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WPBAs Workplace Based Assessments

WPBAs Workplace Based Assessments. Intending Trainers Course. Curriculum. Check it out at www.rcgp.org.uk The Condensed Curriculum Guide - available from the RCGP bookshop. Curriculum Statements. THE CORE STATEMENT 1 Being a General Practitioner THE CONTEXTUAL STATEMENTS

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WPBAs Workplace Based Assessments

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  1. WPBAsWorkplace Based Assessments Intending Trainers Course

  2. Curriculum • Check it out at www.rcgp.org.uk • The Condensed Curriculum Guide- available from the RCGP bookshop.

  3. Curriculum Statements THE CORE STATEMENT • 1 Being a General Practitioner THE CONTEXTUAL STATEMENTS • 2.01 The GP Consultation in Practice • 2.02 Patient Safety & Quality of Care • 2.03 The GP in the Wider Professional Environment • 2.04 Enhancing Professional Knowledge

  4. Curriculum Statements THE CLINICAL EXAMPLES • 3.01 Healthy People • 3.03 Care of Acutely Ill People • 3.04 Care of Children and Young People • 3.06 Women’s Health • 3.08 Sexual Health • 3.09 End-of-Life Care • 3.10 Care of People with Mental Health Problems • 3.11 Care of People with Intellectual Disability • 3.12 Cardiovascular Health • 3.13 Digestive Health • 3.14 Care of People who Misuse Drugs and Alcohol • 3.15 Care of People with ENT, Oral and Facial Problems • 3.16 Care of People with Eye Problems • 3.17 Care of People with Metabolic Problems • 3.18 Care of People with Neurological Problems • 3.19 Respiratory Health • 3.20 Care of People with Musculoskeletal Problems • 3.21 Care of People with Skin Problems

  5. Being a GPSo much more than diagnosing and treating diseases!

  6. WPBA Tools Case-based Discussions (CBD) Minimum number of assessments: 3 per six monthly review in ST1 and ST2 and 6 per six months in ST3. Consultation Observation Tool (COT) in primary care or Mini-CEX in secondary care Minimum number of assessments: 3 per six monthly review in ST1 and ST2 and 6 per six months in ST3. Direct Observation of Procedural Skills (DOPS) Candidates must be assessed in eight mandatory procedures and eleven optional procedures may also be attempted. Multi-Source Feedback (MSF) Two cycles must be completed in both ST1 (5 clinicians only) and ST3 (5 clinicians and 5 non-clinicians). Patient Satisfaction Questionnaire (PSQ) One cycle of 40 forms must be completed if the trainee spends 12 months in primary care (in ST3). For trainees who spend more than 12 months in primary care a cycle should also be completed in ST1 or ST2 as appropriate.

  7. Progress through each of the competence areas • (I) Insufficient evidenceFrom the available evidence, the doctor’s performance cannot be placed on a higher point of this developmental scale. • (N) Needs further developmentRigid adherence to taught rules or plans. Superficial grasp of unconnected facts. Unable to apply knowledge. Little situational perception or discretionary judgement. • (C) CompetentAccesses and applies coherent and appropriate chunks of knowledge. Able to see actions in terms of longer-term goals. Demonstrates conscious and deliberate planning with increased level of efficiency. Copes with crowdedness and is able to prioritise. • (E) ExcellentIntuitive and holistic grasp of situations. No longer relies on rules or maxims. Identifies underlying principles and patterns to define and solve problems. Relates recalled information to the goals of the present situation and is aware of the conditions for application of that knowledge.

  8. The Developing Doctor Each assessment adds information (detail)

  9. Case Based Discussion • 2 (4) cases presented to clinical supervisor who chooses 1(2) for the discussion- balance of cases in a range of settings • 20 minutes per case for questioning (exam style) then allow 10 minutes for feedback/ education

  10. CBD planning • It can be useful to ask the trainee to fill in a CBD prep form available from www.bradfordvts.co.uk • Also there is a useful question generator • And guide to the competences • Can download a useful notes sheet from the RCGP

  11. CBD planning • CBD notes sheet and question guidance- download from RCGP website- MRCGP- WPBA- CBD

  12. The Consultation Observation ToolCOT • Either a video consultation or directly observed • In the 3 years- a child <10y, an adult >75y and a mental health problem • Marked according to performance criteria

  13. Directly observed proceduresDOPS 8 DOPS mandatory procedures • application of a simple dressing • breast examination • cervical cytology • female genital examination • male genital examination • prostate examination • rectal examination • testing for blood glucose

  14. DOPS In addition to the named clinical or educational supervisor, the observer could be a staff grade doctor, nurse practitioner, clinical nurse specialist, experienced specialty registrar (ST4 or above) or consultant. The observer should not be a peer - a fellow GP trainee or specialty trainee at a similar stage in training.

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