Criteria	Evidence choices	Ö
Section 1 – Good clinical care
Clinical skills in routine care	Observation / medical records
Clinical skills in emergency care	Observation / medical records
Equipment – use of	Observation / case report
Management of chronic medical conditions	Management plan
Cost effective use of resources	Analysis of prescribing data / case report
Keeps adequate records – in & out of hours	Medical records / PA cert
Equipment – possess & maintains	Signed statement / PA cert
Drugs – up to date	Signed statement / PA cert
Access – in and out of hours	Practice leaflet / PA cert / Statement of hours
Dissemination of surgery information	Transcript of phone message + practice leaflet / PA cert
Removal of patients from list	Signed statement / PA cert
Section 2 – Good relations with patients
Communication with patients	Patients satisfaction survey / observation
Seeks and acts on patients views	Patients satisfaction survey / observation
Section 3 – Working with colleagues
Effective primary care teamworking	Teamwork account / peer review questionnaire
Programme of staff development or appraisal	Example of staff appraisal + Signed statement PA cert
Locum policy	Locum policy + Signed statement / PA cert
Health and safety	Signed statement / PA cert
Section 4 – Probity and health
Patient confidentiality	Signed statement / PA cert / policy or summary
Ethical approach	Patient satisfaction survey / peer survey / observation
Honours commitment to colleagues	Signed statement
Financial probity	Signed statement
Probity in signing documents	Signed statement
Duty to protect patients from dangerous practice by self and others	Signed statement
Section 5 - Complaints
Complaints procedure	Complaints procedure / PA cert
Handling of complaints	Give any examples
Section 6 – Teaching and research
Professionalism in teaching activities	Training practice report / learner feedback
Ethical standards in research	Signed statement + any documentation
Section 7 – Maintaining good medical practice
Competence / awareness of limitations	Significant event analysis / case report
Competence in resuscitation	CPR certificate / attendance at CPR course
Reflects measure of own performance	Clinical audit
Refers appropriately	Referral letters
Plan for continuing medical education	Personal development plan

Revalidation Folder - The Three-Circle Outcome Model
 

1. Performance of tasks	Evidence / Choices
Outcome 1 - Clinical skills History taking   Physical examination   Interpretation   Clinical management plans	Observation / Patient satisfaction survey / Case report Observation / Patient satisfaction survey  Observation / Case report / Medical records / Referral letters Peer review survey / Teamwork account / Case report/ Observation
Outcome 2 - Practical procedures Standard procedures   Additional procedures   CPR	GP signed statement / Practice accreditation certificate Courses attended / log books and GP signed statement CPR certificate / proof of courses attended
Outcome 3 - Patient investigation Laboratory investigations Imaging investigations Clinical investigations	Medical records and Practice log    Case report / Referral letters / Medical records PA certificate / GP signed statement / Case report
Outcome 4 - Patient management Drugs   Referral   Emergency care   Chronic care	Analysis of prescribing data / Minutes of pharmacy meetings / Medical records  Audit of referrals / Feedback from secondary care colleagues/ Referral letters  PA certificate / Protocols / Case report / Observation Management plans / Case report
Outcome 5 - Health promotion and disease prevention Primary prevention Secondary prevention Health promotion	Immunisation targets Smear targets  Case report
Outcome 6 - Communication In clinical contexts With colleagues / agencies Telephone skills With medical press / media	Observation / Patient satisfaction survey / Enablement survey  Referral letters  Case report GP signed statement
Outcome 7 - Information handling skills Managing information Accessing information	Medical records  Case report

 
 

Approach to tasks	Evidence / choices
Outcome 8 - Social, basic, clinical sciences/ underlying principles Psychosocial model Epidemiology Preventive medicine Medical knowledge Health economics	Case report / Medical records / Referral letters  Summary of practice development plan  GP signed statement  RCGP PEP/ Personal development plan  Analysis of prescribing data
Outcome 9 - Attitudes, ethics and legal responsibilities Attitudes Ethical principles Legal responsibilities Human rights Multicultural medicine Professional institutions Advance of medicine	Peer review / Patient satisfaction survey  GP signed statement  GP signed statement GP signed statement GP signed statement GP signed statement Research findings / Audit
Outcome 10 - Decision-making / clinical reasoning and judgement Evidence based medicine/critical thinking   Prioritisation   Coping with uncertainty	CDM protocols / Case report / MCQ summative assessment / RCGP PEP / Significant event analysis GP signed statement / Practice accreditation certificate / Significant event analysis Referral letters / Case report / Reflective diary
3. Professionalism	Evidence/ choices
Outcome 11 - Role of the doctor Healthcare system Clinical responsibilities/role Conduct/ personal attributes Doctor as manager Doctor as team worker Doctor as mentor/teacher   Doctor as researcher	RCGP Practice management PEP / Referral letters / Case report GP signed statement  GP signed statement   GP signed statement Team work account /  Training/teaching records/ Appraisal or learner feedback  Research documentation
Outcome 12 - Personal development Self learner Self awareness Self regulation Motivation/career development	Personal development plan and PGEA points  Reflective diary / Significant event analysis Appraisal interview / GP signed statement  Peer review / Personal development plan