I am interested in respiratory what should I put in my appraisal documentation? I am currently a GP registrar? If you have an interest in respiratory during the GP Specialist Training programme then you do not really need to form appraisal documentation as your e-portfolio will act for this. Your e-portfolio will be reviewed by the responsible officer and you will be revalidated assuming you complete the MRCGP and satisfactory complete your Annual Review of Competency Progression (ARCP). If you have a respiratory interest and which to progress this in the future you may want to consider some of the following activities a. an audit of a respiratory topic in your training practice (you are required to be engaged in audit activity to successfully complete training); you could submit this as a poster to the PCRS-UK conference or the RCGP conference if you make it of reasonable quality b. attend local, regional or even national meetings to keep your knowledge up to date (using study leave allocation if approved by your educational supervisor / Associate Dean) perhaps attend a couple of clinics (hospital / community) with specialist nurses / consultants to expand your knowledge. c. Outpatient attendance & teaching opportinities GP working in practice / out of hours If you are a general GP and need to know more about respiratory there are a number of areas you might want to consider. Local groups often exist (nurse and doctor) which can be a good source of updating, as well as local meeting. You can keep up to date by a. reading PCRS-UK opinion sheets b. reading PCRJ articles / education section c. On-line learning RCGP etc d. Outpatient attendance & teaching opportunities e. Attendance at a local respiratory update day f. Meetings within the practice (updates / significant event meetings) GP lead in practice / Quality Outcome Framework lead In this sort of role in most practices now, most GPs have a responsibility to not only be up to date themselves but to support the updating of colleagues and keeping up to speed with new guidelines / systems and practice. This can be achieved (often in collaboration with a lead practice nurse) by a. On-line learning b. PCRS educational resources c. d. e. f. g. Regional conferences or PCRS-UK annual conference Considering PCRS Quality Award Leading Significant Event Audits to address PHCT deficiency In House CPD to address PHCT deficiency Audit/reflection on Practice / Local Respiratory Data GP lead in federation / CCG / Local Health Board For those about to take on this role it would be important professionally to develop a portfolio of evidence that demonstrates that you have the skills and knowledge to understand both the clinical issues concerned and the strategic management issues. This will include CPD, audits, and other evidence to demonstrate your abilities to lead at a federation level. It is inherent if working at this level that you are comfortable with primary care respiratory medicine as well as the bigger picture. Many working at this level a. Attend PCRS Annual Conference (and sometimes BTS or ERS) b. Attend PCRS Respiratory Leaders Programme c. Consider using PCRS Quality Award to effect change in their area d. Continued study around leadership and population based approaches e. Gain support from regional or national groups SH / GM (August 2013)