MRCGP Assessment system for GP training What s the general idea by HC120916133156


Assessment system for GP training
     What’s the general idea?

 Based on GP curriculum (what a GP should know - very
 Assesses GP competencies (what GP should be able to do)
 All components of MRCGP related to competencies
 Recorded on e portfolio
 All entries on e portfolio can be linked to both curriculum
  and competencies
 Includes 2 exams and many workplace based assessments
       Components of nMRCGP
 AKT (Applied Knowledge Test)
   done and marked on computer
   Held 4x/year in Driving Test centres
   assesses clinical and GP organisation knowledge
   sat in ST2 or ST3, better pass rate in ST3

 CSA (Clinical Skills Assessment)
   OSCE-type exam closely simulating a real GP surgery
   held Oct, Feb, May in Croydon
   sat during final year (GP)

 WPBA (Workplace Based Assessment)
   several components
   recorded in e-portfolio
   throughout GP training
   Fixed min number of assessments per post
   AKT –candidate weak areas

 Childhood Development/Womens health/Contraception will come up
   in every AKT as are areas often delegated to other health

 Care of Acutely Ill People-basic medical emergencies in GP

 Care of People with Cancer & Palliative Care- items testing treatment
   of symptoms which may effect terminally ill patients ( BNF section )

 Eyes- both what needs urgent referral & what doesn’t-need to be able
   to make a diagnosis ( book!)

 Essential knowledge Updates & Challenge sections RCGP website
Work Place Based Assessment

 Measures what you actually do

 Assesses progress
   To guide continuing learning and help you develop
   To inform decision about moving to next training year or
    completing training

 Assessed competency level is expected to improve over

 Learner-led: you have to arrange assessments
          Components of WPBA
 Mini CEX (hospital);COT (Consultation Observation Tool (GP) – direct
   or video observation of patient encounter(3/6 months in ST1/2, 6/6
   months in ST3)
 CbD (Case based Discussion) – structured interview with clinical
   supervisor,, designed to explore your professional judgement. Not a
   chat about how you managed a case
 DOPS (direct observation of procedural skills)-try to get in ST1/2

 MSF (multi source feedback) ST1 and ST3

 PSQ (Patient Satisfaction Questionnaires) in GP-ST1 &ST3

 CSR (Clinical Supervisor’s Report)
                    The competencies

     Competency areas                              COT CBD MSF
1    Communication and consultation skills          x       x
2    Practising holistically                        x   x   x
3    Data gathering and interpretation              x   x   x
4    Making a diagnosis/making decisions            x   x   x
5    Clinical management                            x   x   x
6    Managing medical complexity                        x   x
7    Primary care administration and IMT                x   x
8    Working with colleages and in teams                x   x
9    Community orientation                              x   x
10   Maintaining performance,learning & teaching            x
11   Maintaining an ethical approach to practice        x   x
12   Fitness to practise                                x   x
     Grading of assessments

 Needs further development - where you’d
  expect to be as a trainee
 Competent - where you need to be at the end
  of training
 Excellent - where you might be as a good,
  experienced GP
 Insufficient evidence – this competency wasn’t
  demonstrated/assessed on this occasion
       Educational supervision

 As well as your clinical supervisor you have an educational
 Same person throughout your time on the scheme

 Is a GP trainer

 Role –
   Provide continuing support and educational guidance
   Report on your progress every 6m (on e portfolio)
   Make recommendations to ARCP panels

 You are responsible for contacting them and arranging regular
  meetings/email contact ( should be every 3 months)
       Annual Review of Competency
           Progression (ARCP)

 Panel meets at end of every training year

 Purpose – to assess whether you can proceed to next year of training
   or to complete training

 Look at your e portfolio to check whether assessments done, and
   other evidence of your progress

 Call you to a meeting if e portfolio raises any concerns

 Panels in London meet from June each year so you need to have your
   e-portfolio up to date with all wpba and educational supervisor’s
   reports done before the panel dates- which is earlier than the August
   year date.- So don’t leave it to the last minute!
 How many work-based assessments
       do you have to do?

 Minimum acceptable numbers shown on e portfolio and
  RCGP website

 LTFT trainees have to do same number of assessments per
  6m and same frequency of ARCP panels

 We strongly recommend FT trainees do more than
  minimum, but minimum reasonable for LTFT
             Learning Log Entries

 Minimum 2 clinical per month (must show reflective learning),
  plus other entries for courses/tutorials/e-learning
 One Significant Event Analysis a year

 Emphasis will be on QUALITY not just quantity from this year.

 Looking for reflection on your learning from a case, not just a
  list of your learning
 Educational Supervisors should comment on some of your log
                 Out of Hours

 In GP or community post need to do one OOH session per

 Need to record in learning log as OOH session , and also
  attach a signed OOH form from your supervisor for the
  session ( Palliative Care weekend-need to record as

 Seldoc

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