ࡱ>  gbjbjss 4cnn8Ml$=''''Mnp#######$&')@$u+"M$''$^8''## "X"'E)ej$"#$0$,",g)g)X"X"g)l"x$$$g)n w:  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 VMOs performance on which you are in a position to comment using the boxes set out below: 1. Services provided (i) Effective management/treatment of patients, including efficient discharge planning. Start typing under here - box will expand as you type  FORMTEXT        (ii) Maintenance of clinical skills and expertise. Start typing under here - box will expand as you type  FORMTEXT        (iii) Participation in clinical governance activities, such as departmental meetings, hospital committees.Start typing under here - box will expand as you type  FORMTEXT        (iv) Quality of clinical outcomes. Start typing under here - box will expand as you type  FORMTEXT        (v) Maintenance of patient records. Start typing under here - box will expand as you type  FORMTEXT       (vi) Patient communication skills. Start typing under here - box will expand as you type  FORMTEXT        (vii) 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        (viii) Involvement with the clinical supervision of junior medical staff. Start typing under here - box will expand as you type  FORMTEXT        (ix) Participation in quality improvement activities, e.g. involvement in adverse event management and investigation; peer review, morbidity and mortality meetings; audits and reviews.Start typing under here - box will expand as you type  FORMTEXT        2. CME/Profess&.@BCc     ! "  ( * , . 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Involvement in Teaching (xi) Participation in the teaching of undergraduate medical or other health professional students.Start typing under here - box will expand as you type  FORMTEXT        (xii) Participation in postgraduate medical education. Start typing under here - box will expand as you type  FORMTEXT        4. Managerial/Administrative responsibilities (where VMO has such responsibilities)(xiii) The performance of any managerial responsibilities, including with particular respect to: 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. General:  FORMTEXT       Budget:  FORMTEXT       Staff Working Relationships:  FORMTEXT       High Clinical Standards:  FORMTEXT       Further training in managerial skills:  FORMTEXT        5. Other matters not covered above on which comment is considered appropriateStart typing under here - box will expand as you type  FORMTEXT        6. 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