Transcript nMRCGP - St Helier VTS

nMRCGP
Dr Ravi Seyan
Applied Knowledge Test
 The Applied Knowledge Test is a summative
assessment of the knowledge base that
underpins independent general practice
 The test takes the form of a three-hour multiplechoice test of 200 items
 Approximately 80% of question items will be on
clinical medicine, 10% on critical appraisal and
evidence based clinical practice and 10% on
health informatics and administrative issues
Terminology
VTS - GP Specialist Training
ST1- specialist training year 1
ST2- specialist training year 2
GPStR- GP Specialist Registrar
ITP
Minimum requirement in primary care
1 COT X 2 ( 2 mini-CEX in hospital)
2 CbD x 2 ( 2 in hospital)
3 DOPS as many as possible in posts
4 Clinical Supervisors Report (in hospital
posts).
5 3 OOH sessions
The Clinical Skills Assessment (CSA) is an essential component
of the nMRCGP, and is ‘an assessment of a doctor’s ability to
integrate and apply clinical, professional, communication and
practical skills appropriate for general practice’
The CSA will test mainly from the following areas of the curriculum:
Primary Care Management - recognition and management of common
medical conditions in primary care.
Problem Solving Skills - gathering and using data for clinical judgment,
choice of examination, investigations and their interpretation.
Demonstration of a structured and flexible approach to decision making.
Comprehensive Approach - demonstration of proficiency in the
management of co-morbidity and risk.
Person-centred Care - communication with patient and the use of
recognised consultation techniques to promote a shared
approach to managing problems.
Attitudinal Aspects - practising ethically with respect for equality
and diversity, with accepted professional codes of conduct.
Clinical Practical Skills - demonstrating proficiency in performing physical
examinations and using. diagnostic/therapeutic instruments
Cases are written by experienced General Practitioner case writers,
who are members of the MRCGP Panel or Deanery representatives
across the UK. All have undergone training in case writing.
Cases are chosen to fit into a blueprint derived from the MRCGP
curriculum, and each case can be related to a specific section of one
or more of the Curriculum Statements
Marking
There are four possible grades, which are:
•Clear pass
•Marginal pass
•Marginal fail
•Clear fail
CP
The candidate demonstrates an above-average level of competence, with a
justifiable clinical approach that is fluent, appropriately focussed and technically proficient.
The candidate shows sensitivity, actively shares ideas and may empower the patient
MP
The candidate demonstrates an adequate level of competence, displaying a
clinical approach that may not be fluent but is justifiable and technically proficient.
The candidate shows sensitivity and tries to involve the patient.
MF
The candidate fails to demonstrate adequate competence, with a clinical
approach that is at times unsystematic or inconsistent with accepted practice. Technical
proficiency may be of concern.
The patient is treated with sensitivity and respect but the doctor does not sufficiently
facilitate or respond to the patient’s contribution.
CF
The candidate clearly fails to demonstrate competence, with clinical
management that is incompatible with accepted practice or a problem-solving approach
that is arbitrary
or technically incompetent.
The patient is not treated with adequate attention, sensitivity or respect for their
contribution.
Generic Indicators
 1. DATA-GATHERING, TECHNICAL & ASSESSMENT SKILLS: Gathering &
using data for clinical judgement, choice of examination, investigations &
their interpretation. Demonstrating proficiency in performing physical examinations &
using diagnostic and therapeutic instruments (Blueprint: Problem-solving skills )
 2. CLINICAL MANAGEMENT SKILLS: Recognition & management of common
medical conditions in primary care. Demonstrating a structured & flexible approach to
decision-making. Demonstrating the ability to deal with multiple complaints and comorbidity. Demonstrating the ability to promote a positive approach to health
(Blueprint: Primary Care Management, Comprehensive approach

3. INTERPERSONAL SKILLS Demonstrating the use of recognised communication techniques
to gain understanding of the patient's illness experience and develop a shared approach to
managing problems. Practising ethically with respect for equality & diversity issues, in line with the
accepted codes of professional conduct.
(Blueprint: Person-Centred Approach, Attitudinal Aspects
GPStR instructions
 Equipment
 You should bring your doctor’s bag containing the usual diagnostic
equipment with you, including:
 BNF
 Stethoscope
 Ophthalmoscope
 Auroscope
 Thermometer
 Patella hammer
 Sphygmomanometer (aneroid or electronic)
 Tape measure
 Peak flow meter and disposable mouthpieces (N.B. These must be
EU standard)