Haematology CESR Portfolio Guide

• Aware of, and adheres to, the GMC professional requirements
• Aware of public health issues including population health, social determinants of health and global health perspectives
• Demonstrates effective clinical leadership
• Demonstrates promotion of an open and transparent culture
• Keeps up to date through learning and teaching
• Demonstrates engagement in career planning
• Demonstrates capabilities in dealing with complexity and uncertainty
• Aware of the role and processes for commissioning
• Aware of the need to use resources wisely

• Aware of national legislation and legal responsibilities, including safeguarding vulnerable groups
• Behaves in accordance with ethical and legal requirements
• Demonstrates ability to offer apology or explanation when appropriate
• Demonstrate ability to lead the clinical team in ensuring that ethical and legal factors are considered openly and consistently

• Communicates clearly with patients and carers in a variety of settings
• Communicates effectively with clinical and other professional colleagues
• Identifies and manages barriers to communication (e.g. cognitive impairment, speech and hearing problems, capacity issues)
• Demonstrates effective consultation skills including effective verbal and non-verbal interpersonal skills
• Shares decision making by informing the patient, prioritising the patient’s goals and wishes, and respecting the patient’s beliefs, concerns and expectations
• Shares decision making with children and young people
• Applies management and team working skills appropriately, including influencing, negotiating, re-assessing priorities and effectively managing complex, dynamic situations

• Makes patient safety a priority in clinical practice
• Raises and escalates concerns where there is an issue with patient safety or quality of care
• Demonstrates commitment to learning from patient safety investigations and complaints
• Shares good practice appropriately
• Contributes to and delivers quality improvement
• Understands basic Human Factors principles and practice at individual, team, organisational and system levels
• Understands the importance of non-technical skills and crisis resource management
• Recognises and works within limit of personal competence
• Avoids organising unnecessary investigations or prescribing poorly evidenced treatments

• Manages clinical information / data appropriately
• Understands principles of research and academic writing
• Demonstrates ability to carry out critical appraisal of the literature
• Understands the role of evidence in clinical practice and demonstrates shared decision making with patients
• Understands public health epidemiology and global health patterns
• Demonstrates appropriate knowledge of research methods, including qualitative and quantitative approaches in scientific enquiry
• Demonstrates appropriate knowledge of research principles and concepts and the translation of research into practice
• Follows guidelines on ethical conduct in research and consent for research
• Recognises potential of applied informatics, genomics, stratified risk and personalised medicine and seeks advice for patient benefit when appropriate

• Delivers effective teaching and training to medical students, junior doctors and other healthcare professionals
• Delivers effective feedback with action plan
• Able to supervise less experienced trainees in their clinical assessment and management of patients
• Able to supervise less experienced trainees in carrying out appropriate practical procedures
• Able to act as a clinical supervisor to doctors in earlier stages of training

• Demonstrates professional behaviour with regards to patients, carers, colleagues and others
• Demonstrates ability to interpret and report normal and abnormal laboratory results, contributes to multi-disciplinary team meetings, and communicates results effectively to the appropriate clinical team.
• Formulates an appropriate differential diagnosis when interpreting laboratory investigations
• Recommends appropriate specialist/further investigations, using specialist knowledge of interpretation of laboratory investigations in combination with clinical information
• Demonstrates clinical leadership and contributes to quality aspects of the laboratory, including risk assessments and mitigations, incident reporting and investigation
• Prioritises further investigations and communicates their urgency effectively to laboratory staff, other colleagues, patients and carers
• Communicates test results and their implications effectively to patients and their carers, and involves them in shared decision making
• Offers advice for appropriate selection of blood products and the alternatives to blood transfusion
• Participates in internal and external quality assurance
• Demonstrates knowledge of laboratory management structures and the processes involved in laboratory accreditation
• Understands the processes in place for the laboratory and blood transfusion service to respond to major incidents, including measures for appropriate communication between operational and clinical

