This apprenticeship standard has been approved for delivery by the Institute for Apprenticeships and Technical Education. However, starts on the apprenticeship will only be possible once a suitable end-point assessment organisation (EPAO) has joined the Apprenticeship Provider and Assessment Register (APAR). Once the EPAO has joined the APAR, funding for apprentice starts will be permitted and this message will be removed.
This apprenticeship has been approved, but we do not anticipate any starts until at least September 2024, as it will take providers time to prepare for delivery. Those who wish to apply should check NHS Jobs as well as individual employers’ job notification boards for any apprenticeship vacancies from Autumn 2024 at the earliest.
Applying the principles and procedures of medicine to assess, prevent, diagnose, care for and treat patients with illness, disease and injury and to maintain physical and mental health.
This occupation is found in
a large range of employers across the NHS, General Practitioner practices, universities (both in teaching and research roles), research institutes, Public Health, local authorities, a range of industries such as pharma and biotechnology, and the voluntary and independent sector.
The broad purpose of the occupation is that
doctors apply the principles and procedures of medicine to assess, prevent, diagnose, care for and treat patients with illness, disease and injury and to maintain physical and mental health. They supervise the delivery of care and treatment plans by others in the health care team and conduct medical education and research. They also deal with population health and disease prevention and work with related fields in industry. Doctors must have the ability to assimilate new knowledge, evaluate evidence critically and have strong intellectual skills and understanding of scientific principles. They must be able to deal with and manage uncertain and complex situations. All doctors must be committed to reflective practice, monitoring their contribution and always working to improve their own and their team's performance. The doctor must possess the ability to work effectively as a member of a healthcare team. They must recognise and respect the skills and attributes of other professionals and of patients. Patients with long term and disabling conditions are particularly likely to be experts in their own condition. All doctors have a role in the maintenance and promotion of population health, through evidence-based practice. Some will take on roles in health education or research whilst others will work in service improvement and re-design or in public health. Others will work in the commercial or charity sectors in which expert medical knowledge needs to be deployed. Recognising the primacy of the individual doctor: patient relationship, the doctor must view the needs of the patient in the context of the wider health needs of the population. Wherever a doctor is employed the patient must come first. As a critical decision maker, the doctor must be capable of both management and leadership and of taking ultimate responsibility for clinical decisions, while simultaneously being an effective team member. Doctors have a duty to use resources effectively and engage in constructive debate about their use. They should ensure that their own and others' skills and knowledge are used to the best possible effect.
On successful completion of the apprenticeship, which will include the Medical Licensing Assessment, apprentices will be eligible to apply to the General Medical Council for provisional registration. This allows the individual to apply for a place on an approved UK Foundation Training Programme.
In their daily work, an employee in this occupation interacts with:
An employee in this occupation will be responsible for:
Doctors have a key role in enhancing clinical services through their positions of responsibility. Some will move on from clinical leadership and management to leadership roles within organisations at various levels nationally and internationally.
This occupation is constantly changing alongside the needs and expectations of patients and where patients are increasingly better informed and act as partners in their own healthcare.
Doctors will work shifts including unsocial hours and weekends.
On completion of the apprenticeship and subject to satisfactory confirmation of Fitness to Practise by the GMC progression will be into the Foundation Programme to undertake a further higher-level programme of workplace-based, supervised training before they are eligible for full registration with the General Medical Council and able to progress to further speciality training posts.
Entry requirements for the Doctor Degree apprenticeship will be agreed between the employer and the Medical School.
