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4UpdateA snap shot of news for foundation doctorsUPDATE NEW DOCTOR | VOLUME 6 | ISSUE 1 | 2013 | UNITED KINGDOM www.mps.org.uk©IAN HOOTON/SCIENCE PHOTO LIBRARYRevalidation round-upThe GMC has begun revalidating alldoctors – here’s what you need to knowEvery doctor who is registered witha licence to practise needs to revalidatewith the GMC; this includes doctors infoundation year two and specialty training.To revalidate new doctors will require theirresponsible officer to make a recommendationto the GMC that they are up-to-date, fit topractise and should be revalidated.You will already be in regular discussionabout your progress with your supervisors.These discussions should include reflectingon strengths and weaknesses and significantachievements or difficulties, which will usuallyencompass information on significant events,and complaints.The organisation that will be supportingyour revalidation is called your ‘designatedbody’; these vary depending on where youare a trainee (see text box).Doctors will need to collect supportinginformation to show how they are meeting theGMC’s professional standards in day-to-dayEvent When Where What Further informationMPS Communication SkillsWorkshopsNational Conference forAspiring SurgeonsASiT Foundation Skills inSurgery CourseFoundation ProgrammeSharing EventThroughoutyearAcross UK2 March Birmingham5 April Cardiff12 June Londonpractice. This information will be generatedwhile training, but the GMC expectsyou to collect additional information where yourtraining programme does not expect youto collect evidence.When you revalidate will depend on howlong your training lasts:■■If your training lasts less than five years,your first revalidation will be at the pointof eligibility for CCT■■If your training lasts longer than five years,you will be revalidated five years after yougained full registration, and again at the pointof eligibility for CCT.When your training is complete, yourdesignated body will change to theorganisation where you practise. The GMCshould be informed when this change occurs– you can do this using GMC Online.From this point you will need to have regularappraisals and collect supporting evidenceto show you are meeting standards.The GMC has included useful information on their website,including an FAQ section, visit www.gmc-uk.org/doctors/revalidation.asp or email revalidation@gmc-uk.orgMix with other specialties and reduce your risk at MPS’spopular workshopMedical students and foundation doctors are invited tosubmit abstracts for oral and poster presentations at thisresearch conferenceThis popular one-day course will equip senior medicalstudents and junior doctors with the fundamental techniquesrequired for surgical successThis event is a great opportunity for foundation doctors topresent and shareRegional variationsEnglandDesignated body:postgraduate deaneryResponsible officer:postgraduate deanNB. This will change whenpostgraduate deaneriesare replaced by localeducation and trainingboards in April 2013.ScotlandDesignated body: NHSEducation for ScotlandResponsible officer:medical director for NHSEducation for ScotlandWalesDesignated body:Wales DeaneryResponsible officer:postgraduate deanNorthern IrelandDesignated body:Northern Ireland Medicaland Dental TrainingAgency (NIMDTA)Responsible officer:postgraduate deanwww.mps.org.uk/workshopswww.rcsed.ac.uk/aspiringsurgeonsbristolwww.asit.org/events/conferences/2013/pre-courses/FSSwww.nact.org.uk
5Consent for audio/visual recordingsConsent for taking photographs and making recordings isvital, explains MPS medicolegal adviser Dr Pallavi BradshawHOT TOPICThe smart phone revolution hasfundamentally changed the waywe interact in society and hascreated a reliance on technology thatpervades even clinical practice. Withthe invention of medical apps, goneare the days of white coats ladenwith various clinical handbooks. It isunsurprising that mobile phones areoften used to take photographs ofinteresting cases and recordings madeof interesting patients. Whilst most ofthese photographs are taken to showto colleagues to aid diagnosis or tobe used as potential case reports,the doctors taking the photographsmay be inadvertently breaching GMC,employment and legal obligations, ifthe right consent has not been taken.Documented consent is requiredfor all images taken (save for internalinvestigations and pathology slides)and trusts will usually have specificconsent forms that should be usedor medical photography departmentswho can guide you through the process.The GMC has producedsupplementary guidance Makingand using visual and audio recordingsof patients (2011), it sets out theprofessional obligations of takingimages or recordings of patients. Issuesaround confidentiality and consent areparamount and must not be overlookedeven in the theatre setting withanaesthetised patients.Any image whether it is anonymisedor otherwise, forms part of the medicalrecord, so this data must be storedand processed as per the DataProtection Act (1998). It is thereforenot acceptable to be carrying imagesof patients on one’s mobile phoneor electronically sending them on.There is clearly a risk of the data beinglost or stolen and the fact remainsthat most hospital doctors will notbe registered as a Data Controlleras would be required. Should theimages become lost you would havea duty to notify your employer and thepatient, which would lead to difficultquestions being asked and likelydisciplinary action. There may be timeswhen a photo would aid diagnosis inemergency situations if the clinicianis off site, but generally these imagesshould be relayed via secure emailsand immediately deleted after storingin the records. You should discusssuch deletion with your employer’sIT department.If there is a clinical need or adesire to take images for diagnosisor education purposes it is notappropriate to use personal camerasand mobile phones. Agreementby a patient to take an image doesnot obviate your obligations toyour employer, or your duties ofconfidentiality. There are ultimately nocircumstances, save for emergencies,when taking patient images on a mobilephone, whether consented or not,is justified, so should not be done.NB. Doctors working in a GP settingor in private practice should seekfurther advice if they are concerned.Top five medical apps for foundation doctorsDr Josephine Neale, an F2 from Warwickshire, has done the app workso you do not have to. Here are her top five apps for new doctorsDiAppBetesDevelopedfrom nationalguidelinesby a teamin UniversityHospital Southampton, this isa gem for those who have everfound themselves adjustinginsulin dosing regimes withoutmuch success.Although it is not a replacementfor senior advice, this appprovides support andclear information for insulinprescribing, hypoglycaemia,specialist referral criteria andwhen to stop or start diabeticmedication in an inpatientsetting.Cost – free.NICE BNFNo morerummagingaround the wardto find a BNF –now it can be at your fingertipswithout the need for an internetconnection after the initialdownload. There is an easysearch function and you canbookmark your most frequentlyused pages. The BNF forchildren is also available andworth downloading.Cost – requires an NHS Athensaccount to login.CliniCalcIf you havetroublerememberingyour A-agradient from your Anion gap,or your Child-Pugh from yourCHADS2, this is the app foryou. Categorised by specialty,this app has everythingfrom simple GCS remindersto predicted spirometricvalues, with some statisticalcalculations in there as well.Cost – free.PasTestYou probablywill have seenor used PasTestduring your timeat medical school. Now yourtime is precious and on-the-gorevision is a necessity – this iseven available without internetconnection. Like the full site,the features include QuestionBrowser, Timed Tests and MockExams. Cost – free demoversions, further question bankrequires a subscription fee.Patient.co.ukMuch of afoundationdoctor’s job iscommunicatinginformation topatients. After a high-speedpost-take ward round, thisapp can help you translateyour medical jargon into plainEnglish for your baffled patients.Conditions from Achalasiato Yellow Fever are summarisedconcisely and many haveaccompanying diagrams.Cost – free to view conditionleaflets.NEW DOCTOR | VOLUME 6 | ISSUE 1 | 2013 | UNITED KINGDOM www.mps.org.uk
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