ࡱ> ornw 0Rbjbjss 4v hUU8TE G#QH)L~"""""""$)%'@"]u"uu"UU#eeeujU8~"eu~"ee  ` P)j j"#0G# , (I (  (!huueuuuuu""euuuG#uuuu (uuuuuuuuu :  This form is to be completed by the referee and forwarded to:  Alternatively this form can be used to record the oral comments of a referee. Any topic on which a referee is not able to provide comment should be marked N/A. [Boxes will expand as you type] Name of VMO  FORMTEXT      Hospital(s)  FORMTEXT      Name of referee  FORMTEXT      Title or role of referee  FORMTEXT      Knowledge of the work of the VMO arises from:  FORMTEXT      Date  FORMTEXT       Please provide comment on any area of the VMO s performance on which you are in a position to comment using the boxes set out below: 1. Services provided (i) Clinical skills and expertise. Start typing under here - box will expand as you type  FORMTEXT        (ii) Participation in clinical governance activities, such as departmental meetings, hospital committees.Start typing under here - box will expand as you type  FORMTEXT        (iii) Patient communication skills. Start typing under here - box will expand as you type  FORMTEXT        (iv) The maintenance of collegiate and co-operative relations with other medical and non-medical staff.Start typing under here - box will expand as you type  FORMTEXT        (v) Involvement with the clinical supervision of junior medical staff. Start typing under here - box will expand as you type  FORMTEXT        2. Involvement in Teaching (vi) Participation in the teaching of undergraduate medical or other health professional students.Start typing under here&.@BCc    !  ( * , . B D F wpejhZ*U hLxhj}hZ*UhZ*jhZ*UhLxh 5hLxh5hLxhi>5h CJaJhhCJaJh2iCJaJh h5 hLxhE5hLxhE55 hE55 hi>5h]ikh5 h2i5jhJ5UmHnHu"@ABCDpcYO dgd $a$gdE5 $da$gdE5hkd$$Ifl#$ t0644 laytLx$d$Ifa$gdLxd$IfgdLx$a$gd]ik      * , T [{kd$$Ifl0 #  t0644 laytLxd$IfgdZ*d$IfgdLx $da$gd F P R V t v x z  Z \ ^ ` t v x ǼDZ۩ǞǓ㏇|h qh qCJaJhcCJaJhjhZ*UjhZ*UhLxhNU5jhZ*UjhZ*UhZ*hLxh 5hLxh5hLxhi>5 hLxhjhZ*UjhZ*UmHnHu/T V v x vvvd$IfgdLx{kd$$Ifl0 #  t0644 laytLx vvvd$IfgdLx{kd$$Ifl0 #  t0644 laytLx \ ^ vvvd$IfgdLx{kd$$Ifl0 #  t0644 laytLx vvvd$IfgdLx{kd $$Ifl0 #  t0644 laytLx zssqadxx$IfgdLxd dgd{kd$$Ifl0 #  t0644 laytLx    @ B F H b n ҿ}uqfuXuQ hLxhjhZ*UmHnHujhZ*UhZ*jhZ*UhLxh_CJaJhLxhCJaJhLxhi>5hLxhy;5hLxhET@5hLxhK5hLxhF5hK hLxhKhLxhi>5CJaJhLxhK5CJaJhhWY hCJaJh qh qCJaJhWY CJaJ D F wf$d$Ifa$gdLxd$IfgdLxwkd$$Iflp##  t 0644 lap ytLxF H d$IfgdLxhkdC$$Iflp## t0644 laytLx 0d$If^`0gdLxhkd4$$Iflp## t0644 laytLx "$&:<>HJLNPRZ^   "$.02468:<@B $ÿæ袚ÿæ|t|hLxhOm5hLxh 5h  hLxh j hZ*UhLxhF5hKjhZ*UmHnHuj. hZ*UhZ*jhZ*U hLxhhLxh_CJaJhLxhCJaJ hLxhKhLxhK5hLxhi>5-$LNss0d$If^`0gdLxd$IfgdLxhkd$$Iflp## t0644 laytLxNPR0d$If^`0gdLxhkd $$Iflp## t0644 laytLx 24d$IfgdLxhkd $$Iflp## t0644 laytLx4680d$If^`0gdLxhkd $$Iflp## t0644 laytLx vd$IfgdLxhkd $$Iflp## t0644 laytLx$0tvx.246P\۾۷׉۾۰ymaZ hLxh@#hLxh@#5CJaJhLxh85CJaJhLxhF5CJaJh>Cjz hZ*UhLxhOm5hLxh 5hLxhF5h  hLxh  hLxhKjhZ*UmHnHuj hZ*UhZ*jhZ*U