Consultant Psychiatrist who are members of the Group are able to engage in case-based discussions (CbD’s) as they apply to medicolegal practice. CbD's are part of Quality Improvement and a vital part of Appraisal under GMC rules.
Consultant Psychiatrists who are members of GS Medical Group are able to engage in CbD’s subject to the fee payable for such discussion and are mandated to complete at least two medicolegal CbD's per year. The Assessor will be a Member of the Group with a Supervisory role.
Medicolegal CbD’s over and above the mandatory requirement for the Group however may be undertaken between peers in any number by private arrangement .Opportunities of doing so are unlimited but extra-numerary CbD’s are always required to be documented .
A dedicated medicolegal CbD Form designed especially for this purpose is available to Members which can be downloaded from the Group’s website (Box 1). The duration of a standard CbD is 30 minutes in most cases.
Medicolegal CbD’s are capable of being examined at Appraisal meetings under Whole Practice Appraisal and should always be included in the Appraisal Document under Quality Improvement. In terms of the member’s PDP they earn credits subject to approval by the Peer Group in both the clinical and academic domains
(Box 1 ) The form is similar but not identical to forms in use elsewhere in Postgraduate Medical Education in Psychiatry for the purpose of Clinical Assessment of Skills and Competencies ( CASC) such as the Mini-CEX or the Mini-ACE and is designed to provide immediate feedback ( Malik, Bhugra and Brittlebank.2011 ).
The Royal College of Psychiatrists has introduced an updated version of their general CbD form which is available from the College website. Their use for medicolegal purposes however is untested.
Medicolegal CbD’s are exclusively concerned with cases which have concluded and are no longer active and where the submission by the Expert of either oral or written evidence has already taken place Active cases where evidence is yet to be submitted to the Courts either orally or in writing cannot be used for the purpose of CbD’s.
Opportunities for observed practice may arise on a case-by-case basis for example via video-conference.
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