1 00:00:08,500 --> 00:00:10,970 Welcome to this section on Improval. 2 00:00:11,820 --> 00:00:16,200 Now, Improval is the platform that I use for all my appraisals. 3 00:00:17,160 --> 00:00:21,810 And in this video, we're going to talk about the appraisal form on Improval. 4 00:00:22,060 --> 00:00:24,070 We're going to look at each subsection, 5 00:00:24,920 --> 00:00:30,390 what you might upload as evidence and examples for each, and ultimately, 6 00:00:30,420 --> 00:00:33,190 what do you need to do to be ready for the appraisal meeting? 7 00:00:35,060 --> 00:00:38,850 So before we get into that, why do I use the software platform? 8 00:00:39,170 --> 00:00:40,420 It's a reasonable question. 9 00:00:41,530 --> 00:00:44,340 There are many, many different software solutions for appraisal. 10 00:00:45,130 --> 00:00:46,840 Improval is recently designed. 11 00:00:47,620 --> 00:00:49,710 It's modern. It has AI elements. 12 00:00:50,280 --> 00:00:54,770 It's been designed by a doctor who will have been through appraisals themselves. 13 00:00:56,390 --> 00:00:57,900 And you can see that in its functionality. 14 00:00:57,930 --> 00:01:00,260 It's very intuitive. It's very easy to use. 15 00:01:01,150 --> 00:01:02,180 But more than that, 16 00:01:02,720 --> 00:01:04,990 it is available for just five pounds a month. 17 00:01:05,020 --> 00:01:06,690 So that makes it very accessible. 18 00:01:07,930 --> 00:01:11,860 Somebody that just wants to prepare for your appraisal upcoming shortly, you might just 19 00:01:11,890 --> 00:01:16,920 use it for a couple of months. But equally, at this low cost, it's available there. 20 00:01:17,150 --> 00:01:21,780 You know, if you're in your FY3 year and you want to upload evidence as you go, which is 21 00:01:21,810 --> 00:01:27,380 probably the ideal way to do things, then is also suitable for that purpose as well. 22 00:01:29,160 --> 00:01:33,780 So how do we get started? So it's a case of going to improval.com, 23 00:01:35,720 --> 00:01:39,030 registering for an account, go through the verification process. 24 00:01:42,740 --> 00:01:48,180 And then when we log in, so let me just, let me just do this. 25 00:01:58,070 --> 00:02:00,420 Okay. So when you log in, you'll get this screen. 26 00:02:01,320 --> 00:02:04,690 And the first thing that you want to do is go to my appraisal, 27 00:02:07,430 --> 00:02:08,230 appraisal details, 28 00:02:10,090 --> 00:02:12,240 and this button here, set appraiser. 29 00:02:13,880 --> 00:02:15,770 Okay. And this is where you want to add me. 30 00:02:15,960 --> 00:02:18,230 So I'm available on 31 00:02:18,260 --> 00:02:24,320 AndrewChristopher01@outlook.com. 32 00:02:25,660 --> 00:02:28,450 And please, if you can, tick this box here, 33 00:02:29,340 --> 00:02:34,190 which gives early access. That means I can see your appraisal as you're uploading 34 00:02:34,220 --> 00:02:39,410 evidence, so I can give you more tailored advice if you have individualised questions. 35 00:02:40,500 --> 00:02:41,490 Click Send Invite. 36 00:02:43,860 --> 00:02:44,950 That will give me access. 37 00:02:46,310 --> 00:02:48,820 Okay, welcome to the Improval Dashboard. 38 00:02:49,410 --> 00:02:52,760 Just want to do a bit of orientation here so that you know your way around the software 39 00:02:52,790 --> 00:02:54,360 and you can use all of its functionality. 40 00:02:56,300 --> 00:02:57,250 So this is the homepage. 41 00:02:58,100 --> 00:03:00,610 If we click Open My Appraisal, 42 00:03:01,370 --> 00:03:05,580 then we get to the main appraisal form with all the subsections that need completing 43 00:03:05,610 --> 00:03:08,940 before the appraisal meeting itself. 44 00:03:09,810 --> 00:03:11,960 And we will talk through each section. 45 00:03:14,140 --> 00:03:17,050 You can also navigate here if you click My Appraisal. 46 00:03:17,820 --> 00:03:22,010 And it's just worth noting here that it says appraisal 2027 and 2028. 47 00:03:22,420 --> 00:03:27,410 So, Improval is set up, anticipating your appraisal 48 00:03:27,440 --> 00:03:32,310 in one year's time. So before we start populating all these various sections, it's worth 49 00:03:32,340 --> 00:03:33,990 getting the appraisal details right. 50 00:03:36,080 --> 00:03:38,590 So if we go here to appraisal dates, 51 00:03:39,640 --> 00:03:40,510 edit dates, 52 00:03:42,190 --> 00:03:47,240 and we want to set the end date as the date of the 53 00:03:48,150 --> 00:03:53,100 Appraisal meeting itself. Now, I guess you might not know when this is, but we're just 54 00:03:53,130 --> 00:03:57,500 going to imagine here that it's sometime soon. 55 00:03:58,130 --> 00:04:01,660 So here we are in November. So let's say we go for Monday. 56 00:04:03,960 --> 00:04:07,810 Now the start date will be normally previous. 57 00:04:08,180 --> 00:04:10,230 It might be a bit longer than 12 months. 58 00:04:11,720 --> 00:04:13,690 It should be the date of the last appraisal, really. 59 00:04:14,620 --> 00:04:18,810 So let's say this was, yeah, the 9th, 11th, 2025 is just fine. 60 00:04:19,300 --> 00:04:20,630 If you're in FY2, 61 00:04:21,320 --> 00:04:26,730 then I would suggest you set your start date as the 62 00:04:26,760 --> 00:04:31,470 August that you were in FY2. 63 00:04:32,160 --> 00:04:36,310 So generally for an FY2, moving into FY3, you would 64 00:04:36,610 --> 00:04:41,340 do your appraisal around a year following 65 00:04:41,370 --> 00:04:42,880 completion. 66 00:04:43,540 --> 00:04:48,810 Of your FY2. I know your ARCP will be maybe in June or April, et cetera, but it's not a 67 00:04:48,840 --> 00:04:54,110 year later. So, for example, for this year, if you finished your FY2 on the 68 00:04:54,140 --> 00:04:59,330 1st of August, 2026, I'd expect your appraisal to be due on the 1st of August, 2027. 69 00:05:00,840 --> 00:05:06,270 Okay, if we save this, we can then see that the appraisal changes to 2026, 2027. 70 00:05:07,440 --> 00:05:09,730 Okay, revalidation date is worth setting this. 71 00:05:10,580 --> 00:05:11,380 Again, 72 00:05:11,520 --> 00:05:16,900 you know, if you're FY3, Then your revalidation date will be four years after 73 00:05:16,930 --> 00:05:18,400 the completion of your FY2. 74 00:05:19,430 --> 00:05:24,740 If you're anybody else that's got a new licence to practise, it will be five years 75 00:05:24,770 --> 00:05:26,540 from the date you gained full registration. 