hLxhhLxhCJaJhLxh_CJaJ#240d$If^`0gdLxhkd $$Iflp## t0644 laytLx46d$IfgdLxhkd $$Iflp## t0644 laytLxdxx$IfgdLxhkd $$Iflp## t0644 laytLx o0d$If^`0gdLxwkdm$$Iflp##  t 0644 lap ytLx HH@HTHVHXHbHdHfHhHjHlHpHvHzH|HHHHHHIJILINIbIdIfIpIrIvIxIʿʽյՆzzzʿʑojhZ*UhLxh>C5hFh>C hLxh>C hLxh8jhZ*UmHnHujhZ*UhZ*jhZ*UUhLxh_CJaJhLxh>CCJaJ hLxh@#hLxh@#5hLxhOm5hLxh85hLxhF5hNU+>HfHhHd$IfgdLxhkd $$Iflp## t0644 laytLx - box will expand as you type  FORMTEXT        (vi) Participation in postgraduate medical education. Start typing under here - box will expand as you type  FORMTEXT        3. Managerial/Administrative responsibilities (where the VMO has such responsibilities)(xiv) The performance of any managerial responsibilities, including with particular respect to such matters as: budget preparation and management of an allocated budget; ensuring all staff in the department/unit are working in a co-operative, harmonious and courteous manner; the promotion of high clinical standards; any further training in managerial skills which you consider would be useful. Start typing under here - box will expand as you type  FORMTEXT        4. Other matters not covered above on which comment is considered appropriateStart typing under here - box will expand as you type  FORMTEXT        5. Conclusion and Overall AssessmentStart typing under here - box will expand as you type  FORMTEXT        Signature of Referee and Date:  FORMTEXT       Any comments by reviewer: Start typing under here - box will expand as you type  FORMTEXT            1609 SPECIALIST VISITING MEDICAL OFFICER LEVEL 2 PERFORMANCE REVIEW NON- MEDICAL REFEREE S COMMENTS FORM hHjHlHnHpHHHd$IfgdLxhkd$$Iflp## t0644 laytLxHHLItIvId$IfgdLxhkdy$$Iflp## t0644 laytLxvIxIzI*Jdxx$IfgdLxhkdl$$Iflp## t0644 laytLxxIzI|II(J*J,J8J@JJK K KKKKTLVLLLFMHMMMMMMMMMMMMŽŒtf_X hLxh>C hLxh"jhZ*UmHnHujhZ*UhZ*jhZ*U hLxh|BhLxh|BCJaJhLxhn9s5hLxh85hLxhf5hLxhOm5hLxh>C5 hLxh8hLxh85CJaJhLxhBd5CJaJhLxh>C5CJaJhLxhF5CJaJh>C *J,J KKTLLDMFMq____Qd$IfgdLx & Fd$IfgdLx0d$If^`0gdLxwkd$$Iflp##  t 0644 lap ytLxFMHMMMMd$IfgdLxhkd$$Iflp## t0644 laytLxMMM~N}0dxx$If^`0gdLxhkd$$Iflp## t0644 laytLxMMMMMN|N~NNNNNNOOOOOOOOOO ObOdOfOOOOOOOƻƯ{thƻaYUhZ*jhZ*U hLxhehLxhe5CJaJ hLxhhLxhCJaJ"jhZ*CJUaJmHnHujhZ*CJUaJhZ*CJaJjhZ*CJUaJhLxh_CJaJhLxheCJaJ hLxh>ChLxhOm5CJaJhLxh>C5CJaJhLxhF5CJaJhe ~NNNOOyyyd$IfgdLxwkd$$Iflp##  t 0644 lap ytLxOOOdOdxx$IfgdLxhkd$$Iflp## t0644 laytLxdOfOOOOyyyd$IfgdLxwkd$$Iflp##  t 0644 lap ytLxOOOOOOP(P:PP@PTPVPXPbPdPhPjPPQ Q Q Q"Q$Q.Q0Q4Q6Q8Q:Q>Q@QDQ˻췬˚wh˓d\X\XhjhUh8;jhZ*5UmHnHuj0hZ*5U hZ*5jhZ*5U hLxhy;hLxhy;CJaJ hLxhhj/hZ*UhZ*hLxhe5hLxhV{5hLxhy;5hE5 hLxhejhZ*UmHnHujhZ*Uj<hZ*U"OOP>PfPhPd$IfgdLxhkd$$Iflp## t0644 laytLxhPjPP Q2Q4Qd$IfgdLxhkd$$Iflp## t0644 laytLx4Q6Q8QQBQDQHQJQNQPQZQ\Q^Q|$a$gd} dgd}dhkd$$Iflp## t0644 laytLx DQFQJQLQPQTQXQZQ\Q^QtQQQQQQ R*R,R.R0R˿˿˶˿Ԯh8;hJhQ5CJ$aJ$h]ikh(2)5CJ$aJ$h(2)5CJ$aJ$hSh}h(2)CJaJh|BCJaJh!!CJaJhjhU^QQQ*R,R.R0Rd $a$gd]ik $da$gdJy$d<a$gd]ik21h:p. 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