GP Workplace Based Assessment Information for Hospital Clinical Supervisors 13th November 2007

nMRCGP The nMRCGP is an integrated assessment programme that includes three components: Applied Knowledge Test (AKT), Clinical Skills Assessment (CSA) Workplace-Based Assessment (WPBA). Each of these is independent and will test different skills but together the will cover the curriculum for specialty training for general practice.

Workplace-Based Assessment WPBA for nMRCGP is defined as the evaluation of a doctor’s progress in their performance over time, in those areas of professional practice best tested in the workplace   ♦Provide feedback on areas of strength and development needs   ♦Identify trainees in difficulty   ♦Drive learning in important areas of competency   ♦Determine fitness to progress to the next stage of the trainee’s career

Tools for Evidence ♦CBD (case based discussion) ♦COT (consultation observation tool) ♦mini-CEX (clinical evaluation exercise) ♦DOPS (direct observation of procedural skills) ♦MSF (multi-source feedback) ♦PSQ (patient satisfaction questionnaire) Evidence for the workplace-based assessment will be collected in the e-Portfolio of each GP trainee.

Workplace-based assessment ST1 6 month 12 month Deanery panel if unsatisfactory Interim review Based on evidence: 3 x COT or mini-CEX 3 x CBD 1 x MSF 1 x PSQ * DOPS ** Clinical supervisors’ report ** Interim review Based on evidence: 3 x COT or mini-CEX 3 x CBD 1 x MSF 1 x PSQ * DOPS ** Clinical supervisors’ report ** * if GP post ** if appropriate

Workplace-based assessment ST2 18 month 24 month Deanery panel if unsatisfactory Interim review Based on evidence: 3 x COT or mini-CEX 3 x CBD 1 x PSQ * DOPS ** Clinical supervisors’ report ** Interim review Based on evidence: 3 x COT or mini-CEX 3 x CBD 1 x PSQ * DOPS ** Clinical supervisors’ report ** * if GP post ** if appropriate

Workplace-based assessment ST3 30 month 34 month Deanery sign off or panel review if unsatisfactory Interim review Based on evidence: 6 x COT 6 x CBD 1 x MSF DOPS ** Final review Based on evidence: 6 x COT 6 x CBD 1 x MSF DOPS ** PSQ ** if appropriate

DOPS Mandatory: Breast examination Female genital examination Rectal examination Prostate examination Cervical cytology Testing for blood glucose Application of simple dressings Optional: Cryotherapy Curettage/shave excision Cauterisation Incision and drainage of abscess aspiration of effusion Excision of skin lesions proctoscopy joint and periarticular injections Hormone replacement implants of all types suturing of skin wounds Ability to take skin surface specimans for mycology

Mini-CEX Mini-CEX is a 15 minute snapshot of doctor/patient interaction, within a secondary care setting. It is designed to assess the clinical skills, attitudes and behaviours of trainees essential to providing high quality care. Trainees will be asked to undertake six observed encounters during 12 months, with a different observer for each encounter. Each of these encounters should represent a different clinical problem and trainees should sample from a wide range of problem groups within the year. Immediate feedback will be provided after each encounter, by the observer rating the trainee. Trainers and trainees will need to identify and agree strengths, areas for development and an action plan for each encounter. Number of assessments required per year: A minimum of 3 in 6 months, whilst in secondary care.

CBD ▪Case-based discussion (CbD) is a structured interview designed to explore professional judgment exercised in clinical cases which have been selected by the GP trainee and presented for evaluation.  ▪Evidence collected through CbD interviews will support the judgments made about trainees at the interim and final reviews throughout the entire programme of GP training. ▪The CbD tool has been designed to be used in both hospital and GP settings ▪Minimum number of assessments: 3 per 6 months in ST1, 3 per 6 months in ST2, and 6 per 6 months in ST3.

Clinical Supervisors Report Short structured report towards the end of the placement: ▪Knowledge base relevant to post ▪Practical skills ▪Professional competencies ►Highlight strengths ►Identify development needs Description of progress

Entering assessments: www.eportfolioforms.com Enter your details and the trainees details as requested Then confirm assessment type Complete assessment form Submit and save May not save immediately Check with trainee that it now appears in their portfolio

GP Curriculum http://www.rcgp-curriculum.org.uk/rcgp_-_gp_curriculum_documents.aspx 12 professional competence areas: http://www.rcgp.org.uk/the_gp_journey/nmrcgp/wpba_and_eportfolio/competence_areas.aspx Detailed descriptors