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"Summary of an appraisal: Form 4" breakout instructions

"Summary of an appraisal: Form 4" breakout instructions


Breakout 1

  • You will be sent to breakout rooms for about 25 mins
  • Please allow time for introductions and enable every member of the group to contribute to the discussions
  • Read the pre-prepared anonymised Form 4 according to the group you are in below
  • The sample Form 4 hopefully will provoke some discussions and reflections on your own practice
  • Focussing on Domains 1 and 2, consider:
  • For Domain 1:
    • What additional information do you add? (work the doctor does? additional roles?)
    • What about learning? (reflections on the learning? Type of learning?)
    • What comments do you usually make with regards to PDP?
    • How do you summarise QIA activity?
    • Do you use the actions/Agreed outcomes box?
  • For Domain 2:
    • What do you normally highlight/ Record from PSQ? anything particularly good or areas to improve?
    • For complaints or critical incidents, what do you normally include when writing the Form 4?
  • If you have questions for later large group discussion, please submit via https://response.questback.com/nhseducationforscotland/2024conf
  • When breakout closes, there will be a 10 minute plenary back in the main room.  Please use the "Raise hand" and "chat" functions to engage.

Breakout 2

  • You will be sent to breakout rooms for about 25 mins
  • You will be in the same grouping as before
  • Using the same Form 4 from the earlier breakout, please focus on Domains 3 and 4, consider:
  • For Domain 3:
    • What aspects of your conversation do you record on this area?
    • Do you add detail on the actions/Agreed outcomes?
    • If MSF was submitted? what areas do you highlight?
    • What comments do you normally write around health?
  • For Domain 4:
    • What aspects of the discussion do you record in here?
    • Do you mention GMC good medical practice?
    • Do you record if the doctor is registered with a GP?
  • If you have questions for later large group discussion, please submit via https://response.questback.com/nhseducationforscotland/2024conf
  • When breakout closes, there will be a 10 minute plenary back in the main room.  Please use the "Raise hand" and "chat" functions to engage.
Room Breakout 1 Breakout 2

Rooms 1-11

Form 4 example AA (Domains 1 and 2)

Form 4 example XX (Domains 3 and 4)

Rooms 12-22

Form 4 example XX (Domains 1 and 2)

Form 4 example AA (Domains 3 and 4)



This page was last updated on: 03/02/2025