GRAND ROUNDSecondary Care 4 Primary Care

Dr. Amjad KhanAssociate Dean (Black Country)

Dr. S. Sikka, Dr. R MacRorie, Dr. S. SainiTraining Programme Directors - Sandwell

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WPBA (E-portfolio)

Dr. Sarbjit Saini

GP – WolverhamptonFY2 Clinical Supervisor

Training Programme Director - Sandwell

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The Deanery

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Dr Elizabeth HughesPostgraduate Medical Dean

Dr Martin WilkinsonDirector of Postgraduate General Practice

Dr Steve WalterHead of School Postgraduate General Practice

Cov & Warks School Hereford & Worcs School Bham & Solihull School Staffs/Shrops

Black Country SchoolDr Amjad Khan

(AD)

Dudley VTSWalsall VTSWolverhampton VTS Sandwell VTS

TPD’s•Charanpal Sikka•Rod Macrorie•Sarbjit Saini

City VTS

TPD’s•Matthew Nye•Monica Milne•James Hynes

E-portfolio• One of the three components of nMRCGP

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WPBA

• What are the assessments:

– CBDs / Mini-Cex / DOPs / CSR / MSFs

– Only senior clinicians are allowed to sign off assessments: • SpRs or Consultants (Nurses).

– Out of Hours – These are sessions done in GP out of hours services. 108 hours over 18 months. To be done during ST2 (GP post) and ST3 (due to EWTD + Indemnity).

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WPBA

• What are the assessments requirements:

– These are minimum requirements only, we do recommend that trainee try and complete more if possible.

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DOPs Mini-Cex CbD MSF CSR

ST1 (Each 6 months)

No minimum

3 3 1 x 10 1

ST2(Each 6 months)

No minimum

3 3 1 x 10 1

DOPs• The Direct Observation of Procedural Skills tool (DOPS) assesses the

procedural skills essential to providing good clinical care. • There are two types of DOPs:• Mandatory

– application of a simple dressing – breast examination – cervical cytology – female genital examination – male genital examination – prostate examination – rectal examination – testing for blood glucose

• Optional – Any procedure / skill you feel the trainee would also benefit from whilst in speciality training.

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DOPs

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CbDs

• The Case-based Discussion (CbD) is a structured interview designed to assess a trainees professional judgement in clinical cases.

• Requires planning and time.

• NOTE: Not all the assessment headings will be assessed in each CBD and not all can be assessed in the secondary care setting. Structured question resources in consultant survivial guide [attached].

• An example of a form:Developing peoplefor health and healthcare

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Rating scale

1. Clicking here displays the discripters for each competancy.

At the end of each form is a free text box – please use this to give a brief discription of the case that was discussed.

Displaying the discripters for each compency can help you rate the tarinee against the RCGP expectations.

Mini-Cex• The Clinical Evaluation Exercise (miniCEX) assesses clinical skills, attitudes

and behaviours in a secondary care setting.

• The miniCEX provides a 15-minute snapshot of how trainees interact with patients in a secondary care setting.

• An example of a form:

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Mini-Cex

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MSF

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CSR

• Educational Supervisor Review (ESR) - Two per year:– December.– May/June.

• Clinical Supervisor Report (CSR) – Two per year– Needs to be completed before the ESR can be done– December.– May/June.– It is a very vital piece of the ‘Jig-saw’ for the ARCP.

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CSR• The CSR needs to be completed no more than 8 weeks before the ARCP.

• You will require a ‘Ticket code’ to be emailed to you by the trainee so that you can complete the form.

• The CSR is very useful for us when assessing the trainee. It provides the ARCP panel with information on the trainee as well as the Educational supervisor who relies heavily on your assessment of the trainees clinical abilities whilst in their hospital posts.

• The rating scale assumes that all trainees ‘need further development’ (NFD) and encourages assessors to make comparisons with doctors at the same stage of training. This scale proved successful in trials because it is one that secondary care doctors are used to working with. If a trainee is performing above expectations, this can be recorded and reflected in the text boxes.

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CSR

• All sections of the CSR form need to have text entered. – In particular, the ‘Comments/concerns’ box is a very important way of giving feedback

to the educational supervisor and should be used for each area of competence.

– The final feedback box is used by the clinical supervisor to provide further information, or recommendations to help either you or your educational supervisor.

• Communication between the clinical supervisor and educational supervisor

– The CSR is one of several sources of evidence used by the educational supervisor to reach a judgement about the trainees progress.

– While it’s designed to provide useful structured information, it’s no substitute for dialogue between the clinical and educational supervisors.

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CSR

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CSR

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Please ensure that the test boxes are completedfor each assessment are so we can get a completepicture of the trainees performace.

Resources

Sandwell VTS Consultant Clinical Supervisors

Survival Guide

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Resources• GP Training FAQs: www.westmidlands.nhs.uk

• RCGP website.

• Contact your Training Programme Director (TPD).

• Contact Patch Administrator (based at the Deanery):– Anita Powell for the Black Country .

• E-Portfolio FAQs or You can call 020 3188 7655 between 9.00am and 5.00pm Monday to Friday.

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