76 00:05:27,630 --> 00:05:30,540 Do also set your designated body if you have one. 77 00:05:30,990 --> 00:05:36,300 If you don't have one, then you can just say not applicable or click 78 00:05:36,330 --> 00:05:41,520 other and you can just say no designated body and the appraiser 79 00:05:41,550 --> 00:05:42,900 we've already done hopefully. 80 00:05:45,890 --> 00:05:47,960 Okay, so some other features to discuss. 81 00:05:49,160 --> 00:05:50,230 So let's go back to the home. 82 00:05:51,230 --> 00:05:54,580 And here we have voice notes. So this is a really useful feature. 83 00:05:55,730 --> 00:06:01,180 Yes, if you have your appraisal in that time, but maybe more so if you are going to use 84 00:06:01,210 --> 00:06:03,080 Improval for the year, 85 00:06:03,900 --> 00:06:07,430 what this allows you to do, just like speaking into AI, 86 00:06:08,080 --> 00:06:12,930 you could speak into Improval in the form of a voice note, and it will organise your 87 00:06:12,960 --> 00:06:18,310 thoughts into a nice entry. Whether that be CPD or significant event, 88 00:06:18,460 --> 00:06:19,260 compliment, 89 00:06:19,580 --> 00:06:20,690 complaints, quality improvement. 90 00:06:21,580 --> 00:06:26,470 So this is good to do as you go. Like maybe, maybe be into an MDT and you just want to 91 00:06:26,500 --> 00:06:31,610 quickly write, you know, speak your thoughts into Improval and get a nice entry. 92 00:06:31,660 --> 00:06:33,130 Maybe you've been to, 93 00:06:33,840 --> 00:06:36,490 you know, you've had a difficult encounter with a patient and you've encountered a 94 00:06:36,520 --> 00:06:38,430 complaint and you want to record your thoughts. 95 00:06:39,260 --> 00:06:42,150 This just organises this in a professional way for you. 96 00:06:43,570 --> 00:06:45,800 Okay, so there's some other features here. 97 00:06:47,170 --> 00:06:47,970 Feedback. 98 00:06:48,070 --> 00:06:52,300 So if you want to do patient or colleague feedback, you don't have to use an additional 99 00:06:52,330 --> 00:06:57,300 service. You don't have to give out physical paper forms, although you can. 100 00:06:57,730 --> 00:06:59,900 This will organise things nicely for you. 101 00:07:00,310 --> 00:07:05,560 I won't go through how to use it in detail, but obviously it's just a case of clicking new 102 00:07:05,590 --> 00:07:10,580 feedback exercise. And then we can see we've got colleague feedback and patient feedback, 103 00:07:10,610 --> 00:07:16,180 and we can send Individualised feedback forms to either patients or colleagues. 104 00:07:18,080 --> 00:07:20,710 And finally is the compliance passport. 105 00:07:21,440 --> 00:07:23,610 So this is really for your mandatory training. 106 00:07:23,740 --> 00:07:27,570 So like your moving and handling fire safety, data protection, etc. 107 00:07:28,180 --> 00:07:28,980 Now, 108 00:07:29,240 --> 00:07:31,410 there's a little bit of a distinction to draw here. 109 00:07:31,520 --> 00:07:36,330 So if you want to add your mandatory training to your compliance passport, that's fine. 110 00:07:36,980 --> 00:07:38,730 Equally, you might put it in CPD. 111 00:07:40,020 --> 00:07:44,050 I don't personally mind where you kind of put that evidence. 112 00:07:46,230 --> 00:07:49,580 So you can put it here, you can put it in the CPD section. 113 00:07:51,900 --> 00:07:56,710 Okay, let's talk about the appraisal form itself. 114 00:07:58,090 --> 00:08:01,720 Okay, let's talk about the first section, which is general information. 115 00:08:02,880 --> 00:08:05,710 So the very first subsection is personal details, 116 00:08:06,260 --> 00:08:08,550 fairly self-explanatory, your demographics, 117 00:08:09,180 --> 00:08:10,090 contact details. 118 00:08:10,720 --> 00:08:11,930 These include your GMC number. 119 00:08:12,980 --> 00:08:18,370 Qualifications, so do include where you've got your medical degree, additional degrees, 120 00:08:19,220 --> 00:08:21,390 exams that you've passed like MRCP. 121 00:08:25,440 --> 00:08:29,190 Okay, scope of work. So this is the first important section really. 122 00:08:31,160 --> 00:08:36,050 The scope of work is basically what you've been doing clinically for the year previously. 123 00:08:38,000 --> 00:08:38,710 Now, 124 00:08:38,740 --> 00:08:43,030 it is important to declare anything you use your GMC number for. 125 00:08:43,060 --> 00:08:46,870 So at the start of your career, this is generally one thing. 126 00:08:47,040 --> 00:08:51,130 You might have done locums or you might have done an observership or clinical fellow role. 127 00:08:51,540 --> 00:08:54,310 It's generally one thing. And as you go throughout your career, 128 00:08:55,110 --> 00:08:58,600 As you become more senior, you tend to pick up additional roles, additional 129 00:08:58,630 --> 00:09:01,940 responsibilities, you tend to work maybe for more than one organisation. 130 00:09:02,390 --> 00:09:06,500 As you can see for myself, you know, there's my main consultant role, but also Medical 131 00:09:06,530 --> 00:09:10,320 Appraisal, and I do some legal work, expert witness work. 132 00:09:11,920 --> 00:09:14,170 You must declare everything you use your GMC number for. 133 00:09:15,120 --> 00:09:17,610 It is worth saying though that you may have jobs. 134 00:09:18,170 --> 00:09:22,180 That are aligned to medicine, but don't require a GMC number for. 135 00:09:22,230 --> 00:09:26,320 So for example, if you've got a role in med tech, then please do include it. 136 00:09:26,570 --> 00:09:30,480 You don't have to declare it, but it does add flavour to the appraisal. 137 00:09:31,670 --> 00:09:32,470 Similarly, 138 00:09:33,130 --> 00:09:37,780 you know, you might be an IMG and you may be doing an observership, but you're also 139 00:09:37,810 --> 00:09:41,780 working as a HCA. Again, it's still relevant, like it is still. 140 00:09:42,570 --> 00:09:44,880 Experience within the healthcare sector. 141 00:09:45,390 --> 00:09:47,140 And it is something we might discuss in the appraisal. 