1. ASSESSMENTs
DURING TRAINING

2. WORK PLACE BASED ASSESSEMENTs
OVERVIEW

3. WPBA Assessing the competency of trainees
Ensuring that they are making satisfactory progress
Trainees are assessed on work that they are actually doing
Assessment is integrated into their day-to-day work
All assessments linked to the curriculum

4. Case-based discussion (CbD)
Direct observation of practical skills (DOPS)
Evaluation of clinical events (ECE)
Mini clinical evaluation exercise (Mini-CEX)
Multi-source feedback (MSF)

5. Frequency of Assessments each year
DOPS: minimum of 6 required in ST1 AND 2(Chem Path trainee)
ST3 and 4(Chem path and metabolic medicine trainee)

6. Procedure for Assessment
Tool: type of assessment
Assessor: wide range
Consultants (medical or clinical scientist)
staff grade and associated specialists (SAS)
senior biomedical scientists (BMS)
clinical scientists
senior trainee or other healthcare professionals competent in the area being assessed (e.g. nurses)

7. Level of complexity Procedure Low average high
Short (15-20 min) with 5-10min feedback
Cover wide range of topics

8. Documentation of Assessments
Workplace-based assessments should be recorded in the Learning Environment for Pathology Trainees (LEPT) system
web-based system for WPBA and multi-source feedback (MSF)
includes an e-Portfolio to support the ARCP process.

9. Case based discussion(CbD)
Learning Objective
To assess decision-making
application or use of medical knowledge in relation to the care of patients (clinically or laboratory involvement)
general biochemistry
diabetes and endocrinology
lipidology
Nutrition
inherited metabolic disease
special investigations

10. Evaluation of clinical events(ECE)
Learning Objective: performance in complex tasks
Team working or interacting with other professional staff
Clinico pathological evaluation
Reporting of diagnostic material
Presentation of a case at a (MDT) meeting, grand round
Quality assurance and audit processes in clinical and laboratory settings.
providing clinical biochemistry advice in response to enquiry (primary and secondary care) – by letter, by phone
preparing a business case
 writing clinical guidelines
 appointment of staff (e.g. shortlisting, interviewing)

11. DIRECT OBSERVATION OF PRACTICAL SKILLS (DOPS)
Learning Objective
Direct observation of practical skills (DOPS) is used for assessing competence in the practical procedures that trainees undertake
To assess the analytical technique, use of laboratory instrument, dynamic function test, trainee led teaching event

12. Mini Clinical Evaluation Exercise
Learning Objective
To provide feedback on skills essential to the provision of good clinical care by observing an actual clinical encounter
Diabetes
Lipids/cardiovascular risk/hypertension
Metabolic bone/calcium metabolism
Inherited metabolic disease
Obesity
Parenteral nutrition ward round

13. MSF
MSF assessment in ST1, ST3 and ST5(Chem Path) and ST3,ST5, ST7(Chem Path/Metabolic medicine)
MSF can be organised any other time besides above if required