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The Milton Keynes Traffic Light System

The Milton Keynes Traffic Light System. How to get round Milton Keynes avoiding the roundabouts. A structured mechanism for identifying trainees in difficulty. The RDM-p Model. Tim Norfolk – Quality in Primary Care 2009 17 (1), pp37-49 Unifying theory of clinical practice

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The Milton Keynes Traffic Light System

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  1. The Milton Keynes Traffic Light System How to get round Milton Keynes avoiding the roundabouts A structured mechanism for identifying trainees in difficulty

  2. The RDM-p Model • Tim Norfolk – Quality in Primary Care 2009 17 (1), pp37-49 • Unifying theory of clinical practice • Links Relationship, Diagnostics, Management and Professionalism • Overarching model, provides a framework that can incorporates criteria and competencies across the range of assessments of a GP's work

  3. RDMp Relationships Adapted from Tim Norfolk; Quality in Primary Care 2009

  4. RDMp Diagnostics Adapted from Tim Norfolk, Quality in Primary Care 2009

  5. RDMp Management adapted from Tim Norfolk, Quality in primary care 2009

  6. RDMpprofessionalism Adapted from Tim Norfolk, Quality in primary care 2009

  7. Using the Traffic Light System • Look at descriptors for RDMp domains • Apply the grading in each domain using your knowledge of the trainee, experience and evidence e.g. eportfolio, feedback • Decide whether the trainee demonstrates insight with reflective ability with + or - • Categorise Green/ Amber/ Red

  8. Grading (Milton Keynes) • 1 = clearly failing • 2 = concerns • 3 = expected stage • 4 = above expectation for stage • 5 = ready for independent practice • Add in insight/lack insight (+/-)

  9. Insight/ Reflection

  10. ROMp - Defines the Performance Concern, records the behavioural evidence and looks for themes

  11. Traffic Light System for MKVTS- Tables

  12. Traffic light system for MKVTS

  13. Traffic light system for MKVTS

  14. Looking for the Cause of Performance Problems - often several contributing factors Past Factors Current Factors - External Current Factors -Internal interacting with the individual acting within the individual Personal historyWork environment Attitudes Upbringing/culture Relationships Personality : Traits/Attributes Primary relationships Resources Health& Capacity- Physical/mental Other significant Workload experiences/influences Systems etc Professional historyNon-work environmentThese all have an effect on: Style of med education Home & Social life Skills and Knowledge Medical experience Relationships Resources Responsibilities Non Medical Professional History

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