a    
    Critically  appraise  publications  and  evaluate   evidence-­‐based  medicine     Professional.  Clinical   Log  of  experiences  
Understand  the  organisational  framework   2   multicentre  trials  to  address  a  clinical  question       governance  e-­‐tutorial.    
for  clinical  governance  at  local,  regional  and       Recognises  knowledge  gaps  and  keeps  a     Reflective  diary  
national  levels     Critically  evaluate  a  care  pathway   logbook  of  clinical  questions      
          MSF  (TO1  and  TO2)  
Understand  standards  e.g.  NSF,  NICE,  RCOG   2   Apply  conclusions    from  critical  appraisal  to  clinical   Keeps  up  to  date  with  national  reviews,    
guidelines     care   key  new  research  and  guidelines  of    
      practice  e.g.  NICE  and  SIGN    
Understand  quality  improvement   2   Analyse  feedback  and  comments  and  integrate  them      
methodologies  and  a  range  of  methods   into  the  service   Acknowledge  and  show  regard  for   1  
  individual  patient  needs  when  using    
Recognise  the  common  need  to  practice  outside   guidelines    

GMC Good Medical Practice (GMP) Domains: Domain 1: Knowledge, skills and Performance Domain 2: Safety and quality Domain 3: Communication, Partnership and Teamwork. Domain 4: Maintaining Trust
 Key:    
Common  competency  framework  competencies      Medical  leadership  framework  competencies      Health  inequality  framework  competencies  

Knowledge  criteria   GMP   Clinical  competency   GMP   Professional  skills  and  attitudes   GMP   Training  support   Evidence/assessment  
clinical  guidelines      
  Be  aware  of  advantages  and   1  
Act  as  an  advocate  for  the  service   disadvantages  of  guidelines  and  protocols,  
and  use  them  appropriately.    
 
Accept  responsibility  
 
CLINICAL  GOVERNANCE:  RISK  MANAGEMENT  
               
Know  the  principles  of  risk  management  and   1,2   Report  and  review  critical  incidents   3,4   Demonstrate  respect  and  accept  patients’   1,4   RCOG.  Clinical  Risk   Logbook  
their  relationship  to  clinical  governance         views  and  choices     Management  for    
    Use  a  reflective  approach  to  practice  with  an  ability  to         Obstetricians  and   Reflective  diary  
Understand  the  basic  measures  of  risk  and     learn  from  previous  experience     Seek  advice/assistance  when  concerned     Gynaecologists.  RCOG    
uncertainty         about  patient  safety     website.   Presentation  at  risk  
    Participate  in  risk  management           management  meetings  
Be  aware  of  particular  issues  pertinent  to  the       Display  eagerness  to  use  evidence  in   2   GMC  Management  for    
specialty  and  to  trainees  specifically   Be  able  to  access  advice  on  occupational  hazards  from     support  of  patient  care  when  evaluating     Doctors.  GMC  website.   MSF  (TO1  and  TO2)  
Understand  potential  sources  of  risk  and  risk   a  range  of  sources     risk      
management  tools,  techniques  and  protocols           Department  of  Health.  
  Assess  and  analyse  situations,  services  and  facilities  in     Communicate  risk  information,  and  risk     Clinical  Governance  
Understand  best  practice,  transparency  and   order  to  minimise  risk  to  patients,  the  public  and     benefit  trade-­‐offs,  in  ways  appropriate  for     Bulletin  series  
consistency   colleagues     individual  patients      
          StratOG.net:  The  
Outline  the  features  of  a  safe  working   Monitor  the  quality  of  equipment  and  safety  of   1,4   Willingness  to  take  responsibility  for     Obstetrician  and  
environment   environment  relevant  to  the  specialty     clinical  governance  activities,  risk     Gynaecologist  as  a  
      management  and  audit  in  order  to     professional.  Clinical  
Outline  the  hazards  of  clinical  equipment  in   Adopt  strategies  to  reduce  risk     improve  the    quality  of  the  service     governance  e-­‐tutorial  
common  use            
  Discuss  risks  with  patients   1,2,3   Show  probity  by  being  truthful  and  be   1,4   Attend  a  perinatal  
Recall  side  effects  and  contraindications  of       able  to  admit  error  to  patients,  relatives     morbidity  and  
prescribed  medications   Document  adverse  incidents     and  colleagues     mortality  
          multidisciplinary  
Recall  the  components  of  safe  working   Investigate  a  critical  incident     Demonstrate  the  ability  to  act   1,4   meeting  
practice  in  the  personal,  clinical  and   §  Assess  risk       constructively  when  a  complaint  is  made    
organisational  settings   §  Formulate    recommendations     and  use  assessment,  appraisal  and   Clinical  Negligence  
  §  Debrief  staff       reflection  as  insight  to  understand  ones’   Scheme  for  Trusts  
Outline  human  factors  theory  and     own  development  needs   website.  
understand  its  impact  on  safety   Prepare  a  report  relating  to  an  adverse  incident      
    Awareness  of  equity  in  healthcare  access    
Understand  root  cause  analysis   Recognise  limits  of  own  professional  competence  and   and  delivery    
  only  practices  within  these      
Understand  significant  event  analysis     Maintain  a  high  level  of  safety  awareness    
  Recognise  when  a  patient  is  not  responding  to   and  consciousness  at  all  times    

