MRCGP Workplace Based Assessment (WPBA)

Workplace Based Assessment (WPBA) is one of the three components of the MRCGP exam. It provides a framework for evaluating a doctor’s progress in those areas of professional practice best tested in the workplace.

Workplace Based Assessment (WPBA) format

WPBA is designed to support your development, providing feedback on your progress and helping to identify any areas of difficulty.

Throughout your GP specialty training, you collect evidence related to 13 areas of professional competence and record it in your Trainee ePortfolio. This evidence is used to inform six-monthly reviews and - at the end of training - to make a judgement about your readiness for independent practice.

WPBA tools

You collect evidence for the 13 areas of professional competence using specially designed tools (see below). The tools ensure that evidence is collected in the same way for each GP trainee, promoting consistency between different trainers and LETBs or deaneries.

In each six month educational supervision review period you should produce evidence relating to each of the competences. This evidence should be evenly spread through the review period and derived from a range of the WPBA tools. This will enable you to create a picture of your competence and/or curriculum coverage. The amount of evidence needed to create this picture will depend on the depth of the evidence from each log entry or completed CbD / COT / miniCEX etc. Think of making a digital picture where you need to have enough pixels to create a clear image. In the same way, the amount of ‘pixels’ that a log entry or WPBA tool gives will vary depending on the detail included in the tool.

The WPBA tools are:

Direct Observation of Procedural Skills (DOPS) was an active WPBA tool until November 2015. Any completed DOPS can be accessed in the eportfolio and can support the Clinical Examination and Procedural Skills (CEPS) competency. CEPS provides a more comprehensive system to demonstrate these skills.

More useful information

Six monthly review

You meet your educational supervisor every six months to review the evidence you’ve collected against the 13 areas of professional competence. You’ll need to complete a self-assessment prior to the meeting.

There are minimum standards setting out the amount of evidence that you need to collect, and guidelines on how often each WPBA tool should be used to ensure there’s sufficient evidence at the point of each six-monthly review.

As part of the meeting, you’ll agree a learning plan covering the next review period. If the evidence you’ve collected is inadequate or insufficient, you and your supervisor may decide to use the WPBA tools more frequently.

WPBA minimum evidence requirements: full time training

The minimum evidence requirements described below are based on a standard three-year specialty training programme, with 18 months of hospital posts and 18 months in general practice.

GP specialty training year one (ST1)

minimum requirements prior to 12 month review 6 x mini-CEX (if in secondary care) / COT (if in primary care) 
6 x CbD 
2 x MSF (each with a minimum of 5 replies from clinicians plus 5 non-clinicians if in primary care)
1 x PSQ (if in primary care) 
CEPS as appropriate
clinical supervisors report from each hospital post

GP Speciality Training Year Two (ST2)

minimum requirements prior to 24 month review

6 x mini-CEX (if in secondary care) / COT (if in primary care) 
6 x CbD 
1 x PSQ (if in primary care and not already completed in ST1) 
CEPS as appropriate
clinical supervisors report from each hospital post

GP Speciality training year three (ST3)

minimum requirements prior to 34
month review
12 x CbD 
12 x COT 
2 x MSF (each with 5 clinicians and 5 non-clinicians)
1 x PSQ

 

There are different WPBA minimum evidence requirements for less than full time trainees, those on four year training programmes and academic trainees.

 

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