Duty | KSBs |
---|---|
Duty 1 Be an accountable professional and behave according to statutory ethical and professional principles |
|
Duty 2 Maintain personal physical and mental wellbeing and incorporate compassionate self-care into their personal and professional life |
|
Duty 3 Practice safely and participates in and promotes activity to improve the quality and safety of patient care and clinical outcomes |
|
Duty 4 Recognise the complex and uncertain nature of illness and health inequalities and by seeking support and help from colleagues, develops confidence in managing these situations and responding to change |
|
Duty 5 Recognise and identify factors that suggest patient vulnerability and take action in response |
|
Duty 6 Learn and work effectively within and alongside a multi-professional and multi-disciplinary team and across multiple care settings |
|
Duty 7 Communicate, openly and honestly with patients, their relatives, carers or other advocates, and with colleagues, applying patient confidentiality appropriately |
|
Duty 8 Carry out effective consultations with patients |
|
Duty 9 Work collaboratively with patients and colleagues to diagnose and manage clinical presentations safely in community, primary and secondary care settings and in patients’ homes and must, wherever possible, support and facilitate patients to make decisions about their care and management |
|
Duty 10 Work collaboratively with patients, their relatives, carers or other advocates to make clinical judgements and decisions based on a holistic assessment of the patient and their needs, priorities and concerns, appreciating the importance of the links between pathophysiological, psychological, spiritual, religious, social and cultural factors for each individual |
K37 K38 K39 K40 K41 K42 K43 K44 K45 K46 K47 K48 K49 K50 K51 K52 K53 K54 K55 K56 K57 S61 S62 S63 S64 S65 S66 S67 S68 S69 S70 S71 S72 S73 S74 S75 S76 S77 S78 S79 S80 S81 S82 S83 S84 S85 |
Duty 11 Prescribe medications safely, appropriately, effectively and economically and is aware of the common causes and consequences of prescribing errors |
|
Duty 12 Use information effectively and safely in a medical context, and maintain accurate, legible, contemporaneous and comprehensive medical records |
|
Duty 13 Apply scientific method and approaches to medical research and integrate these with a range of sources of information used to make decisions for care |
K1: The current ethical dilemmas in medical science and healthcare practice; the ethical issues that can arise in everyday clinical decision-making; and apply ethical reasoning to situations which may be encountered in the first years after graduation
Back to Duty
K2: The potential impact of their attitudes, values, beliefs, perceptions and personal biases (which may be unconscious) on individuals and groups and know how to identify personal strategies to address this
Back to Duty
K3: The principles of quality assurance, quality improvement, quality planning and quality control, and in which contexts these approaches should be used to maintain and improve quality and safety
Back to Duty
K4: How errors can happen in practice and that errors should be shared openly to be able to learn from own and others’ errors and promote a culture of safety
Back to Duty
K5: Basic human factors principles and practice at individual, team, organisational and system levels and the importance of recognising and responding to opportunities for improvement to manage or mitigate risks
Back to Duty
K6: The principles and methods of quality improvement to improve practice (for example, plan, do, study, act or action research)
Back to Duty
K7: The value of national surveys and audits for measuring the quality of care.
Back to Duty
K8: The complex medical needs, goals and priorities of patients, the factors that can affect a patient’s health and wellbeing and how these interact. These include psychological and sociological considerations that can also affect patients’ health
Back to Duty
K9: Signs and symptoms of abuse or neglect and systems for sharing information, recording and raising concerns, obtaining advice, making referrals and taking action
Back to Duty
K10: Legislation that may result in the deprivation of liberty to protect the safety of individuals and society
Back to Duty
K11: How addiction (to drugs, alcohol, smoking or other substances), poor nutrition, self neglect, environmental exposure, or financial or social deprivation contribute to ill health.
Back to Duty
K12: The principles of equality legislation in the context of patient care.
