WBA powerpoint - International medical graduates in Western
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Transcript WBA powerpoint - International medical graduates in Western
Western Australian
Workplace Based Assessment Program
Orientation Resource for use with:
http://www.overseasdoctors.health.wa.gov.au/doctors/wba.cfm
Doctors from the 2012 Bunbury Hospital WBA cohort
<hospital name> <year>
Doctors from the 2013 Bunbury Hospital WBA cohort
What is Workplace-based assessment?
An alternative to the Australian Medical Council
(AMC) Clinical Examination
Workplace Based Assessment (WBA) is currently
implemented in some states and territories,
overseen by members of the AMC Board of
Examiners to ensure consistency in format and
standards
Duration of the WA program is 12 months. IMGs
enrolled in the program complete the supervised
practice requirement during the
assessment program
What does WBA mean for you?
Program of clinical assessment in everyday
clinical practice settings with immediate
feedback
Assessment is set at end-of-PGY1 (intern) level
measured across six clinical areas:
Child Health
Women’s Health
Adult Health (Internal Medicine)
Adult Health (Surgery)
Mental Health
Emergency Medicine
What is expected of you?
Responsibility to ensure you meet the program
requirements:
Sufficient clinical experience across all areas
A minimum of ten hours in each discipline before
you can be assessed in that area
Completion of all assessments
WBA is based on adult (self-directed) learning
principles so IMGs are responsible for:
Pre-reading and sourcing clinical opportunities
Acknowledgement of own limitations and asking for
help when needed
What support is available?
<first and last name> – WBA Program Director
<phone number and/or email>
Primary and Secondary Supervisors
<first and last name> – A/Administration Officer
<phone number and/or email>
Employee Assistance Program
http://wachs.hdwa.health.wa.gov.au/index.php?id=3595 OR
https://healthpoint.hdwa.health.wa.gov.au/hr/staffsupport/Pa
ges/default.aspx
Katrina Lynn – Senior Project Officer
(08) 9222 4288
Role of support people
Program Director
Participates in the selection of candidates
Organises assessor training workshops
Orientates candidates to the hospital and the WBA
program
Convenes and conduct the calibration workshops
Coordinates program delivery
Undertakes program evaluation at the site and
coordinates candidate assessments in collaboration
with the Senior Project Officer (Katrina Lynn)
Role of support people
Primary Supervisor
Assigned to a candidate for the full 12-month program
Completes Assessment and Learning Plan with
candidate
Monitors progress and provides support, advice and
assistance where required
Prepares formative and summative reports and
provides face to face feedback
Provides review of multi-source feedback results
Ensures all documentation is provided to
Administration Officer for secure storage in files
Role of support people
Secondary Supervisor
Assigned for duration of a rotation in a department
Monitors progress and provides support, advice and
assistance where required
May assist in selection and preparation of cases for
assessment
May act as an Assessor for formative assessments
and provide relevant feedback
Ensures all documentation is provided to the
Administration Officer for secure storage in the files
Role of support people
Assessor
Conducts a direct or indirect assessment in a specific
clinical area / skill / dimension
Completes the required assessment documentation
and provides immediate feedback
May select case and/or patient to be assessed
Ensures patient consent has been obtained
Ensures clinical areas, skills and dimensions to be
assessed are known and sufficient preparation time
has been allocated
Role of support people
Administrative Officer
Provides administrative support to the Director of
Clinical Training, the Program Director, the
supervisors and candidates
Assists with organising the orientation of candidates
to WBA
Arranges and coordinates the booking of rotations
and placements for candidates
Assists candidates with booking assessments
Loads assessments to the AMC Portal
Works with the Senior Project Officer to continually
improve WBA at site level
What is assessed?
Clinical Dimensions
Clinical judgement
Communication skills
Ability to work as an effective member of the
health care team (e.g. teamwork, honesty)
Ability to apply aspects of public health relevant
to clinical settings
Cultural competence
Professionalism and attention to patient safety
What is assessed?
Clinical Skills
History taking
Physical examination
Investigations and diagnosis
Prescribing and management
Counselling/patient education
Clinical procedures
What assessments are undertaken?
Assessments loaded to the AMC portal:
2 summative and 1 final supervisor reports
24 direct and indirect assessments
1 Multi-Source Feedback
1 External Assessor Report
Other assessments (kept on file):
2 formative supervisor reports, with action plan for
completion as required
5 Self-assessments (formative, summative, final)
Repeat assessments (also provided to AMC)
Assessment Methods - Direct
Mini Clinical Examination (Mini-CEX)
Aims to assess a range of core competencies that a
candidate uses during day-to-day encounters with
patients
Direct Observation of Procedural Skills (DOPS)
WBA candidates are observed by an assessor as
they perform a procedure
External Assessor Report
A measure against which all other assessment
reports are calibrated. Completed at end of year
http://intranet.health.wa.gov.au/medicalworkforce/imgworkplaceassess/assessment/direct_assessment.cfm
Assessment Methods - Indirect
Case Based Discussion (CBD)
Structured, non-judgmental reviews of decisionmaking and clinical reasoning
WBA candidates select three cases from patients they
have managed and prepare neatly typed case notes
The assessor will select one of the three cases for the
assessment
http://intranet.health.wa.gov.au/medicalworkforce/imgworkplaceassess/assessment/indirect_assessment.cfm
Assessment Methods - Indirect (cont.)
