COCPED Video Assessment

The assessment process

• Video assessed by two first level assessors• If both pass the video then the process is

successfully completed• If one REFERs the video then it is assessed

simultaneously by two second level assessors• If they pass the video then again the process is

successful• If they REFER then it is sent out of region to 2

national assessors who again may pass the video but here is where a FAIL is recorded

Registrars tasks

• Identify patient’s reason for attendance• Take appropriate steps to investigate the

problems presented• Organise a suitable management plan• Reach an agreement with the patient on

diagnosis and treatment• Demonstrate an understanding (in the

logbook) of what was going on in the consultation

First level asessment

• Watch at least 6 consultations

• Record errors

• Assess listening

• Assess action

• Assess understanding

• IF for any reason cannot reach a firm decision then result must be refer

Errors

• A single major error on a consultation or several minors should lead to consideration of referral

• Serious error = causes actual / potential harm

• Minor error = inconvenience only

Listening

• Doctor identifies and elucidates reasons for attendance

• A credible / acceptable plan should be negotiated

Action

• Appropriate action to identify patient’s problems

• Reasonable investigations / referrals

• Help sought when necessary

• Patient’s problems should be managed appropriately

Understanding

• GP registrar understands process/outcome of consultation

• Actions explained

• Obvious shortcomings identified and relevant background mentioned

Rating scale

1. Refer

2. Probably refer

3. Bare Pass

4. Competent

5. Good

6. Excellent

Overall Assessment

R+ Clear Refer

R Refer

P Pass

P+ Clear Pass