Clinical CiPs7 CESR: Portfolio Pathway Application in Acute Internal Medicine
CiP 7: Delivering Effective Resuscitation and Managing the Acutely Deteriorating Patient
Delivering effective resuscitation and managing acutely deteriorating patients is a cornerstone of acute internal medicine. Clinical CiP 7 (Capabilities in Practice) focuses on developing the skills and competencies necessary to assess and manage critically ill patients, ensuring the best outcomes even in high-pressure situations. This blog provides a comprehensive guide to understanding CiP 7, compiling the required evidence, and structuring a CESR (Certificate of Eligibility for Specialist Registration) application in Acute Internal Medicine.
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Key Skills for CiP 7
To meet the requirements for CiP 7, candidates must demonstrate proficiency in the following key areas:
|
Key Skill |
Description |
|
Prompt assessment of deteriorating patients |
Ability to assess patients who are acutely unwell, including those who are shocked or unconscious. |
|
Understanding consent for resuscitation |
Knowledge of the professional and legal frameworks governing consent, including advanced care planning and decisions regarding DNACPR (Do Not Attempt Cardiopulmonary Resuscitation). |
|
Effective decision-making in resuscitation |
Collaboration with multidisciplinary teams, patients, and families to make informed decisions about resuscitation, including when not to proceed with CPR. |
|
Competence in resuscitation |
Proficiency in advanced life support techniques, procedural skills, and simulation scenarios. |
Suggested Documentation for CiP 7
To demonstrate competence in CiP 7, candidates must provide robust evidence in their CESR portfolio. Below is a breakdown of suggested documentation:
|
Type of Evidence |
Examples |
|
Consultant Reports |
Multiple Consultant Reports (MCR), end-of-placement reviews, and appraisal summaries. |
|
Direct Observation |
Evidence from DOPS (Direct Observation of Procedural Skills), focusing on acute care scenarios. |
|
Acute Care Assessments |
Assessments such as ACATs (Acute Care Assessment Tools) documenting clinical performance in emergencies. |
|
Multisource Feedback |
Feedback from colleagues, including Multisource Feedback (MSF) reports. |
|
Advanced Life Support |
Certification such as ALS (Advanced Life Support), reflecting competence in resuscitation techniques. |
|
Reflections |
Written reflections on resuscitation experiences and learning outcomes. |
|
Simulation Evidence |
Records from participation in simulation training sessions. |
|
CPD Evidence |
Evidence of continued professional development through courses and training in resuscitation and life support. |
Guidance for Compiling Your Portfolio
The CESR pathway requires careful preparation and organization to present a comprehensive portfolio. Here are steps to help you:
1. Understand the CiP Requirements
Thoroughly review the requirements for CiP 7.
Familiarize yourself with the GMC’s guidance on capabilities in practice and the core competencies expected for acute internal medicine.
2. Gather Evidence Methodically
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Consultant Reports: Request detailed feedback from consultants who have observed your clinical practice. Use MCRs and appraisals to document longitudinal growth.
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Procedural Skills: Log DOPS entries for resuscitation procedures such as intubation, defibrillation, and chest compressions.
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Reflections: Write structured reflections on significant cases, particularly those involving decision-making in resuscitation or managing complex deteriorations.
3. Include Multisource Feedback
Multisource Feedback (MSF) provides a well-rounded view of your skills from colleagues across disciplines. Ensure feedback captures both clinical expertise and teamwork.
4. Document Training and CPD
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Enroll in relevant courses such as ALS and document your certificates.
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Keep a record of CPD activities, including webinars, workshops, and conferences related to resuscitation and acute care.
5. Simulation Training
Simulation is invaluable in demonstrating resuscitation competence. Include documentation of scenarios participated in, highlighting learning points and outcomes.
6. Organize Your Evidence
Structure your portfolio in a logical, easy-to-follow format. Use sections to group similar evidence types and ensure all entries are dated, signed, and referenced.
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cesr Obstetrics and Gynaecology
Common Challenges and How to Overcome Them
|
Challenge |
Solution |
|
Insufficient Evidence |
Plan early to gather comprehensive evidence. Regularly review your portfolio with mentors or supervisors. |
|
Time Management |
Allocate dedicated time for portfolio updates. Break tasks into manageable chunks. |
|
Unclear Documentation |
Use templates and ensure documentation is clear, concise, and relevant to CiP 7 requirements. |
Why Choose Us for CESR Support?
At CESR Portfolio, we specialize in guiding candidates through the complex CESR application process. Our experts:
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Provide tailored advice to strengthen your portfolio.
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Review your evidence and suggest improvements.
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Offer resources and templates to streamline your documentation.
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Ensure compliance with GMC standards for CiP 7 and other areas.
With our support, you can confidently navigate the portfolio pathway and achieve CESR in Acute Internal Medicine.
Final Thoughts
Successfully demonstrating your capabilities in CiP 7 is essential for CESR in Acute Internal Medicine. By gathering robust evidence, organizing your portfolio effectively, and addressing any gaps, you can showcase your competence in delivering effective resuscitation and managing acutely deteriorating patients. For expert guidance and support, trust CESR Portfolio to help you on your journey to becoming a specialist.
For more information please refer to gmc Specialty specific guidance for Portfolio pathway applications
Contact Us
Visit our website at CESR Portfolio to learn more about our services and how we can support your CESR application.
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