142 00:09:47,510 --> 00:09:52,960 So please do include definitely every role where you use your GMC 143 00:09:52,990 --> 00:09:56,220 number, but also the roles where you don't. 144 00:09:56,250 --> 00:09:59,920 And even if it's getting further away from medicine, maybe 145 00:09:59,950 --> 00:10:05,500 you're kind of doing some health work or finance work, 146 00:10:05,530 --> 00:10:10,620 et cetera, that isn't... Patient facing, I still think it's helpful to declare it and to 147 00:10:10,650 --> 00:10:15,280 discuss it. And it might feature as part of your goals, really, to be a more pragmatic 148 00:10:15,310 --> 00:10:16,980 assessment of where you're at. 149 00:10:18,300 --> 00:10:21,210 OK, only need to include things for the appraisal year. 150 00:10:21,600 --> 00:10:26,010 It is often helpful if you've got something that's just the job before your appraisal 151 00:10:26,040 --> 00:10:26,840 year, 152 00:10:27,040 --> 00:10:31,260 just the one before, just gives a good chronology. 153 00:10:31,550 --> 00:10:33,100 So feel free to include that as well. 154 00:10:33,990 --> 00:10:36,680 And then you can ask these two questions. 155 00:10:37,030 --> 00:10:41,360 So please describe any changes to your scope of work, and do you anticipate any role 156 00:10:41,390 --> 00:10:46,100 changes? So again, you know, doesn't need to be extensive what you say here. 157 00:10:46,270 --> 00:10:47,120 But for example, 158 00:10:47,730 --> 00:10:53,040 you know, you might be an F3, and you may have changed from 159 00:10:53,070 --> 00:10:56,420 moving from a permanent training program, i.e. 160 00:10:56,550 --> 00:10:58,180 foundation year two into locuming. 161 00:10:58,750 --> 00:11:02,300 And next year, you might be thinking of going into a clinical fellow role. 162 00:11:02,350 --> 00:11:06,840 Maybe you're doing a master's. Also, it's worth just giving an idea of 163 00:11:06,870 --> 00:11:11,020 what's changed, what's likely to change next year. 164 00:11:11,050 --> 00:11:13,780 And as you can see, for both of these, I've put four lines. 165 00:11:13,830 --> 00:11:17,830 It doesn't need to be very extensive. 166 00:11:18,340 --> 00:11:22,690 And then there's an area here where you can do some role reflection, if you wish. 167 00:11:24,200 --> 00:11:28,990 Again, if you do these reflective entries, you can count these as 168 00:11:29,020 --> 00:11:31,050 CPD as well. 169 00:11:32,860 --> 00:11:34,050 You may want to do that. 170 00:11:36,790 --> 00:11:38,080 OK, so past appraisals. 171 00:11:38,670 --> 00:11:42,580 So please do include your past appraisals if you can. 172 00:11:43,730 --> 00:11:45,700 At least one year before. 173 00:11:46,250 --> 00:11:49,860 So if you're an FY3, then FY2 ARCP is helpful. 174 00:11:50,170 --> 00:11:55,220 It's not absolutely compulsory, but it is helpful if you're in the middle of a 175 00:11:55,250 --> 00:11:56,300 revalidation cycle. 176 00:11:57,090 --> 00:12:00,740 You know, you don't have to include the last three appraisals, but at least the last one 177 00:12:00,770 --> 00:12:05,920 is important. We always review the previous year's PDP 178 00:12:05,950 --> 00:12:11,060 during the appraisal, so it's important that that's available for me to be able to have a 179 00:12:11,090 --> 00:12:11,890 look at. 180 00:12:13,680 --> 00:12:15,630 Okay, so personal and professional wellbeing. 181 00:12:16,460 --> 00:12:19,430 So again, a reflective area. 182 00:12:20,260 --> 00:12:24,610 You can talk about any issues that you want to bring up in a supportive way during the 183 00:12:24,640 --> 00:12:29,950 appraisal. So if you have had anything that's happened that's been adverse during the 184 00:12:29,980 --> 00:12:31,290 year from a health perspective, 185 00:12:32,160 --> 00:12:37,550 You know, that'd be physical health or mental health, what maybe there's some life 186 00:12:37,580 --> 00:12:42,230 event that's going on, you know, feel free to declare it in this area. 187 00:12:43,760 --> 00:12:46,650 Equally, there's no obligation to do so. 188 00:12:47,660 --> 00:12:51,050 In my appraisal practice, if you do declare something, you know, I'm going to approach 189 00:12:51,080 --> 00:12:56,030 that in a supportive way. I'm not looking to collect evidence against you or anything like 190 00:12:56,060 --> 00:12:59,210 that. I am just looking to support you during the appraisal. 191 00:13:00,530 --> 00:13:04,600 And so yeah, feel free to declare that in a confidential way. 192 00:13:07,070 --> 00:13:11,640 And it's good to, you know, we'll ask you like, where you are out of 10. 193 00:13:12,030 --> 00:13:16,000 So that's always gives a good kind of quantitative measure of this. 194 00:13:16,770 --> 00:13:19,680 As I say, there's some reflective areas to think about here as well. 195 00:13:20,230 --> 00:13:22,740 And then there is a work leisure balance form. 196 00:13:23,550 --> 00:13:24,700 You know, again, that's optional. 197 00:13:25,290 --> 00:13:28,780 It can add more details, so feel free to do that if you like. 198 00:13:30,050 --> 00:13:34,940 OK, probity, this needs to be done. It's a key declaration. 199 00:13:36,470 --> 00:13:41,680 So it's basically saying that you accept obligations placed under good medical 200 00:13:41,710 --> 00:13:45,620 practice, and then it gives an option, is there anything that you need to declare around 201 00:13:45,650 --> 00:13:46,860 suspension or restrictions? 202 00:13:48,470 --> 00:13:53,900 Medical indemnity, please do upload your MPS or MDU or other medical indemnity 203 00:13:53,930 --> 00:13:57,280 certificate. This does add to the appraisal. 204 00:13:57,390 --> 00:14:02,740 This is like a core thing that appraisers will comment on during the appraisal 205 00:14:02,770 --> 00:14:07,320 report. So if you do have cover, then please do upload it. 206 00:14:13,290 --> 00:14:15,060 OK, challenges, achievements and aspirations. 207 00:14:15,250 --> 00:14:16,050 Again, 208 00:14:16,310 --> 00:14:17,800 another reflective area. 209 00:14:19,040 --> 00:14:20,230 Important to fill this in. 210 00:14:21,220 --> 00:14:26,820 Again, you can see, you know, in my own example, like I've not put extensive detail, 211 00:14:26,890 --> 00:14:28,690 but it just gives an idea of like what. 212 00:14:28,720 --> 00:14:30,270 What during the year was challenging? 213 00:14:30,700 --> 00:14:31,910 What have been the key achievements? 214 00:14:32,120 --> 00:14:33,870 And what are your plans for next year? 215 00:14:37,490 --> 00:14:38,940 Okay. And then additional information. 