1. Clinical issues
Is my practice within accepted guidelines? If there are areas
where it departs from these, can I defend my practice?
Can I measure or describe the outcome or effectiveness of my
Do I subject my clinical work to peer
Am I regularly involved in clinical audit? If not, what steps
should I take to rectify this?
Do I have a special interest? Do I wish to develop my
expertise in this area?
Do I change my practice in response to new evidence? Should I
rethink this area?
Do I tend to focus my CPD activities around my special
interests or enthusiasms? Does that perpetuate deficits/blind spots
in other areas?
2. Training & teaching issues
Am I fulfilling my obligations as an educational
Do I use my supervision sessions with my junior doctor
Do I know enough about effective educational techniques?
Do I have adequate critical appraisal skills for evaluating
research evidence? Can I pass these skills on to my junior
How could I set about improving my teaching/facilitation
Do I know of/avail myself of teaching improvement
3. Clinical organisational issues
Do I have the appropriate skills and expertise for new service
Do I have a formal management role? If not, should I?
Do I need to rethink my priorities/commitments?
Do I need to learn new techniques for dealing with
Do I need to learn more about business planning, etc.?
Do I need to become more effective in chairing/managing
Do I need to become more effective at developing
Do I need to improve my leadership skills?
Do I need to improve my IT skills?