Core advanced pharmacist e-Portfolio: DONCS example
Direct observation of non-clinical skills (DONCS) example
Purpose
Evaluates the individual’s non-clinical skills.
Examples of when it can be used
- Chairing a meeting with a range of senior stakeholders, managing differing or opposing viewpoints effectively
- Management of conflict with a colleague or person receiving care
Instructions
The overall rating should reflect the expected level of an advanced pharmacist as defined int he curriculum.
Provide feedback on what the pharmacist did well and areas for development.
| DONCS | |
| Title * | Chairing the regional rheumatology medicines governance group |
| Date of assessment * | 30/8/2022 |
| Collaborator Details | |
| Collaborator name * | Dr J B |
| Collaborator emailOnly required for sending ticketed invitations | [email protected] |
| Collaborator position * | General Practitioner and Local Medical Committee representative |
| Collaborator profession * | Medic |
| Collaborator declaration * | I can confirm I have read the RPS collaborator guidance and have the appropriate experience to complete this assessment. I confirm I have completed the assessment objectively and independently.Yes ☒ |
| Details of Scenario | |
| Brief summary of scenario * | I recently chaired a regional rheumatology medicines governance group, where the processes and pathways for prescribing a new biological treatment were discussed and agreed. This required the committee to agree on how (and by who) the medicine would be prescribed, who would be responsible for the monitoring of the medicine, and the communication and documentation requirements needed. During the meeting there were strongly-held, opposing views from different stakeholders, including GPs, pharmacists, hospital consultant medics, and service managers. I needed to manage the discussion to a point where a consensus could be found. |
| Description of non-clinical skill(s) being observed * | Chairing a meetingCommunication / MDT workingEffective influencing, persuasion & negotiation |
| Relevant domain(s) * | ☒ Person-centred care and collaboration☐ Professional practice☒ Leadership & management☐ Education☐ Research |
| Summary of Assessment | ||
| Overall rating *Based on your observation of this scenario, rate the overall level at which the pharmacist has shown that they are performing | Below the level expected of an advanced pharmacist | ☐ |
| Working towards the level expected of an advanced pharmacist | ☐ | |
| Meets the level expected of an advanced pharmacist | ☒ | |
| Strengths * | In general the pharmacist performed really well in a tricky situation, and her ability to tackle these issues has improved greatly since she became the chair 6 months ago. The following points were noted: – Excellent general chairing skills (e.g. open and inclusive approach, and recognised/respected the views of each member of the meeting). – Managed to gain co-operation from a number of senior stakeholders through effective chairing. This required listening, but also influencing, persuasion, and negotiation to try and find a middle ground consensus. – Showed resilience and determination to manage a situation that was (at times) heated and fairly complex, in order to deliver a positive outcome that will affect the delivery of care across the local healthcare system. | |
| Areas for development * | The meeting significantly ran over time and the pharmacist needs to work on her skills of keeping people to time, focusing them on the questions asked, and not letting them drift off into other, unrelated issues. | |
| Agreed action(s) | – Continue to chair future meetings. – Try new techniques to keep to time and reflect on the successes of these, as they are tried in ‘real life’. | |
| Learner’s reflectionDescribe what you have learned. How will it change your practice in the future? | I am pleased with how I coped with the conflict and tension in the meeting, and how I managed to help find a consensus in a calm and inclusive way. Earlier in my career I would have shied away from challenging situations such as this and/or I would have been unable to negotiate a solution, and would have simply stayed quiet. I have already been working with my educational supervisor on these skills, and I can see the improvement in them. I am now more confident to go forward and try and develop these skills further by helping keep the meetings to time. | |
| Attachments |
| Upload a file to support this record – Formal minutes from the meeting – Final pathway/guidance for the prescribing and monitoring of new biological rheumatology treatment |
| Mappings |
| Consider what learning outcome(s) this record provides evidence for and map to all that apply 1.1 Communicates complex, sensitive and/or contentious information effectively with people receiving care and senior decision makers. 1.2 Demonstrates cultural effectiveness through action; values and respects others, creating an inclusive environment in the delivery of care and with colleagues. 1.5 Gains co-operation from senior stakeholders through effective influencing, persuasion and negotiation. 1.6 Recognises, and respects, the role of others in the wider pharmacy and multidisciplinary team; optimises the care delivered for individuals and groups through appropriate delegation and referral. 3.3 Demonstrates team leadership, resilience and determination, managing situations that are unfamiliar, complex and/or unpredictable to deliver positive outcomes at a team and/or service level. 3.5 Works collaboratively with multidisciplinary resources across care settings to develop and implement strategies to manage risk and improve safety and outcomes from medicines and care delivery. |
| Linked Evidence |
| Consider if this records links to any other pieces of evidence within your portfolio. None |