GMC Good Medical Practice (GMP) Domains: Domain 1: Knowledge, skills and Performance Domain 2: Safety and quality Domain 3: Communication, Partnership and Teamwork. Domain 4: Maintaining Trust
 Key:    
Common  competency  framework  competencies      Medical  leadership  framework  competencies      Health  inequality  framework  competencies  

Knowledge  criteria   GMP   Clinical  competency   GMP   Professional  skills  and  attitudes   GMP   Training  support   Evidence/assessment  
  treatment,  reassess  the  situation,  and  encourages      
Outline  local  procedures  and  protocols  for   others  to  do  so      
optimal  practice  including  early  warning     Encourage  feedback  from  all  members  of    
systems     the  team  on  safety  issues  and  encourages    
    discussion  amongst  colleagues  on    
Understand  root  cause  analysis   Ensure  the  correct  and  safe  use  of  clinical  equipment,   evidence-­‐based  practice    
  ensuring  that  faulty  equipment  is  reported      
Understand  significant  event  analysis   appropriately      
       
Understand  processes  for  dealing  with  and   Improve  patients’  and  colleagues’  understanding  of   Show  willingness  to  take  action  when    
learning  from  clinical  errors,  including  the   the  side  effects  and  contraindications  of  therapeutic   concerns  are  raised  about  performance  of    
management  of  complaints  procedures  risk   intervention   members  of  the  healthcare  team,  and  act    
management  incidents/  near  miss  reporting     appropriately  when  these  concerns  are    
complaints  management  litigation  and  claims   Sensitively  counsel  a  colleague  following  a  significant   voiced  to  you  by  others    
management   untoward  event,  or  near  incident,  to  encourage      
  improvement  in  the  practice  of  individuals  and  the   Continue  to  be  aware  of  own  limitations,    
Keep  abreast  of  national  patient  safety   unit   and  operates  within  them  competently    
initiatives  including  NPSA.  NCEPOCD  reports,        
NICE  guidelines     Maintain  a  portfolio  of  information  and   National  Patient  Safety  
    evidence,  drawn  from  own  clinical   Agency  website  
Be  aware  of  how  healthcare  governance     practice    
influences  patient  care,  research  and       The  National  
educational  activities  at  a  local,  regional  and     Engage  with  an  open  no  blame  culture   Confidential  Enquiry  
national  level         into  Patient  Outcome  
    Respond  positively  to  outcomes  of  audit   and  Death  (NCEPOD)  
Ensure  patient/  user  involvement     and  quality  improvement   website  
     