216 00:14:39,210 --> 00:14:43,900 So things that I would really like to see in here if possible, please do include a CV. 217 00:14:44,190 --> 00:14:47,740 That's very helpful for me framing where you are in your medical career. 218 00:14:48,970 --> 00:14:53,700 And then if you do have references that are available to you, then please do include them. 219 00:14:53,730 --> 00:14:55,380 I know that that's often not possible. 220 00:14:55,950 --> 00:14:58,220 Often they're kind of confidential. 221 00:15:01,080 --> 00:15:04,750 Agencies as well, and NHS banks don't really like to share them. 222 00:15:05,200 --> 00:15:06,830 If you do have copies of them, then great. 223 00:15:07,240 --> 00:15:11,470 If you don't, then it's not a compulsory part of the appraisal. 224 00:15:14,020 --> 00:15:14,820 Yeah. 225 00:15:16,320 --> 00:15:18,330 Okay, so that's the general information section. 226 00:15:19,710 --> 00:15:23,320 Okay, the next box is keeping up to date, just two sections, 227 00:15:24,030 --> 00:15:25,340 keeping up to date and CPD. 228 00:15:28,340 --> 00:15:32,630 So it's worth saying that this type of appraisal, 229 00:15:33,280 --> 00:15:36,150 outside training, is quite different to ARCP. 230 00:15:37,520 --> 00:15:42,230 Here we're just trying to demonstrate that we've kept our knowledge and skills up to date, 231 00:15:42,260 --> 00:15:44,150 and this section is very relevant therefore. 232 00:15:45,000 --> 00:15:50,370 In ARCP, we're showing that we've made a large kind of leap in our progress between, say, 233 00:15:50,400 --> 00:15:52,990 ST3 and ST4 or FY1 and FY2. 234 00:15:54,670 --> 00:15:57,620 So this is, as I say, reflective. There's three questions. 235 00:15:58,250 --> 00:15:59,500 What have you done to keep up to date? 236 00:15:59,710 --> 00:16:01,680 What are the most significant things you've learned? 237 00:16:02,430 --> 00:16:04,700 And what learning needs have you identified? 238 00:16:05,270 --> 00:16:06,760 So let's just say you're in FY3. 239 00:16:07,820 --> 00:16:10,450 You know, your answer here might be, I've done the CPD, 240 00:16:11,160 --> 00:16:13,330 I've done patient or colleague feedback, I've done an audit. 241 00:16:13,910 --> 00:16:16,220 You know, what is the most significant things you've learned? 242 00:16:16,970 --> 00:16:21,020 You may say, I've learned more about acute medical conditions. 243 00:16:21,050 --> 00:16:24,880 I feel more confident in managing acutely unwell patients. 244 00:16:25,730 --> 00:16:31,100 You may say, I've developed knowledge around a specialist area that 245 00:16:31,130 --> 00:16:36,570 you're thinking of doing. You know, maybe that's anaesthetics, maybe it's 246 00:16:36,600 --> 00:16:40,930 dermatology, et cetera. You know, it's about sharing what you've learned really in the 247 00:16:40,960 --> 00:16:41,910 year previously. 248 00:16:42,430 --> 00:16:44,300 And what learning needs have you identified? 249 00:16:44,790 --> 00:16:50,100 So, you know, maybe you've done a master's in dermatology, for 250 00:16:50,130 --> 00:16:55,340 example, and your learning need is that you now need to apply that academic knowledge to 251 00:16:55,370 --> 00:16:56,180 clinical practice. 252 00:16:57,270 --> 00:17:01,560 You know, these are just a few examples, but it gives you an idea of where you need to go 253 00:17:01,590 --> 00:17:02,390 with this. 254 00:17:02,770 --> 00:17:05,580 Again, you know, it doesn't have to be really extensive, 255 00:17:06,290 --> 00:17:11,420 just needs to give enough points really to discuss in the appraisal itself. 256 00:17:15,170 --> 00:17:15,970 OK, 257 00:17:16,350 --> 00:17:21,700 CPD. So this is the major section of the appraisal, the workhorse of the appraisal. 258 00:17:22,370 --> 00:17:27,520 It is maybe equivalent to doing work-based assessments in FY1 and FY2. 259 00:17:28,250 --> 00:17:31,140 So this is a section that you need to do a good job of. 260 00:17:32,180 --> 00:17:32,950 Now, 261 00:17:32,980 --> 00:17:37,530 having said that, you can just see that all I've uploaded here is mandatory training. 262 00:17:37,920 --> 00:17:41,790 Now, that isn't sufficient. Your mandatory training is not your CPD. 263 00:17:42,770 --> 00:17:48,200 CPD needs to include 50 hours or 50 points, one hour, 264 00:17:48,390 --> 00:17:49,190 one point. 265 00:17:50,290 --> 00:17:55,520 And the best CPD portfolios show a range of different things, different activities 266 00:17:55,550 --> 00:17:56,860 that you've done. 267 00:17:57,820 --> 00:18:02,720 OK, so this might include cases that you found interesting. 268 00:18:02,910 --> 00:18:05,600 It might include mortality, morbidity meetings. 269 00:18:06,050 --> 00:18:08,400 It might include MDTs, 270 00:18:08,950 --> 00:18:11,380 departmental teaching. Grand Rounds. 271 00:18:11,970 --> 00:18:17,260 But also may include webinars, podcasts, external conferences, courses. 272 00:18:18,310 --> 00:18:23,880 It may include question banks that you've done questions from for the MSRA or other exams. 273 00:18:25,250 --> 00:18:29,920 But just a few notes here. So your mandatory training capped at 10 points, not with the 274 00:18:29,950 --> 00:18:31,240 first 10 points of the 50. 275 00:18:32,350 --> 00:18:35,000 Now, even if you've done 30 hours worth of modules, 276 00:18:35,570 --> 00:18:40,420 it's still 10 points. And similarly, for question banks, even if you've done 3,000 277 00:18:40,450 --> 00:18:44,700 questions, I personally, in my appraisal practice, would cap that at 10 points. 278 00:18:45,470 --> 00:18:48,740 So we want to see a range of different things that you've done. 279 00:18:49,540 --> 00:18:53,910 And I think it's worth also saying that, you know, things that you've done clinically can 280 00:18:53,940 --> 00:18:56,310 definitely be demonstrated in CPD. For example, 281 00:18:56,860 --> 00:18:57,660 you know, 282 00:18:59,400 --> 00:19:02,230 a mortality and morbidity meeting is a clinical event, you know, 283 00:19:03,220 --> 00:19:06,730 but the learning that covers from it is demonstrated 284 00:19:07,240 --> 00:19:08,670 In your reflection, really. 285 00:19:09,180 --> 00:19:14,570 So I would be very happy if you included, you know, the date of an MDT and what 286 00:19:14,600 --> 00:19:19,790 you learned from it. So it's that documentation of drawing out, you know, the 287 00:19:19,820 --> 00:19:22,990 learning points, the reflection from these events. 