workplace based assessment
DESCRIPTION
Dr Jane Mamelok RCGP WPBA Lead Associate Director GP Education. Workplace Based Assessment. “The evaluation of a doctor’s progress over time, in their performance in those areas of professional practice best tested in the workplace”. Workplace Based Assessment. - PowerPoint PPT PresentationTRANSCRIPT
Promoting Excellence in Family Medicine
Workplace Based Assessment
Dr Jane Mamelok
RCGP WPBA Lead
Associate Director GP Education
Workplace Based Assessment
“The evaluation of a doctor’s progress over time, in their performance in those areas of professional practice best tested in the workplace”
The new MRCGP Tripos
Workplace based assessment (WPBA)
Machine marked test of applied knowledge (AKT)
Clinical Skills Assessment (CSA)
nMRCGP Integrated assessment package
AKT – knowledge – >3 /12 ST3CSA - CLINICAL skills > 6/12 ST3The WPBA – tests those competencies not addressed in other components – 3 years.
WPBA – attitudes, team work, assessment of performance and competence in practice, needs to include audit, consultation skills, management, peer review and appraisal.
Miller’s Pyramid
KnowsKnowledg
eAKT
Shows How
Knows How
Performance
Competence
CSA
CSA
DoesActionWPB
A
Where do the competencies come from?
Domains of GP Curriculum
EURACT (European Academy of Teachers in General Practice)
GMC – Good Medical Practice
12 competency areas
1. Communication and consultation skills2. Practising holistically3. Data gathering and interpretation 4. Making a diagnosis / making decisions 5. Clinical management6. Managing complexity and promoting health 7. Primary care administration and IMT8. Working with colleagues and in teams9. Community orientation10. Maintaining performance, learning and teaching11. Maintaining an ethical approach to practice 12. Fitness to practise
RELATIONSHIP DIAGNOSTICS
MANAGEMENT
Professionalism
Maintaining Performance, Learning & Teaching
Primary Care Administration
& IMT
Community Orientation
Maintaining an Ethical Approach to Practice
Fitness to Practise
Data Gathering & Interpretation
Clinical Management
Managing Medical Complexity
Making a Diagnosis / Making decisions
Communication & Consulting Skills
Working with Colleagues & in Teams
Practising Holistically
Some myths about WPBA
WPBA is a continuous process, assessing the development of competencies in the workplace over the 3 year training envelope.All assessments must be timely i.e. within that 3 year envelope, FY2 competencies cannot be carried forward for WPBA (although they can link with the e-portfolio for NHS appraisal)
Some myths about WPBA
By the end of training the trainee must demonstrate competence in the 12 required areas.
Naturally occurring evidence (professional conversations, learning logs, audit etc.)
Evidence taken from WPBA assessment tools informs the deanery review process.
Some myths about WPBA
WPBA and e-portfolio are NOT synonymousWPBA is longitudinal assessment of performance in the workplace.E- portfolio is the personal learning portfolio and this houses all the required assessments including WPBA for the nMRCGP and the certification and licensing process.
There is a risk of teaching to the assessment hurdles
WPBA is not just 12 COTs & 12 CBDsMSF & PSQ give valuable information about “attitudes”The Naturally occurring evidence is the “Jewel in the crown” of WPBA.
Informal feedbackProfessional conversations that validate competencyAudits, critical events.
ARCP – Panel reviews
The GPR gathers evidence – e-portfolioPrior to panel, the Educational Supervisor (ES) reviews evidence with GPR and e-portfolio generates ES Report (ESR)Panel review ESR, collates results AKT/CSA checks successful completion WPBA.Based on all the evidence, panel make recommendation for CCT.
The Blueprint Dilemma
Passed MRCGP video but tape would have failed summative assessment.
Is it possible ?
and what do we do if it happens?Could someone pass CSA but fail in those same competency area in WPBA?
Calm, considered reflection
The solution
Each component of the tripos is mapped to the competency framework, GP Curriculum & GMP.Each cover different aspects e.g. AKT clinical, CSA communication. WPBA covers them all.Congruent assessment practices across the componentsNationally agreed guidance and concordance for assessment judgements made locally.
CalibrationWe all agree on the benchmark and do the same thing
Finally…
The process is learner led.
It is the learners responsibility to gather the evidence.
Empowers the learner.
Planning and personal organisation is key.