Back to Duty
K13: The role of doctors in contributing to the management and leadership of the health service
Back to Duty
K14: The principles of how to build teams and maintain effective team work and interpersonal relationships with a clear shared purpose
Back to Duty
K15: The impact of own behaviour on others
Back to Duty
K16: Theoretical models of leadership and management that may be applied to practice
Back to Duty
K17: The communication techniques and strategies that can be used with the patient, their relatives, carers or other advocates
Back to Duty
K18: How normal human structure and function and physiological processes applies, including at the extremes of age, in children and young people and during pregnancy and childbirth
Back to Duty
K19: The relevant scientific processes underlying common and important disease processes
Back to Duty
K20: Justify, through an explanation of the underlying fundamental principles and clinical reasoning, the selection of appropriate investigations for common clinical conditions and diseases
Back to Duty
K21: The principles of holding a fitness for work conversation with patients, including how to assess social, physical, psychological and biological factors supporting the functional capacity of the patient, and how to make referrals to colleagues and other agencies
Back to Duty
K22: Principles and knowledge relating to anatomy, biochemistry, cell biology, genetics, genomics and personalised medicine, immunology, microbiology, molecular biology, nutrition, pathology, pharmacology and clinical pharmacology, and physiology
Back to Duty
K23: Clinical phenomena and the clinical reasoning in how to formulate a differential diagnosis and management plan
Back to Duty
K24: Describe and illustrate from examples of normal human behaviour at an individual level
Back to Duty
K25: Integrate psychological concepts of health, illness and disease into patient care and apply theoretical frameworks of psychology to explain the varied responses of individuals, groups and societies to disease
Back to Duty
K26: The relationship between psychological and medical conditions and how psychological factors impact on risk and treatment outcomes
Back to Duty
K27: The impact of patients’ behaviours on treatment and care and how these are influenced by psychological factors
Back to Duty
K28: How patients adapt to major life changes, such as bereavement, and the adjustments that might occur in these situations
Back to Duty
K29: Appropriate strategies for managing patients with substance misuse or risk of self-harm or suicide
Back to Duty
K30: How psychological aspects of behaviour, such as response to error, can influence behaviour in the workplace in a way that can affect health and safety and know how to apply this understanding to their personal behaviours and those of colleagues
Back to Duty
K31: The range of settings in which patients receive care, including in the community, in patients’ homes and in primary and secondary care provider settings
Back to Duty
K32: Explain and illustrate from their own professional experience the importance of integrating patients’ care across different settings to ensure person-centred care
Back to Duty
K33: Emerging trends in settings where care is provided, for example the shift for more care to be delivered in the community rather than in secondary care settings
Back to Duty
K34: The relationship between healthcare and social care and how they interact
Back to Duty
K35: That there are differences in health and social care systems across the four nations of the UK
Back to Duty
K36: How to access information about the different systems, including the role of private medical services in the UK
Back to Duty
K37: The processes by which doctors make and test a differential diagnosis and how to prepare to explain own clinical reasoning to others
Back to Duty
K38: The potential consequences of over-diagnosis and over-treatment
Back to Duty
K39: The concept of wellness or wellbeing as well as illness, and be able to help and empower people to achieve the best health possible, including promoting lifestyle changes such as smoking cessation, avoiding substance misuse and maintaining a healthy weight through physical activity and diet
Back to Duty
K40: The health of a population using basic epidemiological techniques and measurements
Back to Duty
K41: Evaluate the environmental, social, behavioural and cultural factors which influence health and disease in different populations
Back to Duty
K42: The principles underlying the development of health, health service policy, and clinical guidelines, including principles of health economics, equity, and sustainable healthcare
Back to Duty
K43: The role of ecological, environmental and occupational hazards in ill-health and the ways to mitigate their effects
Back to Duty
K44: The role and impact of nutrition to the health of individual patients and societies
Back to Duty
K45: The determinants of health and disease and variations in healthcare delivery and medical practice from a global perspective and explain the impact that global changes may have on local health and wellbeing
Back to Duty
K46: How society influences and determines the behaviour of individuals and groups and apply this to the care of patients
Back to Duty
K47: The sociological concepts of health, illness and disease and apply these to the care of patients
Back to Duty
K48: Apply theoretical frameworks of sociology to explain the varied responses of individuals, groups and societies to disease
Back to Duty
K49: The sociological factors that contribute to illness, the course of the disease and the success of treatment and apply these to the care of patients − including issues relating to health inequalities and the social determinants of health, the links between occupation and health, and the effects of poverty and affluence
Back to Duty
