Practice Based Assessments in Primary Care Sneha Varia and Helen Middleton

Aim To illustrate the use of Case based Discussions (CbD) for the assessment of clinical advanced practice of pharmacists in primary care or in a patient facing role Reminder of the overall aim of the session

Sharing Our Experience We are from CPPE and are responsible for delivering GPPTP Practice based assessments are part of the pathway including CbD We have experience of using CbD with 490 pharmacists on the pathway CbD is also part of RPS Faculty assessment

Learning Objectives Define the meaning of a CbD Explain the role of CbDs in RPS Faculty credentialing of advanced practice Summarise the structure and process for a CbD Describe the CbD advanced practice assessment criteria List questions that could be asked during a CbD State how to give developmental feedback to a peer to support their professional development

What is a CbD? Discussion of an individual’s practice with a peer, colleague or tutor Complex case, intervention, project or initiative Can be used for many different situations e.g. designing a study day, organising and delivering a study day being an expert speaker at a conference or event poster or presentation at a conference delivery of a complex project or service improvement etc. Practice based assessment – extending beyond what they know Individual to explain why they acted as they did and demonstrate what they have been able to do in practice

PBA Assessment Assess practice against criteria and competencies Provide feedback Encourage reflection to support the individual in identifying strengths and areas for development Support the individual with a PDP to develop their practice further

CbD Advanced Practice Assessment Criteria Expert Professional Practice – EPP Cluster 1 Collaborative Working Relationships – CWR Cluster 2 Royal Pharmaceutical Society Advanced Pharmacy Framework: https://www.rpharms.com/resources/frameworks/advanced-pharmacy-framework-apf

Structure of a CbD Pharmacist presents their case Peer or tutor [Assessor]: asks questions for clarification and probes for further details provides developmental feedback completes the CbD form informs pharmacist of assessment outcome

CbD in General Practice Pilot The case presented must be clinical because the NHSE pilot is about developing the clinical patient facing role CbDs are conducted within learning sets Pharmacists present their case in turn to their peers and an Assessor – the clinical mentor – who facilitates the learning sets Clinical Mentors undertake CbD Assessor training, developed by CPPE

Activity 1 (7mins) Read CbD Case - PowerPoint slides Handout In your groups, discuss what questions you need to ask to clarify any details probe for additional information

Activity 2 (18mins) Refer to CbD case – Questions asked handout Watch Video 1 Compare your list of questions with those asked by the Assessor Share any differences during group discussion

Developmental Feedback 2. What could you do better or differently? 1. What did you do well? 3. What will you add to your PDP?

Activity 3 (5mins) Read Sample Completed CbD Assessment form Write down the feedback you would provide for this pharmacist using the Developmental Feedback model to structure your feedback

Feedback - How are we doing? Pharmacist Clinical Mentor “[I] dealt with a patient differently the next day as a direct result of listening to someone else's case.” “…able to share resources which were found useful or certain phrases to explain to patients.” “It was actually a really good relationship building session doing the feedback session.” “I had been concerned if my own clinical skills would be up to scratch. But I found this was not the case.”

Resources RPS Faculty CbD form https://www.rpharms.com/Portals/0/RPS%20document%20library/Open%20access/Faculty/Case-based-discussion-form.docx CbD feedback video - watch this after the workshop https://vimeo.com/user18926787/review/201839367/0031f7cc34

Contact Us Sneha Varia Helen Middleton Education Supervisor, North London and Essex Sneha.varia@cppe.ac.uk Tel: 07342 067597 Deputy Lead, London and South East Helen.middleton@cppe.ac.uk Tel: 07483 239895

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