WPBA capabilities with IPUs

The Workplace Based Assessment (WPBA) component of the MRCGP exam is designed to test GP trainees’ capability in 13 key areas derived from the core RCGP curriculum statement ‘Being a GP’.

Capability means having the abilities, knowledge and skills necessary for professional practise. Our framework for WPBA is made up of 13 capabilities:

  1. Fitness to practise – the doctor's awareness of when his/her own performance, conduct or health, or that of others, might put patients at risk, and taking action to protect patients
  2. Maintaining an ethical approach – practising ethically, with integrity and a respect for diversity 
  3. Communication and consultation skills – communication with patients, and the use of recognised consultation techniques
  4. Data gathering and interpretation – for clinical judgement, choice of physical examination and investigations and their interpretation
  5. Clinical examination and procedural skills – competent physical examination of the patient with accurate interpretation of physical signs and the safe practice of procedural skills
  6. Making a diagnosis / decisions – a conscious, structured approach to decision making
  7. Clinical management – recognition and management of common medical conditions in primary care
  8. Managing medical complexity – aspects of care beyond managing straightforward problems, including management of co-morbidity, uncertainty, risk and focusing on health rather than just illness
  9. Working with colleagues and in teams – working effectively with other professionals to ensure good patient care, including sharing information with colleagues
  10. Maintaining performance, learning and teaching – maintaining performance and effective CPD for oneself and others
  11. Organisation, management and leadership - an understanding of the use of computer systems to augment the GP consultation and primary care at individual and systems levels, the management of change, and the development of organisational and clinical leadership skills 
  12. Practising holistically, promoting health and safeguarding – operating in physical, psychological, socioeconomic and cultural dimensions, taking into account feelings as well as thoughts
  13. Community orientation – management of the health and social care of the practice population and local community 

WPBA capabilities with IPUs: detailed descriptors [PDF]

Indicators of potential underperformance

The capabilities framework (CF) developed for the MRCGP from the GP curriculum, is a series of word pictures that describe ‘positive’ behaviours that doctors display in practice.

The CF has now been augmented by selectively adding a number of ‘negative’ behaviours and placing them alongside the themes in the CF to which they are particularly (but not exclusively) related. 

These behavioural descriptors are intended as an additional interpretative tool to make it easier to recognise underperformance, to do so early in training and the material may be used to give constructive feedback to the trainee.

IPU guidance [DOC]

How the WPBA capabilities are assessed

Capabilities are assessed by the full range of WPBA tools, allowing you to record multiple perspectives on your performance in the Trainee ePortfolio. It is best practice for each capability to be assessed at different times using different tools and ideally with multiple assessors. In ST3 the trainee is being assessed at the level of a General Practitioner. In ST1 and ST2 the trainee is being assessed at he level of their peers when these are done in hospital posts. During a primary care post in ST1 and ST2 the COT assessment is benchmarked against that of an independent GP.

Capability assessment through WPBA

The table below shows where you’re most likely to find evidence for each capability.

Capability area MSF PSQ COT CbD CEX CSR
1 Fitness to practise Yes Yes

Yes 

2 Maintaining an ethical approach Yes

 

 

Yes

 

Yes
3 Communication and consultation skills Yes Yes Yes Yes Yes
4 Data gathering and interpretation Yes Yes Yes Yes Yes
5 Clinical examination and procedural skills Yes Yes Yes Yes Yes
6 Making a diagnosis / decisions Yes Yes Yes Yes Yes
7 Clinical management Yes Yes Yes Yes Yes
8 Managing medical complexity Yes Yes Yes
9 Working with colleagues and in teams Yes

 

 

Yes

 

Yes
10 Maintaining performance, learning and teaching Yes

 

 

 

Yes Yes
11 Organisation, management and leadership

 

 

Yes

 

 

12 Practising holistically, promoting health and safeguarding Yes Yes Yes Yes
13 Community orientation

 

 

 

Yes

 

Yes

Evidence of the capabilities should reflect the breadth of the curriculum, but it’s not expected that every area of the curriculum will be covered through WPBA. Capabilities are also tested through the other components of the MRCGP exam - the Applied Knowledge Test (AKT) and Clinical Skills Assessment (CSA).

Capability assessment through naturally occurring evidence

Use the Trainee ePortfolio to record and validate informal or ‘naturally occurring’ evidence against the capability framework.

For example, you might perform an audit on a specific topic and present it at a practice meeting. This could provide evidence of several capabilities, including maintaining performance, learning and teaching and communication skills.

Your educational supervisor, trainer or clinical supervisor will create links from naturally occurring evidence to the appropriate capabilities.

Capability progression over time

Evidence of progress in the WBPA capabilities areas is gathered throughout the training programme. You’re unlikely to be able to show evidence of full capability at the start of training, but you will gradually build up evidence as time goes on.

As your Trainee ePortfolio begins to demonstrate areas of strength and developmental needs, your trainers will adapt the learning programme to facilitate collection of new evidence.

Rating capability progression

As part of each Educational Supervisors Review (ESR), you and your educational supervisor will rate your progress on each of the 13 capabilities. Each capability is rated as one of:

  • needs further development (NFD) – below expectations
  • NFD – meets expectations
  • NFD – above expectations
  • competent for licensing
  • excellent 

 WPBA capabilities and the GP curriculum

The WPBA capabilities are based on the GP curriculum (see 'Being a GP').

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