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 twelve 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 12 areas of professional competence using specially designed tools. The tools ensure that evidence is collected in the same way for each GP trainee, promoting consistency between different trainers and deaneries.

The WPBA tools are:

More useful information

Six monthly review

You meet your educational supervisor every six months to review the evidence you’ve collected against the 12 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 6 month review 3 x cot (if in primary care) or 3 x mini-cex (if in secondary care)
3 x cbd
1 x msf (5 clinicians if in secondary care, plus 5 non-clinicians if in primary care)
dops, as appropriate
clinical supervisors report
minimum requirements prior to 12 month review 3 x cot (if in primary care) or 3 x mini-cex (if in secondary care)
3 x cbd
1 x msf (5 clinicians if in secondary care, plus 5 non-clinicians if in primary care)
1 x psq (if in primary care)
dops, as appropriate
clinical supervisors report

GP Speciality Training Year Two (ST2)

minimum requirements prior to 18 month review 3 x cot (if in primary care) or 3 x minicex (if in secondary care)
3 x cbd
1 x psq (if in primary care and not already completed in st1)
dops, as appropriate
clinical supervisors report
minimum requirements prior to 24 month review 3 x cot (if in primary care) or 3 x mini-cex (if in secondary care)
3 x cbd
1 x psq (if in primary care and not already completed in st1 or earlier in st2)
clinical supervisors report

GP Speciality training year three (ST3) - if the whole year is in primary care

minimum requirements prior to 30
month review
6 x cbd
6 x cot
1 x msf (5 clinicians and 5 non-clinicians)
minimum requirements prior to 34
month review
6 x cbd
6 x cot
1 x msf (5 clinicians and 5 non-clinicians)
1 x psq

GP Speciality Training Year three (ST3) when some of the year is spent in primary care and some in secondary care

minimum requirements prior to 30 month review 6 x cbd
6 x cot (if in primary care) or 6 x minicex (if in secondary care) or an appropriate mix if an itp
1 x msf (5 clinicians if in secondary care, plus 5 non-clinicians if in primary care)
1 x psq (if final post in st3 is in secondary care)
minimum requirements prior to 34 month review 6 x cbd
6 x cot (if in primary care) or 6 x minicex (if in secondary care) or an appropriate mix if an itp
1 x msf (5 clinicians if in secondary care, plus 5 non-clinicians if in primary care)
1 x psq (if in primary care)

 

There are different WPBA minimum evidence requirements for less than full time trainees.

WPBA minimum evidence requirements: four year training programmes and academic ST4 years

In ST4 you’re expected to take at least the number of WPBA assessments specified in ST3, but you won’t be required to repeat the MSF or PSQ. WPBA assessments may vary depending on the nature of the training: ask your deanery for guidance.

Four-year academic training programmes

There are a small number of four year academic training programmes across the UK. The usual ST3 year is split, with 50 per cent of the trainee’s time spent in general practice during ST3 and ST4, and the remaining 50 per cent spent in an academic post.

There aren’t specific requirements for ST4, instead, the requirements that would usually apply to ST3 are split across two years.

You’ll have additional academic assessments, and you’ll be expected to reflect the academic nature of your post in a good proportion of Learning Log entries.

Additional ST4 academic year

A small number of trainees take an additional ST4 academic year. You apply during ST3, and subject to successful completion of ST3 your Certificate for Completion of Training (CCT) application is effectively delayed by a year.

We’d expect WPBA requirements in ST4 to be bespoke, addressing your learning needs and reflecting the academic nature of the post in your Learning Log: ask your Deanery for local guidance.

However, you’ll need to maintain a clinical component throughout ST4, so you can demonstrate competence for CCT purposes.

Four year training programmes: Scotland

In effect, four year programmes in Scotland have an extra year in secondary care, usually 2.5 years in hospital posts and 1.5 years in general practice. The first two years of the programme are known as ST1.1 and ST1.2.

Trainees in such programmes should take ST1 assessments during both years, as appropriate to the hospital or general practice setting.

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