K50: The sociological aspects of behavioural change and treatment concordance and compliance, and apply these models to the care of patients as part of person-centred decision making
Back to Duty
K51: Describe and illustrate from examples the spectrum of normal human behaviour at an individual level
Back to Duty
K52: Integrate psychological concepts of health, illness and disease into patient care and apply theoretical frameworks of psychology to explain the varied responses of individuals, groups and societies to disease
Back to Duty
K53: The relationship between psychological and medical conditions and how psychological factors impact on risk and treatment outcomes
Back to Duty
K54: The impact of patients’ behaviours on treatment and care and how these are influenced by psychological factors
Back to Duty
K55: How patients adapt to major life changes, such as bereavement, and the adjustments that might occur in these situations
Back to Duty
K56: Appropriate strategies for managing patients with substance misuse or risk of self-harm or suicide
Back to Duty
K57: How psychological aspects of behaviour, such as response to error, can influence behaviour in the workplace in a way that can affect health and safety and apply this understanding to their personal behaviours and those of colleagues
Back to Duty
K58: Medications and medication actions:• therapeutics and pharmacokinetics • medication side effects and interactions, including for multiple treatments, long term physical and mental conditions and non-prescribed drugs• the role of pharmacogenomics and antimicrobial stewardship
Back to Duty
K59: The role of clinical pharmacologists and pharmacists in making decisions about medications
Back to Duty
K60: The challenges of safe prescribing for patients with long term physical and mental conditions or multiple morbidities and medications, in pregnancy, at extremes of age and at the end of life
Back to Duty
K61: The existence and range of complementary therapies, why patients use them, and how this might affect the safety of other types of treatment that patients receive
Back to Duty
K62: The challenges of delivering the required standards of care when prescribing and providing treatment and advice remotely, for example via online services
Back to Duty
K63: The risks of over-prescribing and excessive use of medications and apply these principles to prescribing practice
Back to Duty
K64: Professional and legal responsibilities when accessing information sources in relation to patient care, health promotion, giving advice and information to patients, and research and education
Back to Duty
K65: The role of doctors in contributing to the collection and analysis of patient data at a population level to identify trends in wellbeing, disease and treatment, and to improve healthcare and healthcare system
Back to Duty
K66: The role and hierarchy of evidence in clinical practice and decision making with patients
Back to Duty
K67: The role and value of qualitative and quantitative methodological approaches to scientific enquiry
Back to Duty
K68: Basic principles and ethical implications of research governance including recruitment into trials and research programmes
Back to Duty
K69: Describe stratified risk
Back to Duty
K70: The concept of personalised medicine to deliver care tailored to the needs of individual patients
Back to Duty
S1: Demonstrate clinical responsibilities and role of the doctor
Back to Duty
S2: Maintain confidentiality and respect patients’ dignity and privacy
Back to Duty
S3: Manage their time and prioritise effectively
Back to Duty
S4: Recognise and acknowledge their own personal and professional limits and seek help from colleagues and supervisors when necessary, including when they feel that patient safety may be compromised
Back to Duty
S5: Protect patients from any risk posed by their own health including: • the risks to their health and to patient safety posed by self-prescribing medication and substance misuse• the risks to their health and to patient safety posed by fatigue – they must apply strategies to limit • the impact of fatigue on their health.
Back to Duty
S6: Demonstrate person-centred care and include patients and, where appropriate, their relatives, carers or other advocates in decisions about their healthcare needs
Back to Duty
S7: Seek patient consent, or the consent of the person who has parental responsibility in the case of children and young people, or seek the views of those with lasting power of attorney or independent mental capacity advocates
Back to Duty
S8: Provide information about options for investigations, treatment and care in a way that enables patients to make decisions about their own care
Back to Duty
S9: Assess the mental capacity of a patient to make a particular decision, including when the lack of capacity is temporary, knowing when and how to take action.
Back to Duty
S10: Act appropriately, with an inclusive approach, towards patients and colleagues
Back to Duty
S11: Raise and escalate concerns through informal communication with colleagues and through formal clinical governance and monitoring systems about:• patient safety and quality of care • bullying, harassment and undermining
Back to Duty
S12: Demonstrate commitment to professional development and lifelong learning
Back to Duty
S13: Mentor and teach other learners in the multi-professional team
Back to Duty
S14: Access and analyse reliable sources of current clinical evidence and guidance and have established methods for making sure their practice is consistent with these
Back to Duty
S15: Engage with revalidation, maintaining a professional development portfolio which includes evidence of reflection, achievements, learning needs and feedback from patients and colleagues
Back to Duty
S16: Engage in induction and orientation activities, learn from experience and feedback, and respond constructively to the outcomes of appraisals, performance reviews and assessments.