288 00:19:23,580 --> 00:19:27,650 So what you can't do is, you know, maybe you've done a clinical attachment, maybe you've 289 00:19:27,680 --> 00:19:30,430 done a taster week, or maybe you've done an observership. 290 00:19:30,920 --> 00:19:34,930 You know, uploading a certificate that you've been to a taster week or an observership is 291 00:19:34,960 --> 00:19:39,530 kind of useless. Like that is, that belongs in the scope of work section. 292 00:19:39,820 --> 00:19:41,530 So you need to draw out the learning. 293 00:19:41,580 --> 00:19:45,770 You need to make it obvious for the appraiser to understand what you've learned from those 294 00:19:45,800 --> 00:19:46,650 clinical events. 295 00:19:48,760 --> 00:19:53,910 A lot of doctors will struggle to get the 50 points, and it's not uncommon to top that up 296 00:19:53,940 --> 00:19:55,950 with online learning. 297 00:19:57,120 --> 00:19:57,920 For example, 298 00:19:58,340 --> 00:20:01,090 BMJ online learning is a commonly used resource. 299 00:20:01,760 --> 00:20:07,230 And that's fine. You know, I understand that it's not always easy to get lots of internal 300 00:20:07,260 --> 00:20:12,410 CPD points from, from locuming. You know, maybe you don't get to go to formal 301 00:20:12,440 --> 00:20:14,270 teaching. Maybe you don't get to go to grand round. 302 00:20:14,440 --> 00:20:19,850 I understand that. Um, but this section really is about demonstrating a range of 303 00:20:19,880 --> 00:20:21,150 different things that you've done, 304 00:20:21,930 --> 00:20:25,400 uh, contributing to your CPD for that year. 305 00:20:25,970 --> 00:20:30,840 And if you've done, you know, if you've done like formal qualifications, like a master's, 306 00:20:30,890 --> 00:20:36,000 you know, again, like that's great. And that obviously counts as CPD, same for like a 307 00:20:36,030 --> 00:20:38,360 postgraduate certificate of any description, 308 00:20:38,890 --> 00:20:42,920 but please do in the CPD section, demonstrate how that... 309 00:20:42,950 --> 00:20:48,280 Contribute to CPD. So for a master's, like, please include a list of all the teaching 310 00:20:48,310 --> 00:20:50,800 sessions you've been to, like, timetables, for example, 311 00:20:52,830 --> 00:20:55,560 assignments that you've done, the same for postgraduate certificate. 312 00:20:55,970 --> 00:21:01,190 So, unfortunately, you know, this section is, it can be a bit tiresome, but it's about 313 00:21:01,220 --> 00:21:05,150 delineating and making obvious exactly what you've done. 314 00:21:06,080 --> 00:21:07,450 I'm just going to quick look at this form. 315 00:21:08,670 --> 00:21:12,200 So this is CPD form. So title, date of learning. 316 00:21:12,490 --> 00:21:16,100 Learning points and reflection and hours and credits. 317 00:21:16,350 --> 00:21:21,280 So you can see, and then you can say which part of your scope of work it's appropriate to. 318 00:21:21,550 --> 00:21:24,660 So CPD should cover your entire scope of work. 319 00:21:25,690 --> 00:21:28,560 So that might just be one thing, but it might be four things. 320 00:21:28,650 --> 00:21:30,520 So for example, when I do my appraisal, 321 00:21:31,390 --> 00:21:36,280 I have to demonstrate I've done learning around appraisal myself, around expert witness 322 00:21:36,310 --> 00:21:40,040 work, around my consultant work as well, so including all things. 323 00:21:42,470 --> 00:21:47,400 And in terms of like reflecting on this, so you don't have to reflect on every element of 324 00:21:47,430 --> 00:21:50,620 your CPD. Like if you've done a module on hyponatraemia, 325 00:21:51,310 --> 00:21:53,800 you know, there might not be loads and loads of reflection from that. 326 00:21:53,830 --> 00:21:57,340 You've reviewed hyponatraemia, you know, what medications to stop and the cause of 327 00:21:57,370 --> 00:21:58,260 hyponatraemia. 328 00:21:58,850 --> 00:22:01,280 So you don't have to write extensive reflection. 329 00:22:01,710 --> 00:22:06,980 But for example, if you're listing a mortality, morbidity meeting or an MDT, you know, 330 00:22:07,010 --> 00:22:09,960 that is where you need to reflect, like simply attending. 331 00:22:09,990 --> 00:22:14,690 What does that tell you? Not a lot. You know, you just need to know, well, actually, 332 00:22:15,300 --> 00:22:17,870 within this mortality and morbidity meeting, 333 00:22:18,500 --> 00:22:23,270 we explored, you know, three mortality 334 00:22:23,300 --> 00:22:24,410 events, 335 00:22:25,020 --> 00:22:30,490 and I learned this from them. And I have made a note to review this in my 336 00:22:30,520 --> 00:22:35,210 practice. You know, that's the kind of reflection we want from areas that are less 337 00:22:35,240 --> 00:22:36,170 self-explanatory. 338 00:22:37,100 --> 00:22:40,470 You know, similarly, as I've mentioned, if you do have, like, formal qualifications 339 00:22:40,500 --> 00:22:42,570 like... Like, postgraduate certificates. 340 00:22:43,160 --> 00:22:45,970 And again, please, please demonstrate what you've learned, etc. 341 00:22:48,010 --> 00:22:52,960 And again, you know, in this section, just a few other things to say, you might not have 342 00:22:52,990 --> 00:22:58,180 loads and loads of different entries here, you know, your CPD might be three substantial 343 00:22:58,210 --> 00:23:03,620 different things, that's fine. Equally, it might be 70 entries, you know, it 344 00:23:03,650 --> 00:23:08,740 might be that you've done 30 online modules, and you've done 20 reflections, 345 00:23:09,450 --> 00:23:10,520 and you've done 346 00:23:11,110 --> 00:23:15,600 You know, whatever else. So the number of entries isn't important. 347 00:23:15,650 --> 00:23:19,920 It's more the substance and reflection you've drawn from each entry. 348 00:23:23,520 --> 00:23:28,290 Okay, so that's the CPD section and that's it for keeping up to date. 349 00:23:29,690 --> 00:23:34,540 Okay, so the next section is the review of practice, three subsections, the review of your 350 00:23:34,570 --> 00:23:38,420 practice, the quality improvement activity and significant events. 351 00:23:39,620 --> 00:23:43,430 So the first subsection is a reflective subsection. 