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Communication C11

To assess a patient clinically, in OPD and elsewhere, in particular to:

TITLE	CLINICAL RECORD KEEPING
Code	C11
Learning Outcome	Keep accurate, succinct, contemporaneous and legible clinical records. Ensure all relevant information is recorded following local and GMC guidelines. Use appropriate, secure electronic records. Be aware of the security and patient confidentiality of every record.
Assessment	CbD MSF Portfolio Part 2 FRCOphth
Assessor	Feedback likely from: medical staff, Allied Health Professional (nurse, optometrist, orthoptists), secretarial and clerical staff
Target Year of Achievement	Year 2 (annual review)
Related Learning Outcomes
Overview	Seek feedback from a colleague after they have scrutinised one of your patient records.
Resources	View Resources