Back to Duty
S17: Adhere to the principles of the legal framework in which medicine is practised in the jurisdiction in which they are practising, and is aware of where further information on relevant legislation can be found
Back to Duty
S18: Self-monitor, self-care and seek appropriate advice and support, including by being registered with a GP and engaging with them to maintain their own physical and mental health
Back to Duty
S19: Manage the personal and emotional challenges of coping with work and workload, uncertainty and change
Back to Duty
S20: Develop a range of coping strategies, such as reflection, debriefing, handing over to another colleague, peer support and asking for help, to recover from challenges and set-backs.
Back to Duty
S21: Place patients’ needs and safety at the centre of the care process
Back to Duty
S22: Promote and maintain health and safety in all care settings and escalate concerns to colleagues where appropriate, including when providing treatment and advice remotely
Back to Duty
S23: Learn from their own and others’ errors to promote a culture of safety
Back to Duty
S24: Apply measures to prevent the spread of infection, and apply the principles of infection prevention and control
Back to Duty
S25: Apply quality improvement to improve practice and seek ways to continually improve the use and prioritisation of resources
Back to Duty
S26: Adapt management proposals and strategies for dealing with health problems to take into consideration patients’ preferences, social needs, multiple morbidities, frailty and long term physical and mental conditions
Back to Duty
S27: Work collaboratively with patients, their relatives, carers or other advocates, in planning their care, negotiating and sharing information appropriately and supporting patient self-care
Back to Duty
S28: Work collaboratively with other health and care professionals and organisations when working with patients, particularly those with multiple morbidities, frailty and long term physical and mental conditions
Back to Duty
S29: Recognise how treatment and care can place an additional burden on patients and make decisions to reduce this burden where appropriate, particularly where patients have multiple conditions or are approaching the end of life
Back to Duty
S30: Manage the uncertainty of diagnosis and treatment success or failure and communicate this openly and sensitively with patients, their relatives, carers or other advocates
Back to Duty
S31: Evaluate the clinical complexities, uncertainties and emotional challenges involved in caring for patients who are approaching the end of their lives and demonstrate the relevant communication techniques and strategies that can be used with the patient, their relatives, carers or other advocates.
Back to Duty
S32: Safeguard children, young people, adults and older people, using appropriate systems for sharing information, recording and raising concerns, obtaining advice, making referrals and taking action
Back to Duty
S33: Take a history that includes consideration of the patient’s autonomy, views and any associated vulnerability, and reflect this in the care plan and referrals
Back to Duty
S34: Assess the needs of, and support required, for children, young people and adults and older people who are the victims of domestic, sexual or other abuse
Back to Duty
S35: Assess the needs of, and support required, for people with a learning disability
Back to Duty
S36: Assess the needs of, and support required, for people with mental health conditions
Back to Duty
S37: Adhere to the professional responsibilities in relation to procedures performed for non-medical reasons, such as female genital mutilation and cosmetic interventions
Back to Duty
S38: Take action by seeking advice from colleagues and making appropriate referrals where addiction (to drugs, alcohol, smoking or other substances), poor nutrition, self neglect, environmental exposure, or financial or social deprivation are contributing to ill health
Back to Duty
S39: Maintain effective teamwork and interpersonal relationships with a clear shared purpose
Back to Duty
S40: Demonstrate leadership and the ability to accept and support leadership by others
Back to Duty
S41: Contribute to effective interdisciplinary team working with doctors from all care settings and specialties, and with other health and social care professionals for the provision of safe and high-quality care
Back to Duty
S42: Work effectively with colleagues in ways that best serve the interests of patients.