352 00:23:44,180 --> 00:23:49,350 And again, it is a chance to think about the year that's gone, about what's gone 353 00:23:49,380 --> 00:23:50,180 well, 354 00:23:50,440 --> 00:23:55,250 and how things could be better and how they could be further improved in the years going 355 00:23:55,280 --> 00:23:59,300 forward. Again, You know, this doesn't need to be really extensive. 356 00:23:59,810 --> 00:24:04,180 Three or four lines in each of these questions is fine. 357 00:24:05,030 --> 00:24:10,000 You know, it might be a case that you want to, you know, you felt that you've improved 358 00:24:10,030 --> 00:24:13,900 your confidence massively as an SHO, but there are procedures that you don't feel as 359 00:24:13,930 --> 00:24:16,940 confident with that you want to progress in the years ahead. 360 00:24:17,010 --> 00:24:21,780 Maybe you feel that your communication skills could be better and you want to, you 361 00:24:21,810 --> 00:24:24,520 know, hone in those over the year ahead. 362 00:24:24,550 --> 00:24:28,610 So it's good to think about Your practice critically, 363 00:24:29,490 --> 00:24:34,820 what went well, how are you going to improve, and put that into a short structured 364 00:24:34,850 --> 00:24:37,160 reflection in this section. 365 00:24:39,930 --> 00:24:42,180 Okay, the next section is the quality improvement activity. 366 00:24:43,170 --> 00:24:45,240 So quite an important section, this one. 367 00:24:45,650 --> 00:24:50,760 Between CPD and QIA, that is the workhorse of the appraisal. 368 00:24:50,810 --> 00:24:52,900 These two sections need to be done well. 369 00:24:56,000 --> 00:25:00,030 A few notes, really. So the QIA, so it's a quality improvement activity. 370 00:25:01,270 --> 00:25:06,200 It's not a quality improvement project per se, although if you have done a quality 371 00:25:06,230 --> 00:25:08,920 improvement project, you can include it in this section. 372 00:25:10,090 --> 00:25:14,680 So the QIA is simply something that you've done during the year to improve your practice. 373 00:25:14,890 --> 00:25:19,680 Now, you could have done a QIA, a QIP, as I mentioned, you could do an audit. 374 00:25:19,710 --> 00:25:21,660 It doesn't have to be a massive departmental audit. 375 00:25:21,730 --> 00:25:26,740 It could be very simple, 20 or 30 patients where you've Identify an issue, collect some 376 00:25:26,770 --> 00:25:28,300 data and reflect on the feedback. 377 00:25:29,110 --> 00:25:34,020 It could be teaching that you've done a teaching session and feedback. 378 00:25:34,590 --> 00:25:39,980 It could be case-based discussions, two or three interesting cases discussed with a 379 00:25:40,010 --> 00:25:42,440 registrar or consultant and written up on a pro forma. 380 00:25:43,250 --> 00:25:45,540 It could be review of a guideline. 381 00:25:46,890 --> 00:25:52,180 What is important to state here is that the actual form within Improval 382 00:25:52,450 --> 00:25:56,340 Is quite brief, title, description, reflection and credits. 383 00:25:57,610 --> 00:26:02,120 Is brief, but this section is important and it does ideally need to include some evidence. 384 00:26:03,210 --> 00:26:05,500 So just going to the form again, 385 00:26:06,130 --> 00:26:08,940 although there's a credit section, you can't count things twice. 386 00:26:09,070 --> 00:26:13,620 So if you've got something in the QIA section, you can't count it in the CPD section. 387 00:26:13,790 --> 00:26:17,880 Unless, for example, you've done an audit and then you've reflected on the audit, you 388 00:26:17,910 --> 00:26:19,660 could include the reflection in the CPD. 389 00:26:22,040 --> 00:26:25,310 Again, in this section, it's good to include some evidence. 390 00:26:25,860 --> 00:26:27,230 So, you know, for example, 391 00:26:27,980 --> 00:26:29,710 case-based discussions written up on a pro forma. 392 00:26:30,340 --> 00:26:34,750 If you've done an audit, please include the pro forma that you've filled in, anonymised 393 00:26:34,780 --> 00:26:35,580 data, 394 00:26:36,680 --> 00:26:37,480 presentations. 395 00:26:37,700 --> 00:26:42,010 Similarly, if you've done a teaching, the PowerPoint presentation you delivered, or 396 00:26:42,040 --> 00:26:42,840 feedback. 397 00:26:43,320 --> 00:26:47,490 If you've done a guideline review, then the guideline and your critical appraisal of that 398 00:26:47,520 --> 00:26:50,350 guideline. Now, I ideally want to see 399 00:26:51,500 --> 00:26:55,990 Some evidence that you've kind of documented really in this section. 400 00:26:56,910 --> 00:26:57,710 As I say, 401 00:26:58,150 --> 00:27:00,620 it is one of the two really important sections. 402 00:27:01,970 --> 00:27:06,920 So do reflect as well in this section, more so than any other section 403 00:27:06,950 --> 00:27:11,980 on your QIA, and be prepared to discuss what you've done, 404 00:27:12,310 --> 00:27:15,040 what you've learned, and how it's influenced your practice. 405 00:27:20,050 --> 00:27:22,100 Okay, so the next section is significant events. 406 00:27:23,740 --> 00:27:28,920 So... If you have been involved in a significant event, don't be concerned about declaring 407 00:27:28,950 --> 00:27:29,750 it here. 408 00:27:30,490 --> 00:27:33,740 In nearly all but a very few number of cases, 409 00:27:34,710 --> 00:27:39,720 a significant event would be dealt with within the appraisal discussion and it would go no 410 00:27:39,750 --> 00:27:44,400 further. The only times around how to refer something to the responsible officer would be 411 00:27:44,430 --> 00:27:48,430 like a serious professional issue or if... 412 00:27:48,460 --> 00:27:53,930 The act was like so negligent, it was kind of bordering on a criminal act and that 413 00:27:53,960 --> 00:27:56,910 sort of thing. So in all but very few cases, 414 00:27:58,410 --> 00:28:00,180 the incident is discussed, 415 00:28:00,980 --> 00:28:02,470 we're reflecting it together, 416 00:28:03,090 --> 00:28:04,520 and we bring out the learning points. 417 00:28:04,550 --> 00:28:09,000 And if necessary, that those learning points could be incorporated into the personal 418 00:28:09,030 --> 00:28:09,920 development plan. 419 00:28:10,450 --> 00:28:15,320 So what I'm trying to drive out here is you don't need to be concerned about declaring 420 00:28:15,350 --> 00:28:16,150 things. 