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MRCGP Prescribing Assessment From August 2019

MRCGP Prescribing Assessment From August 2019. The short version! Chris Hirst May 2019. What’s Happening. New assessment To be completed in first half of GP ST3 year Additional to other ST3 assessments but total number CbDs reduced to 10 from 12 in ST3 year

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MRCGP Prescribing Assessment From August 2019

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  1. MRCGP Prescribing Assessment From August 2019 The short version! Chris Hirst May 2019

  2. What’s Happening • New assessment • To be completed in first half of GP ST3 year • Additional to other ST3 assessments but total number CbDsreduced to 10 from 12 in ST3 year • Formative tool, but mandatory to complete • Only fail pilot if not completed, no set standard required • When approved will form part of the data within the ePortfolio on which a summative judgment will be made of the trainees progression

  3. Why? • Prescribing errors found in 1/20 prescriptions • Prescribing integral part of GP work • To date not formally assessed • Agreed that trainees would benefit from support in prescribing

  4. Process 1 • Process is retrospective • CS identifies date (probably a couple of months into ST3) • Computer search pulls up last 60 prescriptions prior to that date • This goes into spreadsheet – there are tools on RCGP website • Trainee reviews prescriptions, looking at clinical records and fills in spreadsheet. • Any issues highlighted are identified and investigated by trainee

  5. Process 2 • CS then reviews at least 20 of these prescriptions including those where the trainee has identified no errors • Trainee writes up reflections in prescribing assessment log on e-portfolio. Can create PDPs from this • Trainee and CS review prescribing together in a tutorial • CS then completes prescribing form and makes assessment of trainees prescribing and any suggested PDPs • CS and trainee both complete on-line survey

  6. Assessment of Prescribing ‘RIGHT Prescribing?’ • Right drug? • Right dose? • Right Indication? • Right instructions? • Right Follow Up? Look for good prescribing practice Look for any error themes/patterns

  7. Further Notes • CS in this assessment could be Practice Pharmacist • Further Information https://www.rcgp.org.uk/training-exams/training/mrcgp-workplace-based-assessment-wpba/prescribing-assessment.aspx

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