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P a r t A i s t h e s e l f a s s e s s m e n t c o m p o n e n t o f t h e f o r m t o b e c o m p l e t e d b y t h e V i s i t i n g M e d i c a l O f f i c e r b e i n g r e v i e w e d a n d f o r w a r d e d t o :
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F O R M T E X T G i v e n n a m e ( s )
F O R M T E X T D a t e
F O R M T E X T P r i m a r y q u a l i f i c a t i o n s
F O R M T E X T F e l l o w s h i p s ( i f a p p l i c a b l e )
F O R M T E X T M E D n u m b e r
F O R M T E X T H o s p i t a l ( s )
F O R M T E X T S c o p e o f C l i n i c a l P r a c t i c e
F O R M T E X T D e p a r t m e n t ( i f a p p r o p r i a t e )
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P l e a s e p r o v i d e d e t a i l s c o n c e r n i n g y o u r c o m p l i a n c e / i n v o l v e m e n t w i t h t h e f o l l o w i n g m a t t e r s . I f n e c e s s a r y , a d d i t i o n a l m a t e r i a l c a n b e p r o v i d e d a s a t t a c h m e n t s , b u t i f s o , p l e a s e r e f e r t o s u c h m a t e r i a l i n t h e a p p r o p r i a t e b o x b e l o w . M ark a box as N/A where it is not relevant to the services you provide.
The review process as recorded in this form may be used in reaching decisions about reappointment of VMOs, and by selection panels in assessing comparative merit between applicants for VMO appointments.
Part A
1. The Services you provide(i) Outline the services you provide, and indicate how you contribute to the efficient management/treatment of patients, including effective discharge planning.Start typing under here - box will e x p a n d a s y o u t y p e
F O R M T E X T
( i i ) D e s c r i b e h o w y o u m a i n t a i n y o u r c l i n i c a l s k i l l s a n d e x p e r t i s e s o t h a t y o u p r a c t i c e s a f e l y a n d c o m p e t e n t l y . S t a r t t y p i n g u n d e r h e r e - b o x w i l l e x p a n d a s y o u t y p e
F O R M T E X T
( i i i ) R e c o r d y o u r p a r t i c i p a t i o n i n c l i n i c a l g o v e r n a n c e a c t i v i t i e s , s u c h a s d e p a r t m e n t a l m e e t i n g s , h o s p i t a l c o m m i t t e e s . S t a r t t y p i n g u n d e r h e r e - b o x w i l l e x p a n d a s y o u t y p e
F O R M T E X T
( i v ) D e s c r i b e h o w y o u m o n i t o r y o u r c l i n i c a l o u t c o m e s , a n d h o w t h e y c o m p a r e t o r e l e v a n t b e s t p r a c t i c e s t a n d a r d s . R e f e r t o a n y a p p r o p r i a t e d a t a i f p o s s i b l e . S t a r t t y p i n g u n d e r h e r e - b o x w i l l e x p a n d a s y o u t y p e
F O R M T E X T
( v ) D e s c r i b e h o w y o u e n s u r e t h a t a c c u r a t e a n d c o m p r e h e n s i v e p a t i e n t r e c o r d s a r e m a i n t a i n e d . S t a r t t y p i n g u n d e r h e r e - b o x w i l l e x p a n d a s y o u t y p e
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( v i ) D e s c r i b e h o w y o u c o m m u n i c a t e e f f e c t i v e l y w i t h p a t i e n t s . S t a r t t y p i n g u n d e r h e r e - b o x w i l l e x p a n d a s y o u t y p e
F O R M T E X T
( v i i ) D e s c r i b e h o w y o u a r e a c c e s s i b l e t o , a n d m a i n t a i n c o l l e g i a t e a n d c o - o p e r a t i v e r e l a t i o n s w i t h , o t h e r m e d i c a l a n d n o n - m e d i c a l s t a f f . S t a r t t y p i n g u n d e r h e r e - b o x w i l l e x p a n d a s y o u t y p e
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( v i i i ) D e s c r i b e h o w y o u e n s u r e t h a t y o u m a n a g e e f f e c t i v e l y t h e c l i n i c a l s u p e r v i s i o n o f j u n i o r m e d i c a l s t a f f . S t a r t t y p i n g u n d e r h e r e - b o x w i l l e x p a n d a s y o u t y p e
