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Behavioural Indicators

Examples of Behavioural Indicators for the Target Competencies used in selection

1. EMPATHY & SENSITIVITY

Capacity and motivation to take in patient/colleague perspective, and sense associated feelings. Generates safe/understanding atmosphere. The search for shared understanding.

Positive Indicators

Negative Indicators

responded to needs/concerns with interest/understanding

showed very little visible interest/understanding

acted in open, non-judgmental manner

was quick to judge, make assumptions

was co-operative/inclusive in approach

appeared isolated or authoritarian

spoke and behaved with warmth and encouragement

lacked warmth in voice/manner; failed to encourage

generated safe / trusting atmosphere

created uncomfortable atmosphere

 

2. COMMUNICATION SKILLS

Capacity to adjust behaviour & language (written/spoken) as appropriate to needs of differing situations. Actively and clearly engages patient (and colleague) in equal/open dialogue,

Positive Indicators

Negative Indicators

where possible used open, patient-centred questions

restricted dialogue by overuse of closed questions

adjusted style of questioning/response as appropriate

was unable to adapt language behaviour as needed

was able to express ideas clearly (written/spoken)

was often unclear when contributing ideas/ questions

used effective non-verbal behaviour (voice, posture etc)

failed to engage patient/colleague at non-verbal level

used inventive language (humour/analogy etc)

use of language too functional/narrow/inflexible

3. PROBLEM-SOLVING SKILLS

Capacity to think/see beyond the obvious, with analytical but flexible mind. Maximises information and time efficiently and creatively.

Positive Indicators

Negative Indicators

attempted to think ‘around’ issue

made immediate assumption about problem

was open to new ideas/possibilities

dealt with issue narrowly or dogmatically

generated, functional solution

was unable to suggest ‘workable' outcome

prioritised information/time well

was disorganised/unsystematic

was able to identify key points

focused on non-important/peripheral issues

4. PROFESSIONAL INTEGRITY

 Capacity and motivation to take responsibility for own actions (and thus mistakes). Respects/ defends contribution & views, of all. [Respect for "position, patients & protocol"].

Positive Indicators

Negative Indicators

demonstrated respect for patient(s)/colleague(s)

Lacked sufficient respect for others

was positive/enthusiastic when dealing with problems

Treated issues as problems rather than challenges

was able to admit mistakes/learn from them

Avoided taking responsibility for poor decisions/ideas

was committed to equality of care for all

showed more concern for some than others

backed own judgment appropriately

was tentative when explaining decisions/actions

5. COPING with PRESSURE

Capacity to put difficulties into perspective, retaining control over events. Aware of own strengths/limitations and able to "share the load".

Positive Indicators

Negative Indicators

remained calm/under control

became tense or agitated

rarely lost sight of wider needs of situation

shifted focus largely to immediate worries/needs

recognised own limitations and compromised

became defensive or uncompromising

was able to seek help when necessary

tried unsuccessfully to deal with situation alone

used strategies to deal with pressure/stress

could not find a way to resolve problem

6. CLINICAL EXPERTISE

Capacity to apply sound clinical knowledge & awareness to full investigation of problems. Makes clear, sound and proactive decisions, reflecting good clinical judgement.

Positive Indicators*

Negative Indicators*

elicited necessary detail from patient/colleague

failed to explore information/signals

identified key issues involved

overlooked important issues

was aware of appropriate options

suggested too narrow range of options

showed sound/systematic judgment in making decisions

was too quick/unsystematic in making decisions

was able to anticipate possible issues

needed the "full picture" before understanding problem

 [* = clinical context]

Further information

bulletFiona Patterson, Pat Lane, Eamonn Ferguson, and Tim Norfolk
Competency based selection system for general practitioner registrars
BMJ Career Focus, Sep 2001; 323: S2-7311 - 27311.
bulletA competency model for general practice: implications for selection, training, and development.
Patterson, Ferguson, Lane et al
BJGP 2000. 50. 188-193
 

 

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