Workplace Based Assessment

Year 3 assessment In Year 3, the student will undertake two forms of assessment which take place in the workplace. This is in additional to other assessments such as written examinations and OSCEs. The two WBAs are Direct Observation of Procedural Skills (DOPS), and mini Clinical Evaluation Exercise (mini-CEX). Both these formats are utilised in the UK Foundation Programme.  

Assessors Assessments must be carried out by someone with appropriate expertise in the area being assessed, and who has been appropriately selected, supported and appraised. They are responsible for honestly and effectively assessing the medical student’s performance and being able to justify their decision.(GMC 2015) Suitable staff are likely to be one of the following: Skills Tutors Doctors above the grade of FY1 Senior nurses (Band 5 or above) Appropriate allied health professionals

Direct Observation of Procedural Skills (DOPS)   DOPS is what is known as a supervised learning event (SLE) tool. The primary purpose of DOPS on the MBBS course is to provide a structured checklist for giving feedback on the student’s interaction with the patient when performing a practical procedure.

Code DOPS - APPENDIX 1 Year 3 Year 4 Year 5 D1 Venepuncture and managing blood samples x D2 Cannulation D3 Managing an electrocardiograph (ECG) monitor D4 Taking nose, throat and skin swabs   D5 Administering oxygen D6 Urine multi-dipstick test D7 Hand washing (including surgical ‘scrubbing up’) D8 Basic respiratory function tests D9 Performing and interpreting a 12-lead electrocardiograph D10 Intramuscular injections  D11 Wound care and basic wound dressing  D12 Measuring blood glucose D13 Dosage / administration of insulin and use of sliding scales D14 Subcutaneous injections  D15 Setting up an infusion; use of infusion devices D16 Making up drugs for parenteral administration D17 Male urinary catheterisation D18 Female urinary catheterisation D19 IV infusion and prescription of fluids D20 Blood transfusion D21 Airway care with simple adjuncts D22 Taking blood cultures D23 Arterial blood gases D24 Skin suturing / use of local anaesthetics Totals for Year : 10 12 16 x = must be completed during Medicine 1 / Mind & Body 1 x = must be completed during Surgery 1 / Family Health 1 x = may be completed during any module

Mini-Clinical Evaluation Exercise (mini-CEX) A mini-CEX, like DOPs, is a supervised learning event (SLE). It involves observation and feedback on a direct clinical encounter between a medical student and a patient. The main focus of a mini-CEX will be on one of the following four areas, although some patient encounters may cover more than one: History Diagnosis Management Explanation

The evaluation of a Mini-CEX covers six domains which are: 1. History taking 2. Physical examination 3. Communication skills 4. Clinical judgement 5. Professionalism 6. Organisation and efficiency Not every mini-CEX will cover all areas. Students should try to ensure that across the academic year, the mini-CEX they undertake do cover the full range of competencies.

Year 3 Year 4 Medicine 1 per 4 weeks Any 2 different specialities Mind and Body 1 Neurology 1 Mental Health 1 Cancer / End of Life Surgery Family Health 1 Paediatrics 1 Women’s Health 1 Women’s health Total = 8 per year

Meaningful Assessment.

Resources; Clinical Assessors Handbook Clinical Tutor Stephen Gowland-Mahon. smahon@uclan.ac.uk Text….