This discussion paper describes a new and comprehensive model for diagnosing the causes of individual medical performance problems: SKIPE (skills, knowledge, internal, past and external factors). Thisbuilds on a previous paper describing a unifying theory of clinical practice, theRDM-p model, which captures the primary skill sets required for effective medical performance (relationship, diagnostics and management), and the professionalism that needs to underpin them. The SKIPE model is currently being used, in conjunction with the RDM-p model, for the in-depth assessment and management ofdoctors whose performance is a cause for concern.
Tim Norfolk, A Niroshan Siriwardena
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