Whilst several of the other Work-Based Assessments (WBA) will require a trainer to assess the trainee's attitude to the patient, some of the "Best Practice" (BP) and Communication (COM) learning outcomes will be assessed using MSF. (BP17 is actually achieved by taking part in MSF.) The MSF will be performed electronically via the on-line portfolio or by paper format. The process for obtaining MSF, which will be required on at least an annual basis, will resemble the following:

  • The trainee identifies 15 people who can be approached to give feedback. The list should include consultant supervisors and trainers, other trainees, Rota organizer, allied health professionals (nurses, orthoptists, optometrists), clerical/secretarial/administrative staff.
  • The trainee enters the details of these chosen assessors into the on-line or paper format portfolio
  • The list is approved on-line/or paper by the trainee's educational supervisor
  • The staff on the trainee's list are contacted by email by letter and asked to complete an on-line or paper feedback form that will cover the appropriate areas of the curriculum. The trainee will not see individual responses.
  • The results of feedback are collated and a report is produced.
  • The trainee completes a self-assessment
  • The MSF report is sent to the trainee's educational supervisor who arranges to meet with the trainee to discuss the contents and any action required.

The following Learning Outcome will be assessed using MSF:

Learning Outcome (LO)

Typical question

Feedback likely from*

PS14
SS3

CEH3

Hand hygiene
Asepsis
X-infection

Follows local guidelines on general cleanliness and avoidance of cross infection

MS, AHP

COM1

Rapport

Establishes a trusting clinical relationship with patients

MS, AHP

COM2

Listen

Listens effectively to patients

MS, AHP

COM3

Deliver

Provides information to patients in an appropriate and sensitive manner

MS, AHP

COM5

Consent

Obtains valid consent in an appropriate manner

MS, AHP

COM6

Breaking bad news

Communicates potentially upsetting information in an appropriate and sensitive manner

MS, AHP

COM7

Language

Makes allowances/provisions for difficulties in communication that may affect the patient

MS, AHP

COM8

Body language

Uses body language to good effect in communication

MS, AHP, S&C

COM10

Professionals

Communicates well with clinical and non-clinical colleagues

MS, AHP, S&C

COM11
COM12

Written notes

The doctor writes notes and dictates letters clearly

MS, AHP, S&C

COM14

Leave

Complies with local policies for the approval of leave and makes appropriate arrangements for cover

MS, AHP, S&C

BP10

Compassion

Has a compassionate approach to patient care

MS, AHP

BP11

Autonomy

Respects the patient's wishes when making clinical decisions

MS, AHP

BP12

Considerate

Behaves in a considerate and sensitive manner towards all patients

MS, AHP, S&C

BP13

Empathy

Shows appropriate empathy with patients

MS, AHP, S&C

BP14

Confidentiality

Respects the confidential nature of clinical information obtained from patients

MS, AHP, S&C

BP15

Limits

Works within the limits of her/his clinical competence

MS, AHP

BP16

Help

Seeks help and advice from clinical colleagues when appropriate

MS, AHP

BP18

Equality

Treats all patients equally, avoiding discrimination

MS, AHP, S&C

BP20

Legal

Practices according to the National medical and dental practitioners' council's guidelines for doctors

MS

BP24

Prioritize

Prioritizes tasks appropriately, ensuring urgent and important matters are dealt with promptly

MS, AHP, S&C

BP30

Stress

Copes well when under stress

MS, AHP, S&C

* Feedback from:

  • MS=medical staff
  • AHP=Allied health professional (nurse, optometrist, orthoptists)
  • S&C= secretarial and clerical staff