Back to Duty
S43: Safely pass on information using clear and appropriate spoken, written and electronic communication: • at handover in a hospital setting and when handing over and maintaining continuity of care in primary, community and social care settings • when referring to colleagues for investigations or advice • when things go wrong, for example when errors happen questioning colleagues during handover where appropriate • working collaboratively and supportively with colleagues to share experiences and challenges that encourage learning • responding appropriately to requests from colleagues to attend patients • applying flexibility, adaptability and a problem-solving approach to shared decision making with colleagues
Back to Duty
S44: Recognise and show respect for the roles and expertise of other health and social care professionals and doctors from all specialties and care settings in the context of working and learning as a multi-professional team.
Back to Duty
S45: Communicate clearly, sensitively and effectively with patients, their relatives, carers or other advocates, and colleagues from medical and other professions, by: • listening, sharing and responding• demonstrating empathy and compassion• demonstrating effective verbal and non-verbal interpersonal skills• making adjustments to their communication approach if needed, for example for people who communicate differently due to a disability or who speak a different first language• seeking support from colleagues for assistance with communication if needed
Back to Duty
S46: Communicate by spoken, written and electronic methods (including in medical records) clearly, sensitively and effectively with patients, their relatives, carers or other advocates, and colleagues from medical and other professions. This includes, but is not limited to, the following situations: • where there is conflict or disagreement • when sharing news about a patient’s condition that may be emotionally challenging for the patient and those close to them • when sharing news about a patient’s death with relatives and carers or other advocates • when discussing issues that may be sensitive for the patient, such as alcohol consumption, smoking, diet and weight management or sexual behaviour • when communicating with people who lack insight into their illness or are ambivalent about treatment • when communicating with children and young people • when communicating with people who have impaired hearing, language, speech or sight • when communicating with people who have cognitive impairment • when communicating with people who have learning disabilities • when English is not the patient’s first language - by using an interpreter, translation service or other online methods of translation • when the patient lacks capacity to reach or communicate a decision on their care needs • when advocating for patients’ needs • when making referrals to colleagues from medical and other professions • when providing care remotely, such as carrying out consultations using telecommunications.
Back to Duty
S47: Use methods of communication used by patients and colleagues such as technology-enabled communication platforms, respecting confidentiality and maintaining professional standards of behaviour.
Back to Duty
S48: Elicit and accurately record a patient’s medical history, including family and social history, working with parents and carers or other advocates when the patient is a child or young person or an adult who requires the support of a carer or other advocate
Back to Duty
S49: Encourage patients’ questions, discuss their understanding of their condition and treatment options, and take into account their ideas concerns, expectations, values and preferences
Back to Duty
S50: Acknowledge and discuss information patients have gathered about their conditions and symptoms, taking a collaborative approach
Back to Duty
S51: Provide explanation, advice and support that matches patients’ level of understanding and needs, making reasonable adjustments to facilitate patients’ understanding if necessary
Back to Duty
S52: Assess a patient’s capacity to understand and retain information and to make a particular decision, making reasonable adjustments to support their decision making if necessary, in accordance with legal requirements in the relevant jurisdiction and the GMC’s ethical guidance as appropriate
Back to Duty
S53: Work with patients, or their legal advocates, to agree how they want to be involved in decision making about their care and treatment
Back to Duty
S54: Apply scientific principles, methods and knowledge to medical practice and integrate these into patient care.
