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CEPS

CEPS. (Clinical Examination and Procedural Skills) Dr Charlotte Upward GPST3. Before CEPS there were DOPS…. DOPS Felt to have become tick box exercise Not a good assessment of clinical skills Usually only assessed once Mandatory and optional list of skills. What are CEPS?.

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CEPS

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  1. CEPS (Clinical Examination and Procedural Skills) Dr Charlotte Upward GPST3

  2. Before CEPS there were DOPS… • DOPS • Felt to have become tick box exercise • Not a good assessment of clinical skills • Usually only assessed once • Mandatory and optional list of skills

  3. What are CEPS? • Clinical Examination and Procedural Skills • Separate evidence form • HOWEVER - also able to be commented on through other WBPA’s - CSR/MSF/COT • AND learning log entry • Also now separate competence in ESR and this is where they will be signed off finally

  4. Who can assess me? • Hospital posts: • Consultants • Staff Grade Dr’s • ST4+ Registrars • Specialist nursing staff • GP posts • Gp trainer • Other Gp’s • Appropriate nurses • NOT other GP trainees

  5. How are CEPS marked? • Separate observed evidence forms • Learning log reflections • Commented on via MSF’s and COT’s • Chiefly will be signed off through the ES review • Will be part of ‘review preparation’ • Trainee self rated • Then signed off by ES

  6. ES review 1. Are there any concerns about the trainee’s clinical examination or procedural skills? If the answer is, “yes” please expand on the concerns and give an outline of a plan to rectify the issues. 2. What evidence of progress is there in the conduct of genital and other intimate examinations (at this stage of training)? Please refer to specific evidence since the last review including Learning Log entries, COTs and CBDs etc.  3. What does the trainee now need to do to improve their clinical examination and procedural skills?

  7. Mandatory Procedures • Technically now no mandatory procedures • HOWEVER: • GMC requirement to ensure evidence of trainees competency in undertaking intimate examinations • So it is mandatory that by CCT trainees have evidence of competency in: • Breast examination • Female and male genital/pelvic examinations • PR and prostate examinations

  8. I’m struggling to get CEPS done… • Suggestions if finding it tricky to get intimate examinations marked • 1) book patients requiring intimate exams in a joint surgery with your trainer • 2) Ask practice nurse if you can undertake smears with them • 3) Arrange to attend hospital outpatient clinics (GUM/Gynae/Urology) and for them to observe you

  9. Summary • Now CEPS not DOPS • Can use learning logs to document examinations and reflect on issues raised • Observed CEPS form • Signed off by ES at each review • Must have evidence of all intimate examinations by CCT

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