Direct Observation of Procedural Skills (DOPS)

F1

Assessor: have you been trained in assessment methodology and feedback?

Yes
No
Please complete the questions using a cross

Please use black ink and CAPITAL LETTERS

Doctors Surname:
Forename:
GMC number:
Clinical setting:

YOUR GMC NUMBER MUST BE COMPLETED

A&E

OPD

In-patient

Procedure

(Please specify)

Assessors position:

Consultant

Please grade the

following areas

GP

Acute Admissions

ST3 or above/SpR

GP Surgery

Other (please specify)

Speciality Doctor/SASG

Other (please specify)

Well below
expectation
for F1
completion

Below
expectation for
F1 completion

Borderline
for F1
completion

Meets
expectation
for F1
completion

Above
expectation
for F1
completion

Well above
expectation
for F1
completion

U/C*

1 Demonstrate understanding of
indications, relevant anatomy,
technique of procedure
2 Obtains informed consent
3 Demonstrates appropriate
preparation pre-procedure
4 Appropriate analgesia or
preparation pre-procedure
5 Technical ability safe sedation
6 Aseptic technique
7 Seeks help where appropriate
8 Post procedure management
9 Communication skills
10 Consideration of
patient/professionalism
11 Overall ability to perform
procedure
* U/C Please mark this if you have not observed the behaviour and therefore feel unable to comment.

Please use this space to record areas of strength or any suggested development:

Would you like to link this assessment as evidence to the foundation doctors PDP? (If yes; drop down menu will appear; you can
Yes
No
select up to 10 outcomes)

Date (mm/yy)

Time taken for observation: (in minutes)

Time taken for feedback (in minutes)

Assessors signature:
Assessors surname:

Assessors registration number*:

*if appropriate

Please note failure of return of all completed forms to your administrator is a probity issue

Acknowledgement: Adapted with permission of the American Board of Internal Medicine