Feedback - Team Assessment of Behaviour - Horus ePortfolio 28/10/2022, 14:30

Horus ePortfolio

Team Assessment of Behaviour Feedback

Form
Welcome Matthew Gittus, you are about to perform a Team
Assessment of Behaviour for the foundation doctor Adam Broncz. Adam Broncz

The foundation doctor has selected the category for your position as Doctor (more
senior than F2). You will be asked below to select one of the assessor position options that belongs to this
category. If the assessor category the foundation doctor has selected for you is incorrect, please
return to the email invitation and select the "decline to take part" link. In your comments to the foundation
doctor, please confirm the category that they should select for you.

Name of Foundation Doctor GMC Number

Adam Broncz 7841718
Rotation
03-Aug-2022 - 01-Aug-2023

Assessor category
Doctor (more senior than F2)

Assessor position *
SpR/ST3+

Assessor position additional information

Please use the comments box to commend good behaviour and to describe any behaviour which is causing
you concern. Give specific examples. This form will be sent to the foundation doctor's educational
supervisor, who may ask you privately to enlarge on any concern about behaviour you report. At least nine
other forms will also be considered. The foundation doctor will receive private feedback but you will not be
identified in person without an advanced discussion with you.

Attitude and/or behaviour

Maintaining trust/professional relationship with patients: *

Listens.
Is polite and caring.
Shows respect for patients' opinions, privacy, dignity, and is unprejudiced.

No Concern
Some Concern

https://horus.hee.nhs.uk/portfolio-item/feedback/team-assessme…4f9bf88cf31d044cd759727d49a707b35534339be4ecccb9e7c43acf7f2d1 Page 1 of 3
Feedback - Team Assessment of Behaviour - Horus ePortfolio 28/10/2022, 14:30

Major Concern

Comments: Anything especially good?

If you cannot give an opinion due to lack of knowledge of the foundation doctor say so here. You must specifically
comment if you have concerns about their performance or behaviour and this should reflect the foundation doctor's
behaviour over time - not usually just a single incident.
I have only seen amazing interactions between Adam and patients. He is
incredibly thoughtful and clearly has the needs of patients' at the forefront of
his mind. He is always polite and considerate of their opinions. If one of my
relatives is admitted to hospital I hope that the foundation doctors/SHOs are

Verbal communication skills: *

Gives understandable information.
Speaks good English, at the appropriate level for the patient.

No Concern
Some Concern
Major Concern

Comments: Anything especially good?

If you cannot give an opinion due to lack of knowledge of the foundation doctor say so here. You must specifically
comment if you have concerns about their performance or behaviour and this should reflect the foundation doctor's
behaviour over time - not usually just a single incident.
Excellent communication skills. Actively listens when discussing patients and
potential management plans. Great explanations to patients. This is a
particular skill of Adam making him a valued and trusted member of the team
in renal medicine.

Team-working/working with colleagues: *

Respects others' roles, and works constructively in the team.
Hands over effectively, and communicates well.
Is unprejudiced, supportive and fair.

No Concern
Some Concern
Major Concern

Comments: Anything especially good?

If you cannot give an opinion due to lack of knowledge of the foundation doctor say so here. You must specifically
comment if you have concerns about their performance or behaviour and this should reflect the foundation doctor's
behaviour over time - not usually just a single incident.
Great team player. Hands over effectively and timely which is important given
the current workload. Works well with everyone within the team. In particular I
think he has a good working relationship with the nursing staff which can be
difficult when new to a team. They have commented to me regarding the high

Accessibility: *
Accessible.
Takes proper responsibility. Only delegates appropriately.
Does not shirk duty.

https://horus.hee.nhs.uk/portfolio-item/feedback/team-assessme…4f9bf88cf31d044cd759727d49a707b35534339be4ecccb9e7c43acf7f2d1 Page 2 of 3
Feedback - Team Assessment of Behaviour - Horus ePortfolio 28/10/2022, 14:30

Responds when called. Arranges cover for absence.

No Concern
Some Concern
Major Concern

Comments: Anything especially good?

If you cannot give an opinion due to lack of knowledge of the foundation doctor say so here. You must specifically
comment if you have concerns about their performance or behaviour and this should reflect the foundation doctor's
behaviour over time - not usually just a single incident.
Always accessible. Very dependable. Always answers the bleep and does not
hesitate to contact seniors if needs advice. I never feel that he is avoiding
work etc., far from it as he is being proactive when he seems a problem
arising.

Send feedback

https://horus.hee.nhs.uk/portfolio-item/feedback/team-assessme…4f9bf88cf31d044cd759727d49a707b35534339be4ecccb9e7c43acf7f2d1 Page 3 of 3