    Co-­‐operate  with  changes  necessary  to  
Outline  methods  and  associated  problems  of     improve  service,  quality  and  safety  
quantifying  risk  e.g.  cohort  studies      
   
Outline  the  concepts  and  drawbacks  of   Construct  concise  and  applicable  problem  lists  using  
quantitative  assessment  of  risk  or  benefit   available  information  
e.g.  numbers  needed  to  treat    
  Apply  quantitative  data  of  risks  and  benefits  of  
Describe  commonly  used  statistical   therapeutic  intervention  to  an  individual  patient  
methodology    
  Search  and  comprehend  medical  literature  to  guide  
Know  how  relative  and  absolute  risks  are   reasoning  
derived  and  the  meaning  of  the  terms:    
predictive  value,  sensitivity  and  specificity,  in  
relation  to  diagnostic  tests  
 

GMC Good Medical Practice (GMP) Domains: Domain 1: Knowledge, skills and Performance Domain 2: Safety and quality Domain 3: Communication, Partnership and Teamwork. Domain 4: Maintaining Trust
 Key:    
Common  competency  framework  competencies      Medical  leadership  framework  competencies      Health  inequality  framework  competencies  

Knowledge  criteria   GMP   Clinical  competency   GMP   Professional  skills  and  attitudes   GMP   Training  support   Evidence/assessment  
RESEARCH  
               
Understand  the  difference  between  audit   1   Appraise  a  scientific  paper   1   Be  receptive  to  innovations  resulting  from   1   GMC  Duties  of  a  Doctor     Logbook  
and  research         research  publications        
    Evaluate  a  multicentre  trial         Local  courses  and   Presentations  at  Journal  Club  
Know  how  to  apply  statistics  in  scientific  and         Acquire  skills  to  put  research  into  practice   1   RCOG  courses   meetings  
medical  practice     Understand  the  principles  of  critical  reading,  and   1,2          
    undertake  critical  review  of  scientific  literature          
            Reflective  diary  
      Understand  issues  and  potential  solutions   4   StratOG.net:  The    
Understand  how  to  plan  and  analyse  a     Compare  and  benchmark  healthcare  services   before  acting   Obstetrician  and   Presentations  of  research  
research  project         Gynaecologist  as  a    
      Be  aware  of  the  issues  underlying   Teacher  and   Log  of  experiences  
Understand  statistical  methods     Use  critical  appraisal  skills  and  applies  these  when   plagiarism  and  how  this  relates  to  the   Researcher  e-­‐tutorials    
    reading  literature   duties  of  a  doctor    
Know  the  principles  of  research  ethics  and          
conflicts  of  interest     Demonstrate  the  ability  to  write  a  scientific  paper      
         
Outline  the  GMC  guidance  on  good  practice     Apply  for  appropriate  ethical  research  approval      
in  research            
      Follows  guidelines  on  ethical  conduct  in   Introduction  to  
Know  about  local  and  national  research     Demonstrate  the  use  of  literature  databases   research  and  consent  for  research   Research  Methodology  
guidelines           RCOG  book  
    Understand  the  difference  between  population-­‐based   Shows  willing  to  encourage  and  take  part  
Know  the  principles  of  research  governance.     assessment  and  unit-­‐based  studies  and  is  able  to   in  research  
Describe  how  clinical  guidelines  are     evaluate  outcomes  for  epidemiological  work    
produced       Be  aware  of  situations  where  patient  
      consent,  where  desirable,  is  not  required  
Demonstrate  a  knowledge  of  research     for  disclosure  e.g.  serious  communicable  
principles     diseases,  public  interest  
   
Outline  the  principles  of  formulating  a    
research  question  and  designing  a  project    
   
Comprehend  principal  qualitative,   3  
quantitative,  biostatistical  and  
epidemiological  research  methods  
 
Demonstrate  good  verbal  and  written  
presentations  skills  
 
Have  knowledge  of  research  methods  and  
how  to  evaluate  scientific  publications  