421 00:28:17,850 --> 00:28:21,020 Again, in the form here, this form is fairly simple. 422 00:28:21,570 --> 00:28:23,600 Okay, so description, reflection, credits. 423 00:28:24,950 --> 00:28:28,160 Credits is obviously less relevant, but if you are involved in a significant event, please 424 00:28:28,190 --> 00:28:32,080 write some written reflection. We will reflect together in the appraisal meeting itself, 425 00:28:32,110 --> 00:28:34,960 but please do document something at least. 426 00:28:37,530 --> 00:28:43,000 Also worth saying that in terms of significant 427 00:28:43,030 --> 00:28:43,830 events, 428 00:28:45,530 --> 00:28:50,080 a lot of people do... Have some level of confusion about what a significant event is. 429 00:28:51,310 --> 00:28:56,680 So that is normally classified by the person reviewing the data and it's normally a 430 00:28:56,710 --> 00:28:57,510 senior person. 431 00:28:57,990 --> 00:29:03,290 But, you know, it's not someone taking you aside and saying something slightly adverse 432 00:29:03,320 --> 00:29:04,120 happened. 433 00:29:04,560 --> 00:29:09,010 You know, for this to be in this section, from in my appraisal practice, at least, you 434 00:29:09,040 --> 00:29:12,370 know, it must be in writing, you must be notified. 435 00:29:13,520 --> 00:29:17,950 Or it could be verbally, but you would have to be asked to declare it as a significant 436 00:29:17,980 --> 00:29:21,010 event verbally in your appraisal itself. 437 00:29:21,380 --> 00:29:25,570 So for example, a lot of people feel that if something was referred to the coroner, that's 438 00:29:25,600 --> 00:29:27,410 a significant event. It isn't necessarily. 439 00:29:28,300 --> 00:29:33,590 So you should have been told by somebody senior that 440 00:29:33,790 --> 00:29:36,460 it was a significant event and that it needs to be discussed. 441 00:29:37,070 --> 00:29:40,600 And that could be a consultant, medical director, it could be a manager, but just bear 442 00:29:40,630 --> 00:29:42,580 that in mind in this section. 443 00:29:43,950 --> 00:29:47,360 So the next section is feedback on your practice. 444 00:29:48,150 --> 00:29:52,680 So five areas here, learning from feedback, colleague feedback, patient feedback, 445 00:29:52,790 --> 00:29:54,340 compliments and complaints. 446 00:29:55,630 --> 00:29:58,060 Let's just have a look at complaints first. 447 00:30:00,120 --> 00:30:05,770 Okay, so goes along really with significant events, some of the same themes. 448 00:30:07,120 --> 00:30:12,330 Again, if you have been involved in a complaint, don't worry about declaring it. 449 00:30:13,100 --> 00:30:18,240 Please do fill in the form. Please do provide some reflection and we 450 00:30:18,270 --> 00:30:23,220 will, in all but very few cases, in 99.9% of cases, 451 00:30:23,470 --> 00:30:28,080 we will discuss the complaint, we'll talk about what you've learned from it and if there 452 00:30:28,110 --> 00:30:32,140 are any learning points to take forward within the appraisal meeting itself. 453 00:30:33,090 --> 00:30:35,860 So don't worry about it, feel free to declare things. 454 00:30:36,450 --> 00:30:38,940 It's a safe space in terms of the appraisal itself. 455 00:30:41,450 --> 00:30:46,520 A lot of complaints do come through that I don't think really meet the criteria. 456 00:30:46,950 --> 00:30:52,120 So in order to actually declare something in this area or need to declare something in 457 00:30:52,150 --> 00:30:55,660 this area, I generally say it needs to have been in writing. 458 00:30:55,830 --> 00:30:58,080 So somebody can't just complain about you a bit on the ward. 459 00:30:58,270 --> 00:31:01,800 You know, that's almost a daily occurrence in some areas. 460 00:31:03,120 --> 00:31:05,570 There needs to be a formal written complaint from a patient. 461 00:31:05,650 --> 00:31:09,240 It needs to have gone to somebody senior like a consultant or medical director or a 462 00:31:09,270 --> 00:31:14,500 manager, and they need to notify you in writing for it to be classified in this 463 00:31:14,530 --> 00:31:16,680 section. So just bear that in mind. 464 00:31:17,290 --> 00:31:18,090 Again, 465 00:31:18,190 --> 00:31:22,880 the important thing is to reflect on it and think about how things could be done 466 00:31:22,910 --> 00:31:28,160 differently maybe next time. So again, don't worry, we can discuss this 467 00:31:28,190 --> 00:31:29,580 during the appraisal itself. 468 00:31:31,600 --> 00:31:35,170 OK, so as I say, some of this section is 469 00:31:36,430 --> 00:31:37,230 Optional. 470 00:31:38,170 --> 00:31:43,320 So within a revalidation cycle, the five year revalidation cycle, you do need to do 34 471 00:31:43,350 --> 00:31:46,900 patients in terms of feedback and 15 colleagues in terms of feedback. 472 00:31:48,830 --> 00:31:52,540 Obviously, there's functions in Improval, as stated earlier, to collect this feedback. 473 00:31:52,730 --> 00:31:58,200 You can also do paper-based forms and you can collect the feedback together 474 00:31:58,230 --> 00:32:00,820 from the feedback section 475 00:32:01,430 --> 00:32:05,420 to collect it here, or you could upload evidence. 476 00:32:06,360 --> 00:32:08,310 You know, paper-based forms, et cetera. 477 00:32:08,340 --> 00:32:13,250 And again, you know, you can reflect on this as well when you upload these files. 478 00:32:15,110 --> 00:32:16,680 Same with colleague feedback. 479 00:32:17,290 --> 00:32:22,580 The important thing here, though, is there is no requirement to upload any 480 00:32:22,610 --> 00:32:27,740 patient, colleague, feedback, or even any compliments within any given appraisal year. 481 00:32:28,070 --> 00:32:31,420 The requirement is during the whole revalidation cycle. 482 00:32:31,470 --> 00:32:34,600 So 34 patients, 15 colleagues across the five years. 483 00:32:34,670 --> 00:32:39,540 And you could choose to Do 34 patients and 15 colleagues in your last year 484 00:32:39,570 --> 00:32:43,000 of your revalidation cycle, and that's perfectly acceptable. 485 00:32:43,250 --> 00:32:46,540 You may do a few patients and a few colleagues every year. 486 00:32:47,210 --> 00:32:49,600 That's completely up to you. 487 00:32:50,290 --> 00:32:53,220 But it's just to say, these sections are optional. 