Nottingham Vocational Training Scheme

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WBA Tools to monitor performance

The three year training program is based on the Royal College of General Practitioners Curriculum for General Practice

Curriculum

Reference material

Work Placed Based Assessment

The Examination: CSA&AKT

e-Portfolio

The full RCGP curriculum can be viewed  by clicking "RCGP Curriculum for General Practice"

The RCGP WPBA website can be viewed by clicking "RCGP WPBA"

Tools to monitor performance

These are CBD, COT, DOPS, mini-CEX, MSF, PSQ and CSR

Competency areas

The 12 competency areas required for WBA

Collecting the Evidence

What is the evidence

Minimm Review requirements

How often do I have to submit the evidence and how many do I have to do


Case-based Discussion (CBD)

Consultation Observation (COT)

Patient Satisfaction Question (PSQ)


Multi-Source Feedback (MSF)


Clinical Exam Exercise (Mini-CEX)

Procedure Skills (DOPS)

Clinical Supervisors report

 

Each tool, be it COT, CBD or mini-CEX, is a device for gathering evidence.

This evidence is collected by the trainee in their portfolio, and at the 4 month reviews conducted by the educational supervisor, is used to inform decision made about the trainee’s progress.

It is important then to note that there is no pass/fail standard to any of these workplace-based assessments. The tools simply serve to harvest information and provide the supervisor with material for feedback, identification of learning needs and possible recommendations for change for the trainee.

Tools used in General Practice Tools used in both General Practice and Hospital Tools used in Hospital
Case-based Discussion (CBD)  Multi-Source Feedback (MSF) Mini Clinical Examination Exercise (Mini-CEX) in secondary care
Consultation Observation (COT) in primary care   Direct Observation of Procedural Skills (DOPS)

Patient Satisfaction Questionnaire (PSQ)

  Clinical Supervisors report

Each tool (form) once completed will be filed in the e-Portfolio. It will be automatically tagged under the appropriate competency area headings so that the results and free text comments are brought up during the interim and final reviews.

Across the 12 professional competence areas in workplace-based assessment, progression towards expertise is described in terms of insufficient evidence, needs further development, competent and excellent. The competent level reflects the standard for independent practice. By the end of the training period, a level of competent is expected across all of the areas and it is entirely likely that some trainees in ST1 and ST2 will have developmental needs within some areas and conversely, may achieve excellence in others.

A minimum amount of evidence to be collected prior to each review has been advised, but it is perfectly acceptable, and indeed expected, for more assessments to be performed, or evidence recorded, in order to build up a richer picture of the trainee.