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Workplace based Assessments a trainees perspective

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'Tick box process' Not considered a relevant assessment tool ... Focus on filling form (ticking the box) Unrelated to competence. Workplace-based assessments ... – PowerPoint PPT presentation

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Title: Workplace based Assessments a trainees perspective


1
Workplace based Assessments a trainees
perspective
  • J Allotey
  • Histopathology Department
  • Nottingham

2
Purpose
  • Evidence of clinical competence and appropriate
    professional behaviour
  • Progression to next stage of training
  • Satisfactory completion of
  • 18 Workplