Transcript GP SPECIALTY TRAINING – ST1 INTRODUCTION

East Deanery
GP Workplace Based Assessment
Information for Hospital Clinical Supervisors
13th November 2007
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nMRCGP
East Deanery
The nMRCGP is an integrated assessment programme that
includes three components:
Applied Knowledge Test (AKT),
Clinical Skills Assessment (CSA)
Workplace-Based Assessment (WPBA).
Each of these is independent and will test different skills but together the
will cover the curriculum for specialty training for general practice.
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Workplace-Based Assessment
WPBA for nMRCGP is defined as the evaluation of a doctor’s progress in
their performance over time, in those areas of professional practice best
tested in the workplace
♦Provide feedback on areas of strength and development needs
♦Identify trainees in difficulty
♦Drive learning in important areas of competency
♦Determine fitness to progress to the next stage of the trainee’s career
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Tools for Evidence
♦CBD (case based discussion)
♦COT (consultation observation tool)
♦mini-CEX (clinical evaluation exercise)
♦DOPS (direct observation of procedural skills)
♦MSF (multi-source feedback)
♦PSQ (patient satisfaction questionnaire)
Evidence for the workplace-based assessment will be collected in the
e-Portfolio of each GP trainee.
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Workplace-based assessment ST1
6 month
Interim review
12 month
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Deanery panel
if unsatisfactory
Interim review
Based on evidence:
Based on evidence:
3 x COT or mini-CEX
3 x COT or mini-CEX
3 x CBD
3 x CBD
1 x MSF
1 x MSF
1 x PSQ *
1 x PSQ *
DOPS **
DOPS **
Clinical supervisors’
report **
Clinical supervisors’
report **
* if GP post
** if appropriate
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Workplace-based assessment ST2
18 month
24 month
Interim review
Interim review
Based on evidence:
Based on evidence:
3 x COT or mini-CEX
3 x COT or mini-CEX
3 x CBD
3 x CBD
1 x PSQ *
1 x PSQ *
DOPS **
DOPS **
Clinical
supervisors’ report **
Clinical supervisors’
report **
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Deanery panel
if unsatisfactory
* if GP post
** if appropriate
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Workplace-based assessment ST3
30 month
34 month
Interim review
Final review
Based on evidence:
Based on evidence:
6 x COT
6 x COT
6 x CBD
6 x CBD
1 x MSF
1 x MSF
DOPS **
DOPS **
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Deanery sign off or
panel review if
unsatisfactory
PSQ
** if appropriate
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DOPS
Mandatory:
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Breast examination
Female genital examination
Male genital examination
Rectal examination
Prostate examination
Cervical cytology
Testing for blood glucose
Application of simple dressings
Optional:
Cryotherapy
Curettage/shave excision Cauterisation
Incision and drainage of abscess aspiration of effusion
Excision of skin lesions
proctoscopy joint and periarticular injections
Hormone replacement implants of all types suturing of skin wounds
Ability to take skin surface specimans for mycology
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Mini-CEX
East Deanery
Mini-CEX is a 15 minute snapshot of doctor/patient interaction, within a
secondary care setting. It is designed to assess the clinical skills,
attitudes and behaviours of trainees essential to providing high quality
care.
Trainees will be asked to undertake six observed encounters during 12
months, with a different observer for each encounter. Each of these
encounters should represent a different clinical problem and trainees
should sample from a wide range of problem groups within the year.
Immediate feedback will be provided after each encounter, by the observer
rating the trainee. Trainers and trainees will need to identify and agree
strengths, areas for development and an action plan for each
encounter.
Number of assessments required per year: A minimum of 3 in 6
months, whilst in secondary care.
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CBD
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▪Case-based discussion (CbD) is a structured interview designed to explore
professional judgment exercised in clinical cases which have been selected by
the GP trainee and presented for evaluation.
▪Evidence collected through CbD interviews will support the judgments made
about trainees at the interim and final reviews throughout the entire programme of
GP training.
▪The CbD tool has been designed to be used in both
hospital and GP settings
▪Minimum number of assessments:
3 per 6 months in ST1, 3 per 6 months in ST2, and 6 per 6 months in ST3.
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Clinical Supervisors Report
Short structured report towards the end of the placement:
▪Knowledge base relevant to post
▪Practical skills
▪Professional competencies
►Highlight strengths
►Identify development needs
Description of progress
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Entering assessments:
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www.eportfolioforms.com
Enter your details and the trainees details as requested
Then confirm assessment type
Complete assessment form
Submit and save
May not save immediately
Check with trainee that it now appears in their portfolio
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GP Curriculum
East Deanery
http://www.rcgp-curriculum.org.uk/rcgp_-_gp_curriculum_documents.aspx
12 professional competence areas:
http://www.rcgp.org.uk/the_gp_journey/nmrcgp/wpba_and_eportfolio/comp
etence_areas.aspx
Detailed descriptors
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