New Doctor - Medical Protection Society

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4 UPDATE NEW DOCTOR | VOLUME 5 | ISSUE 2 | 2012 | UNITED KINGDOM www.mps.org.uk Update GMC launches new tribunal service for UK doctors A new tribunal service to decide on the fitness to practise of UK doctors was launched on 11 June, in the biggest Above: Niall Dickson, chief executive of the GMC Right: David Pearl, the shake up of medical regulation in the United judge and independently Kingdom since the formation of the General Medical Council more than 150 years ago. appointed chair of MPTS The Medical Practitioners Tribunal Service MPTS will strengthen professional and public (MPTS), based in Manchester and headed confidence that our hearings are impartial, fair by a judge, will be part of the GMC, but will and transparent – the fact that the service is operate separately from it and be accountable led by a judicial figure who has a direct line to to parliament. The GMC will continue to parliament should provide that assurance.” investigate and prosecute cases. David Pearl, the judge and independently MPTS panels have the power to, in the most appointed chair of MPTS, said: “One of my serious cases, remove or suspend a doctor earliest priorities is to make improvements from the medical register or place restrictions to the way that panelists are trained and on their practice. They can also take early performance managed through regular action by considering cases before a full appraisal and quality assurance, which will fitness to practise hearing, where it may be bolster the quality of decision making.” appropriate to place restrictions on a doctor’s Later this year the GMC plans to pilot a practice immediately or suspend their practice proposed new system of consensual disposal, while investigations proceed. which would allow a doctor to avoid a public The move paves the way for far reaching reforms hearing by accepting a suggested sanction. of the fitness to practise procedures expected to The doctor would attend a meeting to explain come into force over the next few years. the circumstances and put forward mitigation Niall Dickson, the chief executive of the at an early stage. GMC, said: “Although panels already make Also this year, the GMC will be deploying their decisions independently, it is important regional liaison officers to liaise with employers that their autonomy is clear and that the and support responsible officers, with the aim oversight of their work is quite separate from of identifying and tackling underperforming our investigatory activity. We hope that the doctors early. For more information visit: www.gmc-uk.org/news/13286.asp Event When Where What Further information MPS Communication Skills Workshops Throughout year Across UK Careers Advice for Trainees 11 September Durham Getting to Grips with Law and Ethics: Medicolegal Skills for Surgeons in Training 28 September London BMJ Careers Fair 19/20 October London Mix with other specialties and lower your risk at MPS’s popular workshop The UK Foundation Programme Office, Northern Deanery and Medical Education England, are jointly hosting this event MPS and ASIT present this joint one-day conference, which confers essential skills for surgeons in training Useful for any medical graduate, it covers CV writing, interview skills, career planning and more ABEL MITJA VARELA/ISTOCKPHOTO.COM NEWS IN BRIEF Junior doctors told to shadow jobs to improve safety Junior doctors will have to spend at least four days shadowing their first job in the NHS before starting work, the government has announced. The new system will be introduced in England this August when the new intake of junior doctors is taken on. NHS medical director Professor Sir Bruce Keogh said the move would help improve patient safety. Sir Bruce said: “This shadowing period could potentially save lives and will equip new junior doctors with the local knowledge and skills needed to provide safe, high quality patient care.” Dr Tom Dolphin, of the BMA, said: “I think it will really help doctors hit the ground running. It is a stressful time starting your first job so this will be a good way of easing that.” The decision to introduce shadowing comes after pilots have been carried out in various places. In Bristol mistakes new doctors made in their first four months were reduced by 52% during the pilot. Source: www.bbc.co.uk/ news/uk-england-18555083 www.mps.org.uk/workshops www.foundationprogramme.nhs.uk/ pages/home/events www.medicalprotection.org/uk/ conferences/Getting-to-grips-withlaw-and-ethics http://careersfair.bmj.com/en/1/ national.html
Competency, in professional terms, is defined as the ability to perform the tasks and roles required to the expected standard. It can be applied to a doctor at any stage in their career, not only to the newly qualified. Competency encompasses the need to keep up-to-date with changes in clinical practice and the systems that can impact on your role. Continued professional development (CPD) is a pre-requisite of many jobs, but none more so than medicine, which is constantly evolving. Doctors effectively never stop learning; a heavy focus is placed on CPD whatever specialty a doctor may work in. Recognising your own limitations is the key principle behind competency. The I set up Doctors Advancing Patient Safety (DAPS) at St Peter’s Hospital at the beginning of 2009 to empower junior doctors to make improvements to the care of their patients; to move away from the traditional academic audit and carry out useful quality improvement projects with real interventions. Since then, junior doctor colleagues have carried out many quality improvement projects from antibiotics, radiology, nutrition, DNR status, medical ward rounds and more. Moving from St Peter’s to St George’s, Sarah Hammond, a consultant anaesthetist joined me in running DAPS. Together we have run quality improvement projects, set up a Student Safety Forum, offered Special Study Modules, developed a publication for junior doctors around error reporting, taken junior doctors on a tour to a Services Hospital in Lahore to carry out quality Competency MPS medicolegal adviser Dr Jayne Molodynski explains why it is important to recognise the limits of your competence GMC’s Good Medical Practice makes it clear that your duty as a doctor is to recognise and work within the limits of your competence. When providing care, you must work within your own competencies, and ask for advice when you feel out of your depth. This case study illustrates how competency issues can arise in clinical practice: Mrs J, a dancer in her 40s, visits the emergency department with a sudden thunderclap headache at the back of the head. She is seen by F2 Dr Q. Dr Q organises a CT scan to rule out a subarachnoid haemorrhage, which comes back clear. His next course of investigation is to test the CSF for xanthochromia. Dr Q begins setting up a tray and equipment to perform a lumbar puncture. A couple of nurses spot that Dr Q is setting up the tray incorrectly, so alert the registrar, Dr A, to what is going on. Dr A takes Dr Q aside and asks him about what he is planning to do. Dr Q admits that he is unfamiliar with some of the equipment and has only ever read about the procedure. Dr A explains that Dr Q is working beyond his competence, which could have caused Mrs J harm. Dr A uses the opportunity to give Dr Q an impromptu lesson, explaining the procedure as he successfully undertakes a lumbar puncture. Read more features on competency on pages 6 and 10. From ward to world: Joining Doctors Advancing Patient Safety (DAPS) Dr Imran Qureshi, Director General, Doctors Advancing Patient Safety, describes why more junior doctors should sign up improvement work with junior doctors there, jointly run a patient safety conference with the Royal Society of Medicine and have produced a set of videos featuring advice for new F1 doctors. We have even more plans for the future. The best part about DAPS is that anyone can get involved, whether that be a quality improvement project, in our publication Reporting for Duty, international safety tour, etc. We have produced a comprehensive set of materials for carrying out a quality improvement project so anyone, anywhere can take part. The quality improvement project I have been most impressed with saw two of our DAPP doctors and two doctors from Lahore develop a solution to explain discharge medication information to illiterate patients. The potential benefit of the intervention was groundbreaking and will significantly reduce morbidity and mortality for patients in the third world. We are extremely proud of what we have achieved in DAPS in such a short space of time, whether that be engaging healthcare students in patient safety or developing a checklist to improve ward rounds. We are looking forward to the future to see how we can positively shape the landscape of healthcare in the years to come. To get involved or simply see what we’re doing, visit our website www.daps.org.uk. 5 UPDATE NEW DOCTOR | VOLUME 5 | ISSUE 2 | 2012 | UNITED KINGDOM www.mps.org.uk
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Page 3: Inside this issue of New Doctor…
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Page 9 and 10: A day in the life of… an F2 in pu
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