GRAND ROUND Secondary Care 4 Primary Care

1. GRAND ROUNDSecondary Care 4 Primary Care Dr. Amjad Khan Associate Dean (Black Country) Dr. S. Sikka, Dr. R MacRorie, Dr. S. Saini Training Programme Directors - Sandwell Developing peoplefor health and healthcare

2. WPBA (E-portfolio) Dr. Sarbjit Saini GP – Wolverhampton FY2 Clinical Supervisor Training Programme Director - Sandwell Developing peoplefor health and healthcare

3. The Deanery Dr Elizabeth Hughes Postgraduate Medical Dean Dr Martin Wilkinson Director of Postgraduate General Practice Dr Steve Walter Head of School Postgraduate General Practice Black Country School Dr Amjad Khan (AD) Cov & Warks School Hereford & Worcs School Bham & Solihull School Staffs/Shrops • City VTS • TPD’s • Matthew Nye • Monica Milne • James Hynes Wolverhampton VTS Walsall VTS • Sandwell VTS • TPD’s • Charanpal Sikka • Rod Macrorie • Sarbjit Saini Dudley VTS Developing peoplefor health and healthcare

4. E-portfolio • One of the three components of nMRCGP Developing peoplefor health and healthcare

5. WPBA • What are the assessments: • CBDs / Mini-Cex / DOPs / CSR / MSFs • Only senior clinicians are allowed to sign off assessments: • SpRs or Consultants (Nurses). • Out of Hours – These are sessions done in GP out of hours services. 108 hours over 18 months. To be done during ST2 (GP post) and ST3 (due to EWTD + Indemnity). Developing peoplefor health and healthcare

6. WPBA • What are the assessments requirements: • These are minimum requirements only, we do recommend that trainee try and complete more if possible. Developing peoplefor health and healthcare

7. DOPs • The Direct Observation of Procedural Skills tool (DOPS) assesses the procedural skills essential to providing good clinical care. • There are two types of DOPs: • Mandatory • application of a simple dressing • breast examination • cervical cytology • female genital examination • male genital examination • prostate examination • rectal examination • testing for blood glucose • Optional – Any procedure / skill you feel the trainee would also benefit from whilst in speciality training. Developing peoplefor health and healthcare

8. DOPs Developing peoplefor health and healthcare

9. CbDs • The Case-based Discussion (CbD) is a structured interview designed to assess a trainees professional judgement in clinical cases. • Requires planning and time. • NOTE: Not all the assessment headings will be assessed in each CBD and not all can be assessed in the secondary care setting. Structured question resources in consultant survivial guide [attached]. • An example of a form: Developing peoplefor health and healthcare

10. 1. Clicking here displays the discripters for each competancy. Rating scale At the end of each form is a free text box – please use this to give a brief discription of the case that was discussed. Developing peoplefor health and healthcare

11. Displaying the discripters for each compency can help you rate the tarinee against the RCGP expectations.

12. Mini-Cex • The Clinical Evaluation Exercise (miniCEX) assesses clinical skills, attitudes and behaviours in a secondary care setting. • The miniCEX provides a 15-minute snapshot of how trainees interact with patients in a secondary care setting. • An example of a form: Developing peoplefor health and healthcare

13. Mini-Cex Developing peoplefor health and healthcare

14. MSF Developing peoplefor health and healthcare

15. CSR • Educational Supervisor Review (ESR) - Two per year: • December. • May/June. • Clinical Supervisor Report (CSR) – Two per year • Needs to be completed before the ESR can be done • December. • May/June. • It is a very vital piece of the ‘Jig-saw’ for the ARCP. Developing peoplefor health and healthcare

16. CSR • The CSR needs to be completed no more than 8 weeks before the ARCP. • You will require a ‘Ticket code’ to be emailed to you by the trainee so that you can complete the form. • The CSR is very useful for us when assessing the trainee. It provides the ARCP panel with information on the trainee as well as the Educational supervisor who relies heavily on your assessment of the trainees clinical abilities whilst in their hospital posts. • The rating scale assumes that all trainees ‘need further development’ (NFD) and encourages assessors to make comparisons with doctors at the same stage of training. This scale proved successful in trials because it is one that secondary care doctors are used to working with. If a trainee is performing above expectations, this can be recorded and reflected in the text boxes. Developing peoplefor health and healthcare

17. CSR • All sections of the CSR form need to have text entered. • In particular, the ‘Comments/concerns’ box is a very important way of giving feedback to the educational supervisor and should be used for each area of competence. • The final feedback box is used by the clinical supervisor to provide further information, or recommendations to help either you or your educational supervisor. • Communication between the clinical supervisor and educational supervisor • The CSR is one of several sources of evidence used by the educational supervisor to reach a judgement about the trainees progress. • While it’s designed to provide useful structured information, it’s no substitute for dialogue between the clinical and educational supervisors. Developing peoplefor health and healthcare

18. CSR Developing peoplefor health and healthcare

19. CSR Please ensure that the test boxes are completed for each assessment are so we can get a complete picture of the trainees performace. Developing peoplefor health and healthcare

20. Resources Sandwell VTS Consultant Clinical Supervisors Survival Guide Developing peoplefor health and healthcare

21. Resources • GP Training FAQs: www.westmidlands.nhs.uk • RCGP website. • Contact your Training Programme Director (TPD). • Contact Patch Administrator (based at the Deanery): • Anita Powell for the Black Country . • E-Portfolio FAQs or You can call 020 3188 7655 between 9.00am and 5.00pm Monday to Friday. Developing peoplefor health and healthcare