488 00:32:53,550 --> 00:32:58,280 And if you are locuming, if you are outside of a permanent job, then it's very reasonable 489 00:32:58,310 --> 00:33:00,700 to say, well, it's quite hard to collect feedback now. 490 00:33:00,730 --> 00:33:05,000 It's not as valuable as it would be if I had the continuity. 491 00:33:05,450 --> 00:33:09,300 Of care, as I would in a permanent role, so I'm going to collect it later. 492 00:33:10,800 --> 00:33:15,850 So you may not do this in your FY3 appraisal, for example. 493 00:33:15,920 --> 00:33:16,690 In fact, 494 00:33:16,720 --> 00:33:19,370 I would say most people don't. 495 00:33:19,890 --> 00:33:25,360 That being said, you may have informal feedback, like thank you cards, or you 496 00:33:25,390 --> 00:33:28,990 may have done like some other exercise that's informal. 497 00:33:29,340 --> 00:33:30,530 Feel free to attach that. 498 00:33:31,620 --> 00:33:33,810 And then the learning from feedback section. 499 00:33:34,010 --> 00:33:35,420 Feeds into what you've done, really. 500 00:33:35,730 --> 00:33:41,120 So you may have done some formal, you may have done some informal feedback, and then this 501 00:33:41,150 --> 00:33:44,880 is the section to reflect on it. So again, some questions here. 502 00:33:45,630 --> 00:33:50,440 So you may have done, you may have no formal feedback, you may have no informal feedback, 503 00:33:50,530 --> 00:33:55,060 and this may just be a purely kind of reflective section. 504 00:33:55,550 --> 00:33:59,140 And you may just say, well, how do I feel that my practice is 505 00:33:59,700 --> 00:34:03,130 Perceived by colleagues, perceived by patients, and that's perfectly fine as well. 506 00:34:03,560 --> 00:34:06,850 So just like the other sections, some questions to prompt some reflection. 507 00:34:07,140 --> 00:34:10,470 Again, doesn't need to be too extensive, and we can pick up on this within the appraisal 508 00:34:10,500 --> 00:34:11,350 meeting itself. 509 00:34:12,700 --> 00:34:15,310 So finally we come to the personal development plan. 510 00:34:15,760 --> 00:34:20,530 So this is three or four goals for the year ahead that you want to undertake. 511 00:34:21,840 --> 00:34:24,430 It's the final part of the appraisal meeting as well. 512 00:34:25,080 --> 00:34:28,090 And it has to be agreed between the appraiser and the appraisee. 513 00:34:28,440 --> 00:34:30,950 Both parties have to agree on those goals. 514 00:34:31,400 --> 00:34:32,370 So it's a collaboration. 515 00:34:33,320 --> 00:34:37,070 So this section here really is for you to jot down some ideas, what you think your 516 00:34:37,100 --> 00:34:38,890 development goals are for the year ahead. 517 00:34:39,380 --> 00:34:42,600 It should be things that you genuinely want to work on. 518 00:34:43,150 --> 00:34:47,460 There's been a bit of a tendency for these to be quite tick boxy type activities. 519 00:34:48,130 --> 00:34:48,930 You know, for example, 520 00:34:49,510 --> 00:34:52,640 I want to do 50 points of CPD for the year ahead. 521 00:34:52,670 --> 00:34:55,860 That's not a very valuable goal because it's a requirement of the appraisal anyway. 522 00:34:56,570 --> 00:35:01,120 So try and aim for goals where you genuinely want to make progress. 523 00:35:01,210 --> 00:35:04,290 So that could be a course that you want to go on. 524 00:35:04,320 --> 00:35:07,190 It could be applying for IMT or core surgical training. 525 00:35:07,240 --> 00:35:09,390 It could be exams. It could be the MSRA. 526 00:35:10,040 --> 00:35:14,780 So do try and Set goals that are useful for you. 527 00:35:15,710 --> 00:35:16,880 Within this section then, 528 00:35:17,590 --> 00:35:20,280 there's, again, it's ideas that you will set for yourself. 529 00:35:20,690 --> 00:35:24,220 You can see these individual targets that I've set for myself. 530 00:35:24,270 --> 00:35:26,360 This one's about medico-legal report writing. 531 00:35:26,690 --> 00:35:30,420 But it'll ask you what I want to achieve, how I want to achieve this, and how I intend to 532 00:35:30,450 --> 00:35:35,660 demonstrate success. So try not to be too emphatic 533 00:35:35,690 --> 00:35:38,660 about getting this right. They are ideas. 534 00:35:39,270 --> 00:35:41,480 And as the appraiser, anyway, 535 00:35:42,390 --> 00:35:47,000 part of the post appraisal support is writing up these goals. 536 00:35:47,190 --> 00:35:49,560 So I will write these goals formally, just to be clear. 537 00:35:50,070 --> 00:35:53,820 And I have to write these up into six different sections in terms of Improval 538 00:35:53,850 --> 00:35:54,680 documentation. 539 00:35:55,610 --> 00:35:59,960 So because they have to be written up formally by the appraiser, there's not that much 540 00:35:59,990 --> 00:36:03,760 point spending loads and loads of time on getting these absolutely perfect. 541 00:36:04,250 --> 00:36:08,400 They're ideas, that should be discussed in the appraisal meeting itself, ultimately. 542 00:36:10,340 --> 00:36:14,610 Okay, so that is the appraisal for a few final notes then. 543 00:36:15,400 --> 00:36:20,860 So when you get to this section and you've completed this section, you're kind of at 544 00:36:20,890 --> 00:36:21,780 the end of the form. 545 00:36:22,390 --> 00:36:27,460 If you've given me early access, it's then worth notifying me and letting me have a look 546 00:36:27,490 --> 00:36:31,480 through the appraisal, making sure that I think as the appraiser that everything is there 547 00:36:31,510 --> 00:36:33,340 and we're ready to have the meeting itself. 548 00:36:33,790 --> 00:36:36,520 So please do that before you submit the appraisal. 549 00:36:37,270 --> 00:36:38,640 Appraisal is submitted. 550 00:36:39,430 --> 00:36:41,360 By clicking sign off. 551 00:36:41,930 --> 00:36:45,140 So that's that should be done before the Teams meeting itself. 552 00:36:47,250 --> 00:36:52,420 And then it's a case of progressing to the Teams meeting and discussing 553 00:36:52,450 --> 00:36:54,640 all the evidence that you've documented. 554 00:36:56,610 --> 00:37:01,280 OK, so that is a brief run through of everything in appraisal. 555 00:37:01,950 --> 00:37:07,280 Hopefully that gives you a really clear idea of everything you need to do and upload 556 00:37:07,310 --> 00:37:08,740 for 557 00:37:09,520 --> 00:37:10,940 the appraisal meeting itself.