York sessional GP Dr Neil Metcalfe passed the MRCGP with distinction in July 2008 and has since worked at a rural practice, a homeless centre in Leeds, as a police surgeon and as a clinical research fellow in medical education and general practice.
As well as generally providing high-quality care and suggesting ways to develop these services, Dr Metcalfe has specifically improved clinical care and patient services in his first five years as a GP.
He led the audit of whether the Ayling Inquiry's recommendations on chaperone policy in acute trusts had been implemented. The audit of all trusts found only a small majority had a chaperone policy in place, risking potentially severe medico-legal repercussions and clinical governance problems.
This led to a follow-up study of chaperone use by hospital consultants, which was published, revealing interspecialty differences for male intimate examinations despite national recommendations, and highlighting the medico-legal danger of only a minority of consultants documenting the presence of a chaperone for intimate examinations.
Dr Metcalfe's own audit of breast examination documentation at a GP surgery led to a 300% increase in such documentation.
He has published more than 20 articles on a range of subjects, including advice on diabetes pen injection techniques in the BMJ and a critical analysis of the MRCGP applied knowledge test as an assessment tool in Education for Primary Care.
He has worked as a peer reviewer for the BMJ and is a reviewer for the RCGP e-learning modules.
Dr Metcalfe was a founder of a First5 GP group in York and regularly organises external speakers for the group and for local GP registrars.
He has completed the PGCME and runs two student selected components at Hull York Medical School.
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