WPBAsWorkplace Based

Assessments

Intending Trainers Course

Check it out at www.rcgp.org.uk

The Condensed Curriculum Guide- available from the RCGP bookshop.

Curriculum

THE CORE STATEMENT 1 Being a General Practitioner THE CONTEXTUAL STATEMENTS 2.01 The GP Consultation in Practice   2.02 Patient Safety & Quality of Care  2.03 The GP in the Wider Professional Enviro

nment  

2.04 Enhancing Professional Knowledge 

Curriculum Statements

THE CLINICAL EXAMPLES

3.01 Healthy People  3.03 Care of Acutely Ill People   3.04 Care of Children and Young People   3.06 Women’s Health  3.08 Sexual Health  3.09 End-of-Life Care   3.10 Care of People with Mental Health Problems  3.11 Care of People with Intellectual Disability   3.12 Cardiovascular Health   3.13 Digestive Health  3.14 Care of People who Misuse Drugs and Alcohol   3.15 Care of People with ENT, Oral and Facial Problems   3.16 Care of People with Eye Problems   3.17 Care of People with Metabolic Problems  3.18 Care of People with Neurological Problems   3.19 Respiratory Health 3.20 Care of People with Musculoskeletal Problems  3.21 Care of People with Skin Problems

Curriculum Statements

Being a GPSo much more than diagnosing and treating diseases!

Case-based Discussions (CBD)Minimum number of assessments: 3 per six monthly review in ST1 and ST2

and 6 per six months in ST3. Consultation Observation Tool (COT) in primary care or Mini-CEX in

secondary careMinimum number of assessments: 3 per six monthly review in ST1 and ST2

and 6 per six months in ST3. Direct Observation of Procedural Skills (DOPS)Candidates must be assessed in eight mandatory procedures and eleven

optional procedures may also be attempted. Multi-Source Feedback (MSF)Two cycles must be completed in both ST1 (5 clinicians only) and ST3 (5

clinicians and 5 non-clinicians). Patient Satisfaction Questionnaire (PSQ)One cycle of 40 forms must be completed if the trainee spends 12 months in

primary care (in ST3). For trainees who spend more than 12 months in primary care a cycle should also be completed in ST1 or ST2 as appropriate.

 

WPBA Tools

(I) Insufficient evidenceFrom the available evidence, the doctor’s performance cannot be placed on a higher point of this developmental scale.

  (N) Needs further development

Rigid adherence to taught rules or plans. Superficial grasp of unconnected facts. Unable to apply knowledge. Little situational perception or discretionary judgement.

  (C) Competent

Accesses and applies coherent and appropriate chunks of knowledge. Able to see actions in terms of longer-term goals. Demonstrates conscious and deliberate planning with increased level of efficiency. Copes with crowdedness and is able to prioritise.

  (E) Excellent

Intuitive and holistic grasp of situations. No longer relies on rules or maxims. Identifies underlying principles and patterns to define and solve problems. Relates recalled information to the goals of the present situation and is aware of the conditions for application of that knowledge.

Progress through each of the competence areas

The Developing Doctor

Each assessment adds information(detail)

2 (4) cases presented to clinical supervisor who chooses 1(2) for the discussion- balance of cases in a range of settings

20 minutes per case for questioning (exam style) then allow 10 minutes for feedback/ education

Case Based Discussion

It can be useful to ask the trainee to fill in a CBD prep form available from www.bradfordvts.co.uk

Also there is a useful question generator

And guide to the competences

Can download a useful notes sheet from the RCGP

CBD planning

CBD notes sheet and question guidance- download from RCGP website- MRCGP- WPBA- CBD

CBD planning

Either a video consultation or directly observed

In the 3 years- a child <10y, an adult >75y and a mental health problem

Marked according to performance criteria

The Consultation Observation ToolCOT

8 DOPS mandatory procedures• application of a simple dressing • breast examination • cervical cytology • female genital examination • male genital examination • prostate examination • rectal examination • testing for blood glucose

Directly observed proceduresDOPS

In addition to the named clinical or educational supervisor, the observer could be a staff grade doctor, nurse practitioner, clinical nurse specialist, experienced specialty registrar (ST4 or above) or consultant. The observer should not be a peer - a fellow GP trainee or specialty trainee at a similar stage in training.

DOPS