• Demonstrates professional behaviour with regards to patients, carers, clinical colleagues and laboratory staff
• Demonstrates effective communication with patients, laboratory staff, GPs and other clinicians regarding laboratory results and blood transfusion
• Demonstrates good judgment by giving safe and appropriate advice and guidance to colleagues in primary and secondary care regarding investigation and management of haematological disorders and triages referrals appropriate.
• Clearly explains clinical reasoning behind haematological diagnostic and management advice to patients/carers/guardians and colleagues responsible for the overall management of the patient
• Demonstrates appropriate management of haematological problems in patients under the care of other specialties
• Contributes to the assessment and management of complex patients in routine and emergency circumstances including patient blood management and major haemorrhage

• Demonstrates professional behaviour with regards to patients, carers, colleagues and others
• Demonstrates appropriate use of clinical and laboratory tests to establish a diagnosis
• Formulates an appropriate management plan, taking into account patient preferences
• Demonstrates understanding of and follows local and national guidelines and clinical trial protocols
• Explains clinical reasoning behind diagnostic and clinical management decisions to patients/carers/guardians and other colleagues
• Safe prescription and management of specialist haematological treatments, including chemotherapy and supportive treatments such as adjuvant medications for chemotherapy, blood components, bisphosphonates.
• Demonstrates efficient use of time in the outpatient clinic.
• Liaises with other specialty services when appropriate
• Understands the function of haematological multidisciplinary team meetings, refers suitable cases and presents information appropriately
• Demonstrates understanding of transitional care from paediatric to adult services

• Demonstrates professional behaviour with regards to patients, carers, colleagues and others
• Delivers patient centred care including shared decision making
• Understands the importance of clinical leadership to ensure safe, effective and timely care
• Demonstrates effective teamwork with nursing and other professional colleagues
• Provides safe prescribing of specialist haematological treatments (including chemotherapy, blood components and replacement of coagulation factors) and manages complications, ensuring appropriate assessment of patients prior to treatment, recognition and management of complications.
• Demonstrates competency in bone marrow aspiration and trephine biopsies
• Demonstrates safe prescription, safety checks and delivery of intrathecal chemotherapy

• Demonstrates professional behaviour with regard to patients, carers, colleagues and others
• Demonstrates effective consultation skills including in challenging circumstances
• Delivers patient centred care including shared decision making
• Demonstrates safe prescription and delivery of specialist haematological treatments, including chemotherapy and transfusion support ensuring appropriate assessment of patients prior to treatment, recognition and management of complications
• Formulates and explains an appropriate diagnostic and management plan, taking into account patient preferences and the urgency required
• Appropriately manages comorbidities in haematology inpatients
• Appropriately manages complications and side effects of treatment in haematology inpatients
• Provides clinical leadership and demonstrates team working and management skills in managing patients including those with complex conditions
• Recognises and manages the deteriorating patient and refers appropriately for intensive care
• Demonstrates understanding of and follows local and national guidelines and clinical trial protocols
• Ensures continuity of patient care through the appropriate transfer of information in hospital and community demonstrating safe and effective handover and discharge planning
• Recognises need to liaise with other specialty services and refers where appropriate

• Demonstrates professional behaviour with regard to patients, carers, colleagues and others
• Understands the importance of clinical leadership to ensure safe, effective and timely care
• Demonstrates prompt assessment and safe management of haematological emergencies
• Formulates and explains an appropriate diagnostic and management plan, taking into account patient preferences, and the urgency required
• Participates effectively in decision making with regard to resuscitation decisions, including decisions not to attempt CPR, and involves patients and their families
• Recognises need to liaise with other specialty services and refers where appropriate for intensive care

• Identifies patients with limited reversibility of their medical condition and determines ceilings of care, palliative and end of life care needs, in collaboration with the patient, family and carers.
• Manages complex symptom control including pain, nausea
• Identifies the dying patient and develops an individualised care plan, including anticipatory prescribing at end of life
• Demonstrates safe and effective use of syringe pumps in the palliative care population
• Understands the psychological consequences of terminal illness and the management of patients and their families affected by grief
• Facilitates referrals to specialist palliative care across all settings
• Demonstrates effective consultation skills in challenging circumstances
• Demonstrates compassionate professional behaviour and clinical judgement

Currency Window

Evidence of your recent practice will be given more weight to reflect current capabilities and we suggest that approximately 50% of your evidence for a curriculum outcome is drawn from within the last five years of clinical practice (WTE).

Evidence Volume

around 100 electronically uploaded documents