Core Element G (Domain 4)
Domain 4: Maintaining Trust
Each year you are asked to consider any Health issues experienced since your last appraisal. As part of Appraisal Form 3, you are asked to complete a Health Statement. Additionally, you may wish to complete a reflective template as well, which can be found at the bottom of this page.
Completion of Health Statement (declaration) is required for every appraisal
Good medical practice requires all doctors to:
GMC (2013) Good Medical Practice, [Online], Available: http://www.gmc-uk.org/guidance/good_medical_practice.asp
When the appraiser drafts the Form 4 summary, any Health issues declared in the Health Statement will get flagged automatically as "issues".
If the appraiser deems the issue(s) as resolved and no further action is required, they can overwrite "issues" on your Form 4 to "Resolved".
The three statuses in relation to the self declarations are:
Structured Reflective Template - HEALTH | File Size: 93.5 KB | Date Updated: 11/03/2015
Document designed for electronic completion
This page was last updated on: 15/05/2015
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