1. Clinical examination and procedural skills
DOPs become CEPS
Clinical examination and procedural skills

2. timetable No changes for those finishing in August 15
From Jan 15 to August 15 both processes will run in parallel
DOPs will disappear after August 15
Evidence already gathered as DOPs can be used by the ESR in making assessment of the new competency ‘ clinical examination and procedural skills’

3. Other important changes
The list of mandatory DOPs will go
‘it remains essential’ to demonstrate competence in breast exam and full range of male and female genital examinations
There is no minimum numbers of assessments for each examination
The assessment of competence rests with the Educational Supervisor
The RCGP suggest that this competence can be validated by ES from a log entry (sic)

4. Where is the evidence collected?
MSF
COT
CSR
Learning logs
CEPs form
(DOPS form still in eportfolio until August 15)

5. MSF Part 2 To be completed by Clinical staff only.
Please provide your assessment of this doctor’s overall clinical performance:
Very Poor Poor Fair Good Very Good Excellent Outstanding*
Notes: You may wish to consider the following:
The doctor:
Ability to identify patients’ problems
Take a diagnostic approach
Patient management skills
Independent learning habits
Range of Clinical Examination and Procedural Skills observed

6. Changes to definition of COT criterion number 6
Performance Criteria
This competence will be about both the appropriate choice of examination, and performance of examination when directly observed. A mental state examination would be appropriate in a number of cases. Intimate examination should not be recorded (on video), but directly observed.

7. CSR, diagnostics section
Examines appropriately and correctly identifies any abnormal findings, (please comment on specific examinations observed)

8. Learning logs, new entry category
Learning log entry
Type: Clinical Examination and Procedural skills
Date: *…………………………..
Curriculum linkage:…………….
Clinical Examination or Procedural Skill performed,
(Please be specific, for example prostate examination not just rectal examination or cranial nerve examination not just neurological examination)
If observed, state name of observer and position
Observer………….
Position ………….
Reason for physical examination, procedure performed and physical signs elicited (to include whether this was the expected finding)
Reflect on any communication or cultural factors
Reflect on any ethical factors (to include consent)
Self assessment of performance (to include overall ability and confidence in this type of examination or procedure)
Learning needs identified
How and when these learning needs will be addressed

9. New CEPs form in eportfolio
Clinical Examination and Procedural Skills evidence form (Integrated DOPS)
Assessor
Drs Surname
Drs Forename
GMC number
Clinical examination / Procedural skill observed
What was performed well? To consider:
• Communication with patient
• Awareness of cultural and ethical factors
• Ability to perform clinical examination or procedural skill
• Consideration of patient and professionalism demonstrated
Areas for further development