GMC Good Medical Practice (GMP) Domains: Domain 1: Knowledge, skills and Performance Domain 2: Safety and quality Domain 3: Communication, Partnership and Teamwork. Domain 4: Maintaining Trust
 Key:    
Common  competency  framework  competencies      Medical  leadership  framework  competencies      Health  inequality  framework  competencies  

Knowledge  criteria   GMP   Clinical  competency   GMP   Professional  skills  and  attitudes   GMP   Training  support   Evidence/assessment  
including  the  limitations  of  different  
methodologies  for  collecting  data  
 
Define  the  role  of  the  Caldicott  Guardian  and  
Information  Governance  lead  within  an  
institution,  and  outline  the  process  of  
attaining  Caldicott  approval  for  audit  or  
research  
 
 
PATIENT  PUBLIC  INVOLVEMENT  
               
Understand  the  principles  of  patient  and   1,2   Undertake  a  project  on  patient  and  public  involvement   1,2   Aim  to  practice  patient-­‐centred  care  at  all   3,4   Local  courses   Observation  of  clinical  
public  involvement     times       practice  
  With  respect  to  management  and  leadership,  consider       NHS  Direct  website    
Involve  patients  in  decision  making   the  involvement  of  the  public  and  patients  in  decision-­‐ Involve  patient/carers  in  decision  making   Patient  surveys  
  making   at  all  times    
Know  about  quality  improvement     Project  on  patient  
methodologies  including  a  range  of  methods   Demonstrate  skill  in  information  giving  at   involvement  
for  obtaining  feedback  from  patients  and  the   a  level  the  patient  will  understand  
public  
 

GMC Good Medical Practice (GMP) Domains: Domain 1: Knowledge, skills and Performance Domain 2: Safety and quality Domain 3: Communication, Partnership and Teamwork. Domain 4: Maintaining Trust
 Key:    
Common  competency  framework  competencies      Medical  leadership  framework  competencies      Health  inequality  framework  competencies  

 
Competence  level                          Basic  level                                    Intermediate  level                                            Advanced  level                                Not  required  
Core  Module  3  Logbook  
Level  1   Level  2   Level  3  
  Date   Signature   Date   Signature   Date   Signature  
Audit  

Perform  an  audit              

Clinical  governance  

Prepare  or  revise  a  guideline  or  care  pathway              

Adopts  a  structured  approach  to  managing  complaints  OM              

Appraisal  

Participate  in  NHS  appraisal              

Risk  management  

Present  at  risk  management  meeting              

Research  

Critically  appraise  a  scientific  paper              

GMC Good Medical Practice (GMP) Domains: Domain 1: Knowledge, skills and Performance Domain 2: Safety and quality Domain 3: Communication, Partnership and Teamwork. Domain 4: Maintaining Trust
 Key:    
Common  competency  framework  competencies      Medical  leadership  framework  competencies      Health  inequality  framework  competencies  

 
Training  Courses  or  sessions  
 
Date  
Title   Signature  of  educational  supervisor  
     
 
     
   
 
 

Authorisation  of  signatures  (to  be  completed  by  the  clinical  trainers)  

Name  of  clinical  trainer  (please  print)   Signature  of  clinical  trainer  
 
   
 
   
 
   
 
   
 
   
 
   
 
 
 

GMC Good Medical Practice (GMP) Domains: Domain 1: Knowledge, skills and Performance Domain 2: Safety and quality Domain 3: Communication, Partnership and Teamwork. Domain 4: Maintaining Trust
 Key:    
Common  competency  framework  competencies      Medical  leadership  framework  competencies      Health  inequality  framework  competencies  

COMPLETION  OF  MODULE  3  

I  confirm  that  all  components  of  the  module  have  been  successfully  completed:  
Date   Name  of  educational  supervisor   Signature  of  educational  supervisor  
 
     
 
 
   
 
   
 

GMC Good Medical Practice (GMP) Domains: Domain 1: Knowledge, skills and Performance Domain 2: Safety and quality Domain 3: Communication, Partnership and Teamwork. Domain 4: Maintaining Trust