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GP Training Assessments. Introduction – What MRCGP is all about. The MRCGP is an integrated assessment programme that includes three components: Applied Knowledge Test (AKT) Clinical Skills Assessment (CSA) Workplace-Based Assessment (WBA).

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introduction what mrcgp is all about
Introduction – What MRCGP is all about
  • The MRCGP is an integrated assessment programme that includes three components:
  • Applied Knowledge Test (AKT)
  • Clinical Skills Assessment (CSA)
  • Workplace-Based Assessment (WBA)
Each of these is independent and will test different skills, but together they will cover the curriculum for specialty training for GP

Evidence for the workplace-based assessment will be collected in the e-portfolio of each GP trainee.

The GP Registrar must demonstrate competency across 12 Competency areas of Workplace Based Assessment (as well as pass the AKT and CSA examinations)

12 competencies extracted from the core curriculum statement being a general practitioner
Communication and Consultation Skills

Practising Holistically

Data Gathering and Interpretation

Making a Diagnosis/Making Decisions

Clinical Management

Managing Medical Complexity

Primary Care Administration & Information Management & Technology

Working with Colleagues and in Teams

Community Orientation

Maintaining Performance, Learning and Teaching

Maintaining an Ethical Approach to Practise

Fitness to Practise

12 competencies extracted from the core curriculum statement ‘Being a General Practitioner’.
workplace based assessment wba
Workplace-Based Assessment (WBA)
  • The 12 competencies underpin the assessments required throughout GP training
  • Common to all, but may look slightly different across the WBA
  • Don’t hide them! – make it easy for your educational supervisors to tick the boxes
workplace based assessment tools
Workplace-Based Assessment Tools
  • *Case-based Discussion (CBD)
  • *Consultation Observation (COT) in primary care or Mini-CEX in secondary care
  • *Multi-Source Feedback (MSF)
  • *Patient Satisfaction Questionnaire (PSQ)
  • Direct Observation of Procedural Skills (DOPS)
  • Clinical Supervisors’ Reports (CSR) when in secondary care
  • Case Based Discussion – a structured interview designed to explore professional judgement exercised in clinical cases that have been selected and presented by the trainee.
  • Consultation Observation Tool - designed to be used by trainers as an evidence collecting instrument.
  • It takes its basis from the summative assessment/MRCGP video assessment.
  • Mini-Clinical Evaluation eXercise - 15 minute snapshot of doctor/patient interaction.
  • It is designed to assess the clinical skills, attitudes and behaviours of trainees.
Multi-Source Feedback – this in an externally applied assessment

You generate tickets/emails for your assessors to complete via your eportfolio

Number of assessors vary:

ST1- 5 replies

ST3 – 5 clinical & 5 non-clinical. Needs to be done TWICE


  • Patient Satisfaction Questionnaire
  • Need 40 responses!! So aim for many more to be handed out.
  • Your GP practice need to enter forms
  • Requirement is 2 throughout training-> if first not done in ITP then 2 need to be completed in ST3
st3 assessment requirements
30 Month Review

6 x COT

6 x CBD

1 x MSF (5 clinical & 5 non-clinical)

33 month Review

6 further COT

6 further CBD

1 x MSF (5 clinical & 5 non-clinical)

1 x PSQ (if one completed during ST1/2)

Completed all mandatory DOPS

ST3 Assessment Requirements