Domain 4 | Medical Appraisal Scotland

Scottish Medical Appraisal Toolkit Domain 4

Domain 4: Maintaining Trust

Show respect for patients

Treat patients and colleagues fairly and without discrimination

Act with honesty and integrity

The above is outlined in detail in the GMC's Good Medical Practice.

In Domain 4 on SOAR, doctors are asked to complete the below self-declaration statements on:

Health
Probity
Complaints / Critical Incidents

These self-declarations are simple straightforward forms with a series of yes/no questions, and where appropriate, you will be asked to provide additional commentary. For example: "Are you registered with a GP?" - if answered "no", a comments box will appear asking for additional information (perhaps you just moved to a new area, or perhaps you are situated in a rural area where the nearest GP is 20 miles away etc).

"Issues" on Form 4

When the appraiser drafts the Form 4 summary, any issues declared in each of the self-declarations will get flagged automatically as "issues". This is to ensure that the appraiser has appropriate discussions with you.

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:

"Issues" - a declaration has been made of an incident which requires discussion with appraiser
"No issues" - declaration made with no incidents raised
"Resolved" - declaration made with incident(s) which was discussed with appraiser at appraisal, who has deemed the issue resolved and does not need to be flagged.

If the status is left at "issues" - it doesn't stop doctors from getting revalidated. It will simply flag the record to the Responsible Officer when the time comes for revalidation recommendations. The RO can request additional information as required or use their discretion and proceed with the recommendation process.

Supporting information

Similar to the other three domains, you can upload any supporting information to the form as you see fit (e.g. compliments or particular pieces of positive feedback received). Additional reflective templates are also available if you wish to use them.

Examples of Probity

DVLA guidance on assessing fitness to drive

FAQ on self-declarations

Domain 4: Maintaining Trust

Domain 4: Maintaining Trust

"Issues" on Form 4

Supporting information

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