Multi Source Feedback (MSF or 3600)
Candidate performance is rated by a number of people,
including self-assessment
Forms a collective assessment of how the candidate
meets the AMC clinical and personal performance
dimensions, including honesty and teamwork
Candidates select at least 10 colleagues with whom
they have worked during the WBA program:
• supervisors
• interns
• registrars
• nurses
• RMOs
• allied health staff
• consultants
• ward and medical administrative staff
Assessment Methods – Indirect (cont.)
Supervisor assessments - summative
Completed following the supervisor’s observation
of the candidate in the workplace, or after the
supervisor has discussed the candidate’s
performance with other members of the
healthcare team
The supervisor will also review the selfassessment report with the candidate as part of
this assessment
The self-assessment form allows supervisors to
gauge the candidate’s awareness of their own
strengths and limitations
Assessment Methods – Indirect (cont.)
Supervisor assessments – formative
Provide a valuable opportunity for candidates to
gain feedback from their supervisor on their
progress in the WBA program
Should be seen as a progress report which
provides candidates with an opportunity to
improve performance in preparation for the
summative report
Highlight areas for further development or
concerns through use of the Improving
Performance Action Plan.
Resource: Candidates Guide 2014
Resources to assist with assessments
Learning Resources specific to WBA have been
sourced and developed and can be accessed on
the WBA intranet site:
http://intranet.health.wa.gov.au/medicalworkforce/resources/
The required textbook for WBA is the AMC
Anthology of Medical Conditions
A copy has been purchased for your hospital. You
can also purchase your own copy through the AMC
Supervisors and Assessors will be able to provide
advice on other resources available for specific
clinical areas
WBA Pass Rates
Candidates must achieve the following pass rates to
successfully complete the requirements of the WBA
program:
Resource: Candidates Guide 2014
WBA Standards
The passing standard for the WBA program reflects
the standard applied to Australian-trained doctors at
the end of PGY1.
The Mini-CEX, DOPS and CBD report forms use a
9-point rating scale:
123
456
789
Unsatisfactory
Satisfactory
Superior
Resource: Candidates Guide 2014
Completing assessments on time
The WBA candidate checklist tracks progress through
the program
An assessment schedule is developed by the Program
Director and it is recommended that candidates follow
this closely to ensure that assessments are completed
on time.
It is recommended that candidates aim to complete all
assessments within a nine month timeframe from
commencement of the program to ensure that they are
eligible to be reviewed by the AMC in the year of
commencement.
Please read the Important Information for further details.
Process for completed assessments
All completed forms are to be:
Signed by the Supervisor/Assessor and the
candidate
Forwarded to the WBA Program Director for
review and signature
Forwarded to the Administration Officer for
loading onto the AMC portal
All Assessment and Report Forms can be
accessed and printed from the WBA intranet site:
http://intranet.health.wa.gov.au/medicalworkforce/imgworkplaceassess/home/
Review of Results
AMC requires results to be loaded to the AMC
portal two weeks prior to the meeting:
Cut-off for <month, year> meeting is
<month, date , year>
The AMC will not accept any assessments after
the cut-off time
AMC Recommendations
Assessors name, title and role to be included in
each assessment form
A variety of assessors to be used – not one
assessor to complete all assessments
Different assessments are not to be conducted on
one patient
Do not use the same case type or condition for all
assessments
Other WBA candidates cannot assess for Multi
Source Feedback
AMC Recommendations (cont.)
Only one case (out of the three selected) is
considered in Case Based Discussion
DOPS must be procedural skills and not physical
examination skills
DOPS assessors must be registered medical
practitioners with four years of experience in the
Australian healthcare environment (or equivalent
AMC-designated environment)
Registered Nurses may also assess DOPS if they
have the appropriate clinical assessment experience
– Program Director to advise
General AMC and WBA Information
The hospital will invoice you directly for WBA
fees.
Contact: <first and last name>, Medical
Administration
The AMC will invoice you directly for their
administration fee
An email/letter will be sent by the AMC
Please update your contact details with the AMC.
This is particularly important for ensuring you
receive your AMC certificate at the end of the
program – it is sent via post!
Completing WBA assessments
As soon as possible, meet with your Primary
Supervisor and complete the Self Assessment and
Personal Learning Plan
Once completed, provide to Program Director for
review and signature
Provide to Administration Officer for scanning and
filing
As you rotate through the clinical areas, arrange
for someone to assess you for the Mini-CEX,
DOPs and CBDs
Forward completed assessments to the Program
Director for review and signature
Completing WBA assessments (cont.)
Arrange for summative and formative reports
using your individual timeline as a guide
The Administration Officer will assist you in
arranging any direct or indirect assessments
throughout the twelve month period
Enjoy your experience!!
Questions?