1. Trainer’s Workshop Thursday July 5 th Oak Tree Surgery

2. Agenda  Clinical Skills Assessment  Communication Observation Tool  To Do List/Action Plan  Registrars in difficulty  Educational supervisors  CPD Payments  AOB –Date of next meeting

3. CSA  Assessment centre  12 stations + – 10 minutes  Developed OSCE format –Simulated surgeries + clinical skills  3 diets per year?  200/300 cases developed per year  3000 candidates / year  No. attempts up to candidate  >3 = remedial help  Taken after at least 6 months ST & within 18 months of completion

4. Case Selection  Every case is based on a specific statement from the GP curriculum  Pair of examiners design case  Cell leader reviews case and suggests refinement  “Hanging committee” review case  Case is piloted  Case is accepted for use in assessment

5. GP Curriculum Competencies  1Communication & Consultation skills  2Practising holistically  3Data gathering  4Making a diagnosis / making decisions  5Clinical management  6Managing medical complexity  7Primary care administration & IMT  8Working with colleagues  9Community orientation  10Maintaining performance, learning & teaching  11Maintaining an ethical approach to practice  12Fitness to practice

6. Case Assessment  CSA uses 3 domains  Data-gathering, technical, and assessment skills technical, and assessment skills  Clinical management skills  Interpersonal skills

7. The Assessment  3 domains –+ve & -ve indicators  Grading –Clear Pass (CP) –Marginal pass (MP) –Marginal fail (MF) –Clear fail (CF)  For each domain  Global decision  Feedback

8. Consultation Observation Tool  13 part assessment schedule  Cobbles together old MRCGP video marking schedule with Summative Assessment video marking schedule

9. COT 1. … seen to encourage patient’s contribution at appropriate points in consultation 2. … seen to respond t cues that lead to deeper understanding of problem 3. … uses appropriate psychological and social information to place complaint in context 4. … explores patient’s health understanding 5. … obtains sufficient information to include or exclude relevant significant conditions 6. The physical/mental examination chosen is likely to confirm or disprove hypotheses, or is designed to address patient’s concern 7. … appears to make a clinically appropriate working diagnosis 8. … explains the problem or diagnosis in appropriate language 9. … specifically seeks to confirm the patient’s understanding of the diagnosis 10. The management plan is appropriate for the working diagnosis, reflecting a good understanding of modern accepted medical practice 11. The patient is given the opportunity to be involved in significant management decisions 12. Makes effective use of resources 13. … specifies the conditions and interval for follow-up or review

10.  Familiarise yourself with the e- portfolio  https://www.nhseportfolios.org/NHSDots/ePortfolio/login_r cgp.asp https://www.nhseportfolios.org/NHSDots/ePortfolio/login_r cgp.asp https://www.nhseportfolios.org/NHSDots/ePortfolio/login_r cgp.asp  Re-orientate tutorials to fit in with GP Curriculum?  Devise Action Plan for the training year To Do List/Action Plan

11. Possible action plan  August – orientation to practice, IT, de-hospitalisation  September – focus on developing consulting skills  October – first CBD (2 cases) and COT (2 video consultations)  November – second CBD and COT  December – third CBD and COT, introduce 10 minute appointments  January – moving towards more 10 minute appointments  February – MSF  March – fourth CBD and COT  April – MSF, PSQ  May - fifth CBD and COT  June – sixth CBD and COT, enhanced trainer’s report, appraisal Form 4, OOH