Back to Duty
S55: Select appropriate forms of management for common diseases, and ways of preventing common diseases their modes of action and their risks from first principles
Back to Duty
S56: Illustrate, by professional experience, the principles for the identification, safe management and referral of patients with mental health conditions
Back to Duty
S57: Conduct appropriate critical appraisal and analysis of clinical data
Back to Duty
S58: Interpret and communicate research evidence in a meaningful way for patients to support them in making informed decisions about treatment and management
Back to Duty
S59: Apply epidemiological data to manage healthcare for the individual and the community and evaluate the clinical and cost effectiveness of interventions
Back to Duty
S60: 60. Apply the basic principles of communicable disease control in hospital and community settings, including disease surveillance
Back to Duty
S61: Assess, by taking a history, the environmental, social, psychological, behavioural and cultural factors influencing a patient’s presentation, and identify options to address these, including advocacy for those who are disempowered
Back to Duty
S62: Apply social science principles, methods and knowledge to medical practice and integrate these into patient care
Back to Duty
S63: Apply the principles, methods and knowledge of population health and the improvement of health and sustainable healthcare to medical practice
Back to Duty
S64: Assess, by taking a history, the environmental, social, psychological, behavioural and cultural factors influencing a patient’s presentation, and identify options to address these, including advocacy for those who are disempowered
Back to Duty
S65: Apply the principles of primary, secondary and tertiary prevention of disease, including immunisation and screening
Back to Duty
S66: Propose an assessment of a patient’s clinical presentation, integrating biological, psychological and social factors, agree this with colleagues and use it to direct and prioritise investigations and care
Back to Duty
S67: Safely and sensitively undertake: • an appropriate physical examination (with a chaperone present if appropriate) a mental and cognitive state examination, including establishing if the patient is a risk to themselves or others, seeking support and making referrals if necessary• a developmental examination for children and young people
Back to Duty
S68: Interpret findings from history, physical and mental state examinations
Back to Duty
S69: Propose a holistic clinical summary, including a prioritised differential diagnosis/diagnoses and problem list
Back to Duty
S70: Propose options for investigation, taking into account potential risks, benefits, cost effectiveness and possible side effects and agree in collaboration with colleagues if necessary, which investigations to select
Back to Duty
S71: Interpret the results of investigations and diagnostic procedures, in collaboration with colleagues if necessary
Back to Duty
S72: Synthesise findings from the history, physical and mental state examinations and investigations, in collaboration with colleagues if necessary, and make proposals about underlying causes or pathology
Back to Duty
S73: Make clinical judgements and decisions with a patient, based on the available evidence, in collaboration with colleagues and as appropriate for their level of training and experience, and understand that this may include situations of uncertainty
Back to Duty
S74: Take account of patients’ concerns, beliefs, choices and preferences, and respect the rights of patients to reach decisions with their doctor about their treatment and care and to refuse or limit treatment
Back to Duty
S75: Seek informed consent for any recommended or preferred options for treatment and care
Back to Duty
S76: Propose a plan of management including prevention, treatment, management and discharge or continuing community care, according to established principles and best evidence, in collaboration with other health professionals if necessary
Back to Duty
S77: Support and motivate the patient’s self-care by helping them to recognise the benefits of a healthy lifestyle and motivating behaviour change to improve health and include prevention in the patient’s management plan
Back to Duty
S78: Make appropriate clinical judgements when considering or providing compassionate interventions or support for patients who are nearing or at the end of life, understanding the need to involve patients, their relatives, carers or other advocates in management decisions, making referrals and seeking advice from colleagues as appropriate
Back to Duty
S79: Provide immediate care to adults, children and young people in medical and psychiatric emergencies and seek support from colleagues if necessary
Back to Duty
S80: Recognise when a patient is deteriorating and take appropriate action
Back to Duty
S81: Assess and determine the severity of a clinical presentation and the need for immediate emergency care
Back to Duty
S82: Diagnose and manage acute medical and psychiatric emergencies, escalating appropriately to colleagues for assistance and advice
Back to Duty
S83: Perform the core set of practical skills and procedures (defined by the GMC) safely and effectively, and identify, according to own level of skill and experience, the procedures for which they need supervision to ensure patient safety
Back to Duty
S84: Provide immediate life support (GMC Practical Skills and Procedures)
Back to Duty
S85: Provide cardiopulmonary resuscitation (GMC Practical Skills and Procedures)
Back to Duty
