Records and Referrals

The accurate, detailed and contemporaneous recording of every patient-practitioner encounter and the written communications about the patient with other health-care professionals involved in their care and treatment, forms an essential and highly important element of clinical practice. As written records may also form part of evidential material requested by a court or the regulatory body by which the appropriateness of clinical actions undertaken by the practitioner on behalf of the patient are judged, the specific requirements inherent within the construction of written patient records and appropriateness of letters of referral cannot be underestimated. You'll be able to access this resource for 12 months after purchase.

Aims and Objectives

The module requires participants to critically review and update their knowledge and techniques of making written records of patient interactions and the construction of letters of referral.

Through a structured process of questions, answers, case histories and explanations the successful completion of the records and referral module will assist and enable you to:

• Review and revise your core knowledge of the principles and requirements of the construction of written and electronic records of the patient assessment and diagnosis
• Review and revise your core knowledge of the principles of patient referral
• Review and revise medico-legal principles, including ‘consent’
• Review and revise the principles of writing letters of referral

Certificate and CPD Points

This 10 question module has been written by expert authors from the Society of Chiropodists and Podiatrists faculty of Podiatric Medicine and General Practice. The module is designed to test and improve your knowledge of Records and Referrals.

Upon successful completion of this module a printable certificate of competence will be made available to you. This module gives you 2 hours of CPD points for your annual CPD assessment. 

Acknowledgements:

Author: Dr. Jean Mooney BSc(Hons), MA, PhD, Cert Ed (H&FE), FHEA, DPodM, PG Dip Biomech, FChS, FCPodS, FCPodMed