Immunology (Allergy, Clinical and Laboratory Immunology) 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 effective clinical management of allergic diseases and other conditions that can present with features of allergic disease
• Demonstrates professional behaviour with regard to patients, carers, colleagues and others
• Delivers patient centred care including shared decision making
• Demonstrates effective consultation skills
• Formulates an appropriate diagnostic and management plan, taking into account patient preferences
• Explains clinical reasoning behind diagnostic and clinical management decisions to patients/carers/guardians and their colleagues and clearly communicates risk/benefit analysis of proposed interventions.
• Takes a relevant patient history including patient symptoms, concerns, priorities and preferences
• Shows appropriate clinical reasoning by analysing physical and psychological findings
• Formulates an appropriate differential diagnosis
• Formulates an appropriate diagnostic and management plan, taking into account patient preferences, available resources, the urgency of intervention and the risk/benefit ratio of potential interventions

• Demonstrates effective clinical management of primarily immunological conditions and other conditions that can mimic immunological disease
• Delivers patient centred care including shared decision making
• Demonstrates effective consultation skills
• Formulates an appropriate diagnostic and management plan, taking into account patient preferences
• Explains clinical reasoning behind diagnostic and clinical management decisions to patients/carers/guardians and other colleagues and clearly communicates risk/benefit analysis of proposed interventions.
• Takes a relevant patient history including patient symptoms, concerns, priorities and preferences
• Shows appropriate clinical reasoning by analysing physical, immunological and psychological information
• Formulates an appropriate differential diagnosis
• Formulates an appropriate diagnostic and management plan, taking into account patient preferences, available resources, the urgency of intervention and the risk/benefit ratio of potential interventions

• Demonstrates understanding of the principles and utility of commonly used investigations for diagnosis and monitoring for immunological and allergic conditions and their limitations
• Understands and can manage uncertainty in the interpretation of immunological tests and its effect on diagnostic utility
• Demonstrates ability to select appropriate tests and to interpret test results appropriately in patients with suspected allergic and immunological conditions
• Demonstrates ability to explain the clinical reasoning behind diagnostic decisions to patients/carers/guardians and other colleagues.
• Demonstrates ability to advise patients, colleagues, and an MDT on interpretation of test results and choice of test
• Demonstrates understanding of genomics and impact of investigations on the diagnosis and treatment of allergic and immunological disease

• Demonstrates ability to develop effective management plans for patients with allergic and immunological conditions in a variety of care settings
• Demonstrates effective liaison with other specialties including primary care in the management of patients with suspected allergic and immunological disease
• Participates in the development of pathways and/or protocols for patients with allergic and immunological diseases
• Participates actively in the multi-disciplinary team
• Recognises the importance of prompt and accurate information sharing with primary care team
• Accurate and appropriate confirmation or exclusion of allergic conditions
• Supporting identification of allergic and non-allergic diseases

• Demonstrate ability to deliver effective: Therapeutic interventions for allergic and immunological conditions including: Immunoglobulin, C1 Inhibitor and other treatments for angioedema, Immunotherapy, Desensitisation therapies
• Biologics
• Rescue medications
• Sequencing of therapies
• Treatment and follow up of patients with anaphylaxis
• Support for patients and their carers, on self-care and home therapies

• Demonstrate ability to deliver transition services in accordance with national guidelines by: Understanding behavioural and psychosocial issues in transition, Developing effective plans for transition between paediatric and adult services, Effective communication with the patients and when appropriate their carers

• Demonstrates ability to liaise with laboratory and clinical users to develop optimised, evidence-based pathways for use of immunological laboratory testing
• Demonstrates expertise in the selection, interpretation, and limitations of immunological tests
• Demonstrates ability to deliver effective demand management
• Promotes the use of evidence-based tests, critical evaluation of data and awareness of tests of unproven value and is able to advise patients and colleagues appropriately
• Demonstrates ability to analyse and critically interpret laboratory statistical data and to make informed decisions regarding assay selection, performance, and demand management
• Demonstrates ability to provide advanced interpretative

• Demonstrates comprehensive knowledge of laboratory management, organisation, quality assurance and laboratory accreditation sufficient to lead a diagnostic laboratory
• Demonstrates ability to provide clinical leadership of a diagnostic laboratory including quality, financial and regulatory requirements
• Demonstrates ability to review and provide oversight of test repertoire and new test introduction
• Understands effective resource management in the use of laboratory investigations
• Demonstrates the ability to critically appraise the literature and effective introduction and validation of new laboratory investigations

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