Trainer’s Workshop

1. Trainer’s Workshop Thursday July 5th Oak Tree Surgery

2. Agenda • Clinical Skills Assessment • Communication Observation Tool • To Do List/Action Plan • Registrars in difficulty • Educational supervisors • CPD Payments • AOB • Date of next meeting

3. CSA • Assessment centre • 12 stations + – 10 minutes • Developed OSCE format • Simulated surgeries + clinical skills • 3 diets per year? • 200/300 cases developed per year • 3000 candidates / year • No. attempts up to candidate • >3 = remedial help • Taken after at least 6 months ST & within 18 months of completion

4. Case Selection • Every case is based on a specific statement from the GP curriculum • Pair of examiners design case • Cell leader reviews case and suggests refinement • “Hanging committee” review case • Case is piloted • Case is accepted for use in assessment

5. GP Curriculum Competencies • 1 Communication & Consultation skills • 2 Practising holistically • 3 Data gathering • 4 Making a diagnosis / making decisions • 5 Clinical management • 6 Managing medical complexity • 7 Primary care administration & IMT • 8 Working with colleagues • 9 Community orientation • 10 Maintaining performance, learning & teaching • 11 Maintaining an ethical approach to practice • 12 Fitness to practice

6. CSA uses 3 domains Data-gathering, technical, and assessment skills Clinical management skills Interpersonal skills Case Assessment

7. The Assessment • 3 domains • +ve & -ve indicators • Grading • Clear Pass (CP) • Marginal pass (MP) • Marginal fail (MF) • Clear fail (CF) • For each domain • Global decision • Feedback

8. Consultation Observation Tool • 13 part assessment schedule • Cobbles together old MRCGP video marking schedule with Summative Assessment video marking schedule

9. COT • … seen to encourage patient’s contribution at appropriate points in consultation • … seen to respond t cues that lead to deeper understanding of problem • … uses appropriate psychological and social information to place complaint in context • … explores patient’s health understanding • … obtains sufficient information to include or exclude relevant significant conditions • The physical/mental examination chosen is likely to confirm or disprove hypotheses, or is designed to address patient’s concern • … appears to make a clinically appropriate working diagnosis • … explains the problem or diagnosis in appropriate language • … specifically seeks to confirm the patient’s understanding of the diagnosis • The management plan is appropriate for the working diagnosis, reflecting a good understanding of modern accepted medical practice • The patient is given the opportunity to be involved in significant management decisions • Makes effective use of resources • … specifies the conditions and interval for follow-up or review

10. Familiarise yourself with the e-portfolio https://www.nhseportfolios.org/NHSDots/ePortfolio/login_rcgp.asp Re-orientate tutorials to fit in with GP Curriculum? Devise Action Plan for the training year To Do List/Action Plan

11. Possible action plan • August – orientation to practice, IT, de-hospitalisation • September – focus on developing consulting skills • October – first CBD (2 cases) and COT (2 video consultations) • November – second CBD and COT • December – third CBD and COT, introduce 10 minute appointments • January – moving towards more 10 minute appointments • February – MSF • March – fourth CBD and COT • April – MSF, PSQ • May - fifth CBD and COT • June – sixth CBD and COT, enhanced trainer’s report, appraisal Form 4, OOH