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Introduction to the new assessments

Introduction to the new assessments. Dr Andrew Stewart Lighthouse Medical Practice Eastbourne. What’s new about them?. The point of them is to assess what everyone actually does – not what we “should” do. More “in-house” assessments – throughout the 3 years.

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Introduction to the new assessments

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  1. Introduction to the new assessments Dr Andrew Stewart Lighthouse Medical Practice Eastbourne

  2. What’s new about them? The point of them is to assess what everyone actually does – not what we “should” do. More “in-house” assessments – throughout the 3 years

  3. What types of assessment are there? • AKT • CSA • WPBA – CBD, COT, mini CEX, DOPS, MSF and PSQ

  4. 1. Communication and consulting skills 2. Practising holistically 3. Data gathering and interpretation 4. Making a diagnosis/ making decisions 5. Clinical management 6. Managing complexity and promoting health 7. Primary care administration and IMT 8. Working with colleagues and in teams 9. Community orientation 10. Maintaining performance, learning and teaching 11. Maintaining an ethical approach to practice 12.Fitness to practice Competency areas

  5. Case-based discussion • Structured oral interview • Designed to assess professional judgement • Across a range of competency areas • Starting point is the written record of cases selected by the trainee • Will be used in general practice and hospital settings

  6. COT/Mini-CEX • Tool to assess consultation skills • Based on MRCGP consulting skills criteria • Can be assessed using video or direct observation during general practice settings

  7. DOPS • For assessing relevant technical skills during GP training: • Cervical cytology • Complex or intimate examinations (e.g. rectal, pelvic, breast) • Minor surgical skills • Similar to F2 DOPS

  8. MSF • Assessment of clinical ability and professional behaviour • ST1 Rated by 5 clinical colleagues on 2 occasions; ST3 Rated by 5 clinical and 5 non-clinical colleagues on 2 occasions • Simple web based tool • Feedback from Clinical Supervisor

  9. PSQ • Measures consultation and relational empathy (CARE) • 30 consecutive consultations in GP setting • Central optical scanning and generation of results • Feedback from Educational supervisor

  10. Others • From direct observation during training • “tagged” against appropriate competency headings

  11. Monitoring • 4 monthly by Educational supervisor (trainer) • Deanery Panel meeting at end of ST1 and ST2 • reviews the training records of every trainee • face to face review with trainees when • unsatisfactory achievement in either of the complementary tools • or when requested by the educational supervisor

  12. ST1, ST2 6 x COT or mini-CEX 6 x CBD 2 x MSF (not ST2) DOPS ** Clinical supervisors’ report ** ST3 12 x COT 12 x CBD 2 x MSF DOPS ** 1x PSQ Yearly Targets

  13. The Final Judgement! • The trainer makes a recommendation as to whether the trainee has achieved competence in all 12 areas at the end of training • Review of e-portfolio if satisfactory level achieved in training record • Review of e-portfolio and face-to-face meeting with trainee, if satisfactory level not achieved

  14. Group work on CBD • Divide into groups • Think of one recent consultation you have had – ward based/OP clinic/surgery • What competencies did you demonstrate? • What competencies could you demonstrate? • Are there scenarios that could provide demonstration of further competencies?

  15. Where to turn? • Clinical supervisor • Educational Supervisor • Programme Directors • Peers • Books/internet

  16. Take-away • Continual assessment • Of what we DO • Backed up by external assessments – local and central • Close review by Educational Supervisor • Driven by GPST

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