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The process of assessing trainees' competency and progress during workplace-based assessments outlined in detail. Includes tools, assessors, levels of complexity, assessment frequency, and documentation procedures for various types of assessments.
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ASSESSMENTs DURING TRAINING
WORK PLACE BASED ASSESSEMENTs OVERVIEW
WPBA • Assessing the competency of trainees • Ensuring that they are making satisfactory progress • Trainees are assessed on work that they are actually doing • Assessment is integrated into their day-to-day work • All assessments linked to the curriculum
Case-based discussion (CbD) • Direct observation of practical skills (DOPS) • Evaluation of clinical events (ECE) • Mini clinical evaluation exercise (Mini-CEX) • Multi-source feedback (MSF)
Frequency of Assessments each year DOPS: minimum of 6 required in ST1 AND 2(Chem Path trainee) ST3 and 4(Chem path and metabolic medicine trainee)
Procedure for Assessment • Tool: type of assessment • Assessor: wide range • Consultants (medical or clinical scientist) • staff grade and associated specialists (SAS) • senior biomedical scientists (BMS) • clinical scientists • senior trainee or other healthcare professionals competent in the area being assessed (e.g. nurses)
Level of complexity • Low • average • high • Procedure • Short (15-20 min) with 5-10min feedback • Cover wide range of topics
Documentation of Assessments • Workplace-based assessments should be recorded in the Learning Environment for Pathology Trainees (LEPT) system • web-based system for WPBA and multi-source feedback (MSF) • includes an e-Portfolio to support the ARCP process.
Case based discussion(CbD) • Learning Objective • To assess decision-making • application or use of medical knowledge in relation to the care of patients (clinically or laboratory involvement) • general biochemistry • diabetes and endocrinology • lipidology • Nutrition • inherited metabolic disease • special investigations
Evaluation of clinical events(ECE) • Learning Objective: performance in complex tasks • Team working or interacting with other professional staff • Clinico pathological evaluation • Reporting of diagnostic material • Presentation of a case at a (MDT) meeting, grand round • Quality assurance and audit processes in clinical and laboratory settings. • providing clinical biochemistry advice in response to enquiry (primary and secondary care) – by letter, by phone • preparing a business case • writing clinical guidelines • appointment of staff (e.g. shortlisting, interviewing)
DIRECT OBSERVATION OF PRACTICAL SKILLS (DOPS) • Learning Objective • Direct observation of practical skills (DOPS) is used for assessing competence in the practical procedures that trainees undertake • To assess the analytical technique, use of laboratory instrument, dynamic function test, trainee led teaching event
Mini Clinical Evaluation Exercise • Learning Objective To provide feedback on skills essential to the provision of good clinical care by observing an actual clinical encounter • Diabetes • Lipids/cardiovascular risk/hypertension • Metabolic bone/calcium metabolism • Inherited metabolic disease • Obesity • Parenteral nutrition ward round
MSF • MSF assessment in ST1, ST3 and ST5(Chem Path) and ST3,ST5, ST7(Chem Path/Metabolic medicine) • MSF can be organised any other time besides above if required