Table 2

Identified competency domains for general practice with example behavioural indicators

1. Empathy and Perspective Taking
  • Capacity and motivation to view situations from the patient and/or colleague perspective; acts in an open and non-judgemental manner.

  • Takes a holistic approach to patient care and considers social, psychological and emotional factors as well as the wider healthcare system.

  • Takes a patient-centred approach, treating patients as individuals; empowers patients through involvement in their own care.

2. Communication Skills
  • Demonstrates an ability to listen attentively and actively.

  • Tailors language to suit the individual and the situation; provides explanations using non-technical language; builds rapport with others.

  • Communicates clearly both written and verbally with team members and others (patients, colleagues, allied healthcare professionals).

3. Clinical Knowledge and Expertise
  • Capacity to apply sound clinical knowledge and awareness to full investigation of problems, reflecting good clinical judgement.

  • Proficient in information gathering and history taking; applies knowledge effectively to make clear and proactive decisions.

  • Able to anticipate rather than just react; maintains knowledge of current research and practice.

4. Conceptual Thinking and Problem-Solving
  • Thinks conceptually, using critical analysis to think around issues to help formulate solutions; open to ideas and suggestions from others.

  • Recognises inconsistencies in information; able to assimilate information quickly; identifies key issues/details and understand data.

  • Able to synthesise multiple streams of evidence to make effective judgements; makes decisions confidently and in a timely way.

5. Organisation and Management of Resources
  • Efficient and organised; employs effective processes to manage own workload.

  • Able to prioritise and shift demands to fulfil tasks; demonstrates attention to detail.

  • Is aware of resources available and manages these appropriately, considers implications of actions and/or activities on available resources.

6. Professional Integrity
  • Open and honest with others; willing to admit own mistakes; treats others with respect and knows where personal and professional boundaries lie.

  • Able to balance ethical tensions in relation to demand, resources and expectations.

  • Demonstrates a commitment to equality of care for all and strives to act in the patient’s best interests.

7. Coping with Pressure
  • Willing to admit when experiencing difficulties and seek assistance where needed; readily employs tactics for managing own stress and pursues a healthy work and life balance.

  • Remains calm under pressure; demonstrates self-awareness; understands own limitations, manages own emotions and is resilient.

  • Able to take on multiple complex roles and balance differing responsibilities and commitments, capable of modifying behaviour to adapt to differing roles; accepts and manages uncertainty and change, responding flexibly when required.

8. Effective Teamworking
  • Able to effectively influence and negotiate with others; promotes an inclusive approach; motivates others to achieve goals.

  • Supportive of colleagues; offers advice and assistance as required; understands and respects others’ roles within the wider multiprofessional team.

  • Is open to sharing information; collaborative with other professionals; acknowledges and appreciates others’ expertise; willing to learn from others.

9. Respect for Diversity and the Law
  • Demonstrates awareness and is compliant with nationally or locally agreed policies; works to protocol, guidelines, and legislation.

  • Recognises prejudice and works with, and learns from, others’ prejudices; appreciates values, and sees the strength of diversity.

  • Recognises and takes into account own and others’ moral and religious codes.

10. Learning and Development of Self and Others
  • Committed to the learning and development of self and others; able to self-manage; actively promotes self-directed learning.

  • Proactively seeks feedback; motivated to learn; supports others to learn through engaging in peer support and teaching.

  • Demonstrates lifelong desire to develop skills and abilities to enable effective fulfilment of role responsibilities.

11. Leading for Continuing Improvement
  • Shows leadership skills and organisational awareness within and outside of the practice; is an ambassador for the profession; inspires and empowers others and is positive about the future of general practice.

  • Commitment to quality improvement in care; understands the needs of the local community; manages healthcare pathways effectively.

  • Considers multiple agendas (for patient, practitioner, higher clinician); understands implications of decisions on the health of the wider population.

  • Understands and demonstrates business, finance and budget management and skills; is aware of the cost and value of services.