Clinical Case Review

Scottish Medical Appraisal & Revalidation Toolkit Supporting Information Quality Improvement Activity Clinical Case Review

You may choose a single consultation at random, or you may prefer to choose a case in which you were involved in over time. Either way, your involvement should have been significant. You should write from your personal perspective, and reflect on how your own professional behaviour can improve - not that of the organisation, or of others.

Consider the systems that enables effective care and your place within them:

Was all information to hand?
Was there enough time for the consultation?
Was the environment conducive to patient privacy and dignity?
Were all required clinical facilities available? Were local guidelines available?
What can you do to improve these factors?

Also consider your level of knowledge and how it contributed to the care the patient received:

How do you judge your level of knowledge, or skill around this clinical topic?
What unmet learning needs can you identify?
How can you address them?

You should also reflect on:

Did you take account of notes made by others prior to this event?
Did you gather information appropriately from others?
Did you make comprehensive, legible records for others who may see the patient subsequently?
Did you appropriately respect the clinical approach of others, even if it differs from your own?
What can you do to improve this area in the future?

Any agreed potential learning needs should be considered for inclusion in your personal development plan, focussing on how your outcome will improve patient care.

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