Gmc Medical Notes

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Keeping records - ethical guidance summary - GMC

https://www.gmc-uk.org/ethical-guidance/ethical-guidance-for-doctors/protecting-children-and-young-people/keeping-records

Keep clear, accurate and legible records. Make records at the time the events happen, or as soon as possible afterwards. Record your concerns, including any minor concerns, and …

How to write in the medical notes | The BMJ

https://www.bmj.com/content/353/sbmj.h5703

Good notes facilitate communication between doctors, nurses, and all the allied health professionals involved in the care of the …

Good medical practice-english - General Medical …

https://www.gmc-uk.org/-/media/documents/good-medical-practice---english-20200128_pdf-51527435.pdf

Good medical practice describes what is expected of all doctors registered with the General Medical Council (GMC). It is your responsibility to be familiar with Good …

Managing and protecting personal information - ethical …

https://www.gmc-uk.org/ethical-guidance/ethical-guidance-for-doctors/confidentiality/managing-and-protecting-personal-information

Unless you have a role in commissioning or managing systems, you are not expected to assess the security standards of large-scale computer systems provided for your use in …

Writing in the Notes - an overview | Geeky Medics

https://geekymedics.com/writing-in-the-notes-an-overview/

Standards and outcomes - GMC - General Medical Council

https://www.gmc-uk.org/education/standards-guidance-and-curricula/standards-and-outcomes

Home Education Standards guidance and curricula Standards and outcomes Standards and outcomes We set the standards that medical training organisations are expected to meet in the delivery of their …

Recording decisions - decision making and consent - GMC

https://www.gmc-uk.org/ethical-guidance/ethical-guidance-for-doctors/decision-making-and-consent/recording-decisions

The General Medical Council We help to protect patients and improve medical education and practice in the UK by setting standards for students and doctors. …

Altering patient notes | MDDUS

https://www.mddus.com/resources/resource-library/risk-alerts/2017/october/altering-patient-notes

The GMC offers advice about record keeping in many of its publications, and in Good Medial Practice it states: "Documents you make (including clinical records) to …

Generic medical record keeping standards | RCP London

https://www.rcplondon.ac.uk/projects/outputs/generic-medical-record-keeping-standards

Every page in the medical record should include the patient’s name, identification number (NHS number) and location in the hospital. The contents of the …

Issuing fit notes - British Medical Association

https://www.bma.org.uk/advice-and-support/gp-practices/gp-service-provision/issuing-fit-notes

If you assess that your patient’s health affects their fitness for work, you should give them a fit note indicating they are not fit for work OR may be fit for work. GPs …

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