New WPBA Developments

Reviewing and improving the tools we use to assess GP trainees in the workplace is one of the key objectives of the WPBA group. Changes most commonly arise as a result of feedback from educators and trainees but also to comply with the GP curriculum and GMC requirements.

This page will be kept updated with our changes as and when they arise.

The following areas are the proposed WPBA changes which are currently being submitted to the GMC for their approval. They have been included on the website for your interest only.

Assessment numbers from August 2020

 

ST1

ST2

ST3

 

Old

New

Old

New

Old

New

Mini-CEX/COT

6

4

6

4

12

6

Audio-COT

0

0

0

0

0

1

CBD / CAT

6

4 CbDs

6

4 CbDs

12

5 CATs

MSF

2

1 (with 10 responses)

0

1 (with 10 responses)

2

2 (1 MSF, 1 Leadership MSF)

CSR

1 per post

1 per post

1 per post

1 per post

0

1 per post

PSQ

1 in GP

0

0

0

1

1

Learning Logs

Many

36 Case Reviews

Many

36 Case reviews

Many

36 Case Reviews

Placement meeting

 

1 per post

 

1 per post

 

1 per post

CEPS

Ongoing

Ongoing

Ongoing

Ongoing

5

5 intimate plus range of others

ESR

2

1

2

1

2

1

Mid Year Review

0

1

0

1

0

1

QIP

0

1 in GP

0

0

0

0

Significant event

Several

If relevant

Several

If relevant

Several

If relevant

Learning event analysis

Several

1

Several

1

Several

1

Prescribing Review

0

0

0

0

0

1

Leadership activity

0

0

0

0

0

1

CSR to be completed in primary care placements if the CS in practice is different from the ES, there is felt to be missing evidence in the ePortfolio and the CSR would provide this information or either the trainee or supervisor feel it is appropriate.


WPBA Tools Update


Clinical Supervisor's Report


Interim Educational Supervisors Review

The GMC have mandated that all trainees need to have an annual Educational Supervisors review (ESR). If the trainee is not progressing at the expected rate they will also need to have a full ESR at the 6 month point of each training year. For those trainees on whom there are no concerns they will have instead of an ESR a light touch interim review. The trainee will meet with their Educational Supervisor at the 6 month point of the training year and together they review the time since the trainees last ESR and the training requirements which will need to be completed before their next annual ESR. Information on the review and the review form are included below


Quality Improvement Project (QIP)

The GMC is clear that all doctors in training will have to participate in Quality Improvement work throughout their training. The RCGP has designed a tool and process which enables participation early in training.
 
The tool is shared here prior to the requirement that it is used, which will be announced once the tool has been approved by the GMC along with other changes to GP trainee training packages. It is shared so that it is easier for trainees, trainers and schools of GP to support the process in a consistent way as early as possible.
 
The QIP that is expected of a GP trainee is less complex than that which is suggested by QI Ready https://qiready.rcgp.org.uk/ because GP has a spiral curriculum and the tool is designed for use in ST 1 or 2. GP trainees are therefore NOT advised to look at QI ready when preparing for their ST1/2 QIP as an indicator of standards and complexity required.

Introduction to QIPs

Training resources

QIP ideas and completed QIPS with ES feedback


Leadership

The GMC (and others) place an increasing emphasis on Leadership. The WPBA group is in the process of submitting a proposal to the GMC to include leadership within GP training. The proposals are outlined in these documents:

Useful resources from the Faculty of Medical Leadership and Management:

  • Developing medical leadership [PDF] - a toolkit produced in partnership with Health Education England signposting opportunities for leadership development
  • How To guides - a collection of practical resources to help junior doctors complete projects

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