Transcript Document

Workplace Based Assessment
Dr Jane Mamelok
RCGP WPBA Lead
Associate Director GP Education
Promoting Excellence in Family Medicine
Workplace Based Assessment
“The evaluation of a doctor’s progress
over time, in their performance in those
areas of professional practice best tested
in the workplace”
The new MRCGP Tripos
Workplace based
assessment
(WPBA)
Machine marked
test of applied
knowledge (AKT)
Clinical Skills
Assessment (CSA)
nMRCGP Integrated assessment package
AKT – knowledge – >3 /12 ST3
CSA - CLINICAL skills > 6/12 ST3
The WPBA – tests those competencies
not addressed in other components – 3
years.
WPBA – attitudes, team work, assessment
of performance and competence in
practice, needs to include audit,
consultation skills, management, peer
review and appraisal.
Miller’s Pyramid
WPBA
Does
CSA
Action
Performance
Shows How
CSA
Knows How
AKT
Competence
Knowledge
Knows
Where do the competencies come from?
Domains of GP
Curriculum
EURACT (European
Academy of
Teachers in General
Practice)
GMC – Good
Medical Practice
12 competency areas
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Communication and consultation skills
Practising holistically
Data gathering and interpretation
Making a diagnosis / making decisions
Clinical management
Managing complexity and promoting health
Primary care administration and IMT
Working with colleagues and in teams
Community orientation
Maintaining performance, learning and teaching
Maintaining an ethical approach to practice
Fitness to practise
RELATIONSHIP
DIAGNOSTICS
Data Gathering &
Interpretation
Communication &
Consulting Skills
Making a Diagnosis /
Making decisions
Practising Holistically
Clinical Management
Working with Colleagues
& in Teams
Professionalism
Maintaining an Ethical
Approach to Practice
Fitness to
Practise
Community
Orientation
Primary Care
Administration
& IMT
Maintaining Performance,
Learning & Teaching
MANAGEMENT
Managing Medical
Complexity
Some myths about WPBA
WPBA is a continuous process,
assessing the development of
competencies in the workplace over the 3
year training envelope.
All assessments must be timely i.e. within
that 3 year envelope, FY2 competencies
cannot be carried forward for WPBA
(although they can link with the e-portfolio
for NHS appraisal)
Some myths about WPBA
By the end of training the trainee must
demonstrate competence in the 12
required areas.
Naturally occurring evidence
(professional conversations, learning
logs, audit etc.)
Evidence taken from WPBA assessment
tools informs the deanery review process.
Some myths about WPBA
WPBA and e-portfolio are NOT
synonymous
WPBA is longitudinal assessment of
performance in the workplace.
E- portfolio is the personal learning
portfolio and this houses all the required
assessments including WPBA for the
nMRCGP and the certification and
licensing process.
There is a risk of teaching to the
assessment hurdles
WPBA is not just 12 COTs & 12 CBDs
MSF & PSQ give valuable information
about “attitudes”
The Naturally occurring evidence is the
“Jewel in the crown” of WPBA.
Informal feedback
Professional conversations that validate
competency
Audits, critical events.
ARCP – Panel reviews
The GPR gathers evidence – e-portfolio
Prior to panel, the Educational Supervisor
(ES) reviews evidence with GPR and eportfolio generates ES Report (ESR)
Panel review ESR, collates results
AKT/CSA checks successful completion
WPBA.
Based on all the evidence, panel make
recommendation for CCT.
The Blueprint Dilemma
Passed MRCGP video but tape would
have failed summative assessment.
Is it possible ?
and what do we do if it happens?
Could someone pass CSA but fail in those
same competency area in WPBA?
Calm, considered reflection
The solution
Each component of the tripos is mapped to the
competency framework, GP Curriculum & GMP.
Each cover different aspects e.g. AKT clinical,
CSA communication. WPBA covers them all.
Congruent assessment practices across the
components
Nationally agreed guidance and concordance
for assessment judgements made locally.
Calibration
We all agree on the benchmark and do the same
thing
Finally…
The process is learner led.
It is the learners responsibility to gather
the evidence.
Empowers the learner.
Planning and personal organisation is
key.