Belling the Cat – Exams!!!

1. Belling the Cat – Exams!!! Fedir Abi

3. Fees • Yet to be confirmed. • Its not free, you will have to pay

4. Components • Applied Knowledge test (AKT) • Clinical skills assessment (CSA) • Workplace based assessment (WPBA)

5. Applied knowledge test • 3 hour 200 item multiple choice test • Computer terminals at 147 Pearson Vue Professional testing centres. • Clinical Medicine-80%, Critical Appraisal & Evidence based Clinical Practice-10% and Health Informatics and Administration issues-10% • Three times a year • Contact Pearson Vue to book date and centre • 2 forms of Identification • Feedback • ST3 GP Trainee

6. Clinical Skills Assessment • Feb, May and October. Initially in Croydon, later in a purpose built centre in London • Consulting room • 13 ten minute appointments • Primary care management, Problem solving skills, Person centred approach, comprehensive approach, Attitudinal aspects and clinical practical skills

7. WBPA and eportfolio • Opportunity for assessment in real situations • Professional development, Probity and Team working • Based on approach of Foundation programme • Feedback on areas of strength and needs, Identify trainees in difficulty, Drive learning in important areas of competency and determine fitness to progress to next stage

8. Competency areas • Communication and Consultation Skills • Practising Holistically • Data Gathering and Interpretation • Making a Diagnosis/Making Decisions • Clinical Management • Managing Medical Complexity • Primary Care Administration and Information Management and Technology • Working with Colleagues and in Teams • Community Orientation • Maintaining Performance, Learning and Teaching • Maintaining an Ethical Approach to Practise • Fitness to Practise

9. Collecting Evidence • Case-based Discussion (CBD)6 in ST1, 6 in ST2 and 12 in ST3 • Consultation Observation (COT) in primary careor Mini-CEX in secondary care6 in ST1, 6 in ST2 and 12 in ST3 • Direct Observation of Procedural Skills (DOPS)Until mandatory section of log complete • Evidence recorded through direct observation of the trainee by the trainer in primary care and Clinical Supervisors’ Reports (CSR) when in secondary care. • Multi-Source Feedback (MSF)Two cycles in both ST1 (clinicians only) and ST3 (clinicians and non-clinicians),with the option of repeating in ST2 if unsatisfactory in ST1   • Patient Satisfaction Questionnaire (PSQ)One cycle in ST1 or ST2, when in primary care, and one in ST3

10. Required Evidence • Specialty Training Year 1 • Prior to 6 month (6m) review • • 3 x COT or mini-CEX• 3 x CBD• 1 x MSF, 5 clinicians only• DOPS, if in secondary care• Clinical supervisors’ reports, if in secondary care • Prior to 12 m review • • 3 x COT or mini-CEX• 3 x CBD• 1 x MSF, 5 clinicians only• 1 x PSQ, if in primary care• DOPS, if in secondary care• Clinical supervisors’ reports, if in secondary care

11. Required Evidence • Specialty Training Year 2 • Prior to 18 m review • • 3 x COT or mini-CEX• 3 x CBD• PSQ, if not completed in ST1• DOPS, if in secondary care• Clinical supervisors’ reports, if in secondary care • Prior to 24 m review (primary care)• 3 x COT• 3 x CBD• PSQ, if not completed in ST1

12. Required Evidence • Specialty Training Year 3 (primary care) • Prior to 30m review• 6 x CBD• 6x COT• 1 x MSF • Prior to 34m review• 6 x CBD• 6 x COT• 1 x MSF• 1 x PSQ

13. Eportfolio • Plan of the e-Portfolio • Learning Log • Log EntriesClinical encounters, tutorials, reading, lectures, seminars, professional conversations and more. • Personal Development PlanA dynamic record of training needs • Assessments • Progress to CertificationInformation on CCT, chart summarizing progress, declarations and more. • Applied Knowledge Test (AKT)Information on AKT, how to book a test and record of result. • Clinical Skills Assessment (CSA)Information on CSA, online application and record of result. • Workplace-based Assessment (WPBA)Information on WPBA, professional competencies, DOPS, CBD, MSF, PSQ, CSR, mini-CEX, COT. • Reviews6 month, 12m, 18m, 24m, 30m and final review, Deanery Panel Reviews. • Skills LogRecord of skills.

14. THANK YOU