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ASSESSMENTs. DURING TRAINING. WORK PLACE BASED ASSESSEMENTs. OVERVIEW. WPBA. Assessing the competency of trainees Ensuring that they are making satisfactory progress Trainees are assessed on work that they are actually doing Assessment is integrated into their day-to-day work
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ASSESSMENTs DURING TRAINING
WORK PLACE BASED ASSESSEMENTs OVERVIEW
WPBA • Assessing the competency of trainees • Ensuring that they are making satisfactory progress • Trainees are assessed on work that they are actually doing • Assessment is integrated into their day-to-day work • All assessments linked to the curriculum
Case-based discussion (CbD) • Direct observation of practical skills (DOPS) • Evaluation of clinical events (ECE) • Mini clinical evaluation exercise (Mini-CEX) • Multi-source feedback (MSF)
Frequency of Assessments each year DOPS: minimum of 6 required in ST1 AND 2(Chem Path trainee) ST3 and 4(Chem path and metabolic medicine trainee)
Procedure for Assessment • Tool: type of assessment • Assessor: wide range • Consultants (medical or clinical scientist) • staff grade and associated specialists (SAS) • senior biomedical scientists (BMS) • clinical scientists • senior trainee or other healthcare professionals competent in the area being assessed (e.g. nurses)
Level of complexity • Low • average • high • Procedure • Short (15-20 min) with 5-10min feedback • Cover wide range of topics
Documentation of Assessments • Workplace-based assessments should be recorded in the Learning Environment for Pathology Trainees (LEPT) system • web-based system for WPBA and multi-source feedback (MSF) • includes an e-Portfolio to support the ARCP process.
Case based discussion(CbD) • Learning Objective • To assess decision-making • application or use of medical knowledge in relation to the care of patients (clinically or laboratory involvement) • general biochemistry • diabetes and endocrinology • lipidology • Nutrition • inherited metabolic disease • special investigations
Evaluation of clinical events(ECE) • Learning Objective: performance in complex tasks • Team working or interacting with other professional staff • Clinico pathological evaluation • Reporting of diagnostic material • Presentation of a case at a (MDT) meeting, grand round • Quality assurance and audit processes in clinical and laboratory settings. • providing clinical biochemistry advice in response to enquiry (primary and secondary care) – by letter, by phone • preparing a business case • writing clinical guidelines • appointment of staff (e.g. shortlisting, interviewing)
DIRECT OBSERVATION OF PRACTICAL SKILLS (DOPS) • Learning Objective • Direct observation of practical skills (DOPS) is used for assessing competence in the practical procedures that trainees undertake • To assess the analytical technique, use of laboratory instrument, dynamic function test, trainee led teaching event
Mini Clinical Evaluation Exercise • Learning Objective To provide feedback on skills essential to the provision of good clinical care by observing an actual clinical encounter • Diabetes • Lipids/cardiovascular risk/hypertension • Metabolic bone/calcium metabolism • Inherited metabolic disease • Obesity • Parenteral nutrition ward round
MSF • MSF assessment in ST1, ST3 and ST5(Chem Path) and ST3,ST5, ST7(Chem Path/Metabolic medicine) • MSF can be organised any other time besides above if required