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( i x ) D e s c r i b e y o u r p a r t i c i p a t i o n i n q u a l i t y i m p r o v e m e n t a c t i v i t i e s , e . g . i n v o l v e m e n t i n a d v e r s e e v e n t m a n a g e m e n t a n d i n v e s t i g a t i o n ; p e e r r e v i e w ; m o r b i d i t y a n d m o r t a l i t y m e e t i n g s ; a u d i t s a n d r e v i e w s . S t a r t t y p i n g u n d e r h e r e - b o x w i l l e x p a n d a s y o u t y p e
F O R M T E X T
2 . C o n t i n u i n g P r o f e s s i o n a l D e v e l o p m e n t ( C P D ) ( x ) C o n f i r m t h a t y o u h a v e m e t t h e C P D s t a n d a r d s e t b y t h e M e d i c a l B o a r d o f A u s t r a l i a . S t a r t t y p i n g u n d e r h e r e - b o x w i l l e x p a n d a s y o u t y p e
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( x i ) L i s t a n y c l i n i c a l o r n o n - c l i n i c a l p r o f e s s i o n a l d e v e l o p m e n t n e e d s t h a t y o u c o n s i d e r y o u h a v e , a n d d e s c r i b e h o w y o u p l a n t o a d d r e s s t h e m o v e r t h e n e x t 1 2 m o n t h s . S t a r t t y p i n g u n d e r h e r e - b o x w i l l e x p a n d a s y o u t y p e
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4 . M a n a g e r i a l / A d m i n i s t r a t i v e r e s p o n s i b i l i t i e s ( w h e r e V M O h a s s u c h r e s p o n s i b i l i t i e s ) ( x i v ) D e s c r i b e h o w t h e p e r f o r m a n c e o f a n y m a n a g e r i a l r e s p o n s i b i l i t i e s t h a t y o u h a v e ( e . g . a s h e a d o f d e p a r t m e n t / u n i t ) i s c o n t r i b u t i n g t o t h e s u c c e s s f u l f u n c t i o n i n g o f t h e d e p a r t m e n t / u n i t w h i c h y o u m a n a g e i n c l u d i n g , w i t h p a r t i c u l a r r e s p e c t t o :
B u d g e t p r e p a r a t i o n a n d m a n a g e m e n t o f a n a l l o c a t e d b u d g e t ;
E n s u r i n g a l l s t a f f i n t h e d e p a r t m e n t / u n i t a r e w o r k i n g i n a c o - o p e r a t i v e , h a r m o n i o u s a n d c o u r t e o u s m a n n e r ;
T h e p r o m o t i o n o f h i g h c l i n i c a l s t a n d a r d s ;
A n y f u r t h e r t r a i n i n g i n m a n a g e r i a l s k i l l s w h i c h y o u c o n s i d e r w o u l d b e u s e f u l f o r y o u .
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B u d g e t :
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S t a f f W o r k i n g R e l a t i o n s h i p s :
F O R M T E X T
F u r t h e r t r a i n i n g i n m a n a g e r i a l s k i l l s :
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5 . P r a c t i c i n g i n a c c o r d a n c e w i t h a c c e p t e d p r o f e s s i o n a l s t a n d a r d s ( x v ) C o n f i r m t h a t t h e r e l e v a n t D M S / m e d i c a l a d m i n i s t r a t o r h a s b e e n a d v i s e d o f a n y u n r e s o l v e d m a t t e r s c u r r e n t l y b e f o r e t h e M e d i c a l B o a r d o r t h e H C C C , o r a n y c u r r e n t o r d e r s o r c o n d i t i o n s a f f e c t i n g r e g i s t r a t i o n , o r a n y o t h e r m a t t e r s t h a t i m p a c t o r c o u l d i m p a c t o n y o u r s c o p e o f p r a c t i c e ? S t a r t t y p i n g u n d e r h e r e - b o x w i l l e x p a n d a s y o u t y p e
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6 . Y o u r r e l a t i o n s h i p w i t h t h e h o s p i t a l / o r g a n i s a t i o n . ( x v i ) I s t h e r e a n y t h i n g t h a t y o u w o u l d l i k e t h e h o s p i t a l t o d o t h a t w o u l d f a c i l i t a t e y o u r p r o v i s i o n o f s e r v i c e s t h a t h a s n o t b e e n r a i s e d d u r i n g t h e a n n u a l r e v i e w o f s e r v i c e a n d p e r f o r m a n c e r e q u i r e d u n d e r t h e V i s i t i n g M e d i c a l O f f i c e r s D e t e r m i n a t i o n ?
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S i g n a t u r e o f V M O a n d D a t e :
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S i g n a t u r e o f R e v i e w e r a n d D a t e :
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N a m e a n d T i t l e o f R e v i e w e r :
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