S86: Establish an accurate medication history, covering both prescribed medication and other drugs or supplements, and establish medication allergies and the types of medication interactions that patients experience
Back to Duty
S87: Carry out an assessment of benefit and risk for the patient of starting a new medication taking into account the medication history and potential medication interactions in collaboration with the patient and, if appropriate, their relatives, carers or other advocates
Back to Duty
S88: Provide patients, their relatives, carers or other advocates, with appropriate information about their medications in a way that enables patients to make decisions about the medications they take
Back to Duty
S89: Agree a medication plan with the patient that they are willing and able to follow
Back to Duty
S90: Access reliable information about medications and be able to use the different technologies used to support prescribing
Back to Duty
S91: Calculate safe and appropriate medication doses and record the outcome accurately
Back to Duty
S92: Write a safe and legal prescription, tailored to the specific needs of individual patients, using either paper or electronic systems and using decision support tools where necessary
Back to Duty
S93: Prescribe in consultation with clinical pharmacologists and pharmacists and other colleagues as appropriate
Back to Duty
S94: Communicate appropriate information to patients about what their medication is for, when and for how long to take it, what benefits to expect, any important adverse effects that may occur and what follow-up will be required
Back to Duty
S95: Detect and report adverse medication reactions and therapeutic interactions and react appropriately by stopping or changing medication
Back to Duty
S96: Monitor the efficacy and effects of medication and with appropriate advice from colleagues, reacting appropriately by adjusting medication, including stopping medication with due support, care and attention if it proves ineffective, is no longer needed or the patient wishes to stop taking it
Back to Duty
S97: Respect patient choices about the use of complementary therapies
Back to Duty
S98: Make effective use of decision making and diagnostic technologies
Back to Duty
S99: Apply the requirements of confidentiality and data protection legislation and comply with local information governance and storage procedures when recording and coding patient information
Back to Duty
S100: Apply the principles of health informatics applied to medical practice
Back to Duty
S101: Interpret common statistical tests used in medical research publications
Back to Duty
S102: Critically appraise research information, including study design, the results of relevant diagnostic, prognostic and treatment trials, and other qualitative and quantitative studies as reported in the medical and scientific literature
Back to Duty
S103: Formulate simple relevant research questions in biomedical science, psychosocial science or population science, and design appropriate studies or experiments to address the questions
Back to Duty
S104: Evidence from large scale public health reviews and other sources of public health data to inform decisions about the care of individual patients
Back to Duty
B1: Compassionate professional behaviour and professional responsibilities making sure the fundamental needs of patients and carers are addressed
Back to Duty
B2: Act with integrity, be polite, considerate, trustworthy, conscientious and honest
Back to Duty
B3: Take personal and professional responsibility for their actions
Back to Duty
B4: Manage time and prioritise effectively
Back to Duty
B5: Be open and honest in their interactions with patients, carers, colleagues and employers when things go wrong – known as the professional duty of candour
Back to Duty
B6: Respect patients’ wishes about whether they wish to participate in the education of learners
Back to Duty
B7: Meets the standards for Good medical practice (GMC)
Back to Duty
Apprentices without level 2 English and maths will need to achieve this level prior to taking the End-Point Assessment. For those with an education, health and care plan or a legacy statement, the apprenticeship’s English and maths minimum requirement is Entry Level 3. A British Sign Language (BSL) qualification is an alternative to the English qualification for those whose primary language is BSL.
High Level Qualification |
---|
Degree in Medicine from a UK university permitted by the General Medical Council to award Primary Medical Qualifications recognised by FHEQ and QAA Level: 7 (integrated degree) |
This standard partially aligns with the following professional recognition:
General Medical Council for 7
On completion of the apprenticeship and subject to satisfactory confirmation of Fitness to Practise by the GMC progression will be into the Foundation Programme to undertake a further higher-level programme of workplace-based, supervised training before they are eligible for full registration with the General Medical Council and able to progress to further speciality training posts.
This is a regulated occupation.
General Medical Council
Training Provider must be approved by regulator body
EPAO must be approved by regulator body
7
60
this apprenticeship will be reviewed in accordance with our change request policy.
Version | Change detail | Earliest start date | Latest start date |
---|---|---|---|
1.0 | Approved for delivery | 19/07/2022 | Not set |
Crown copyright © 2024. You may re-use this information (not including logos) free of charge in any format or medium, under the terms of the Open Government Licence. Visit www.nationalarchives.gov.uk/doc/open-government-licence