Transcript Portfolios, ARCPs and WBPAs

Portfolios, ARCPs and WBPAs
Chris O’Loughlin
College Tutor
Key documents
The Essence…
This is how to smoothly pass through your
training years.
To do this you need:
1. To get through (annual) ARCPs
2. To pass the MRCPsych exam
Dynamic tension ?
• Formative
Assessment as a learning experience
• Summative
Not intrinsically educational; designed
as a “final grade” at the end of a period
of training/education
ARCPs
Annual Review of Competence Progress
Organized at a Deanery level
• Review of portfolio
• Reports from clinical supervisors
• Reports from educational supervisors
Decide whether you can progress or need
more time at this level (max 1 yr across 6)
Portfolio
•
Evidenced acquisition of competencies (mainly
through workplace based assessments)
•
Experiential activities as required by the
College curriculum (eg logbooks, publications,
research, audits)
•
Experiential activities beyond the requirements
of the College curriculum
Paper or Electronic ?
Portfolio – Structure (Deanery)
I
II
III
IV
V
VI
Introduction
Identification (basic information about
yourself, incl up to date CV,GMC etc)
Past (Previous obj)
Present
Future (PDP etc)
Appendices
IV – Current job
This is best structured according to the NHS appraisal:
1.
clinical care
–
–
–
–
–
–
2.
3.
4.
5.
6.
7.
8.
9.
main job
other components
on-call
clinical audit and evaluation
administration, time-keeping, etc
non-clinical aspects (can be cross-referenced or deferred to later
headings)
learning (CPD activities, current exam status, etc)
relationships with colleagues
relationships with patients and carers
teaching others
research
management
probity
health
Self-reflective narrative ?
Portfolios should be aiming for a
combination of evidence of activities and
self reflection on those activities
eg An introductory page to each section
outlining the evidence that will follow, what
you have learnt and how this leads
forward
Structure –
Royal College
Organization
• It has to have a sufficiently clear structure
for individual items (eg a specific WBPA)
to be found easily
Workplace-based
Assessments
Principles
• Generally “formative”
• Trainee led
• Guided by educational supervisor
• Planned in advance
• “Prospective”
• Patients (if involved) should have
consented
WPBAs
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ACE
Mini-ACE
CBD
DOPS
Case Presentation
Journal Club Presentation
MSF/ mini-PAT
( DONCS/ DOCS )
ACE
Assessment of Clinical Expertise
Full history, examination, diagnosis,
treatment plan
Take about an hour +
Minimum 2 / year
Mini-ACE
Mini-Assessed Clinical Encounter
Short focussed tasks
eg MSE, Cognitive testing, risk assessment
Takes about 20 mins + 10 mins feedback
Minimum 4 / year
CBD
Case Based Discussion
Notes-based discussion
Assessor picks 1 case from 2
Takes 15-20 minutes
About 6 / year
DOPS
Direct Observation of Procedural Skills
eg. Venepuncture, ECG, ECT,
?? Resuscitation
Case Presentation
“Grand round” style presentation
Journal Club Presentation
Mini-PAT and PSQ
Mini-Peer Assessment Tool
• 8-12 co-workers
• At least 8 need to be returned
• Supervised by educational supervisor
Patient Satisfaction Questionnaire
DONCS / DOCS
Direct Observation of Non-clinical Skills
Higher trainees
eg Chairing, Supervising, Providing written
or oral communication
In pilot stage
College electronic system
• Royal College has some resources for
electronic portfolio
• What is there works fairly well
• Incomplete
• Best for mini-PAT
• As things stand ARCP is still paper-based
Questions about WBPAs ?
Educational Supervisors
Educational Supervisor
• Plan to see your ES within first 1-2 weeks
of new post
• A “middle of post” meeting to review
progress
• A near-the-end of post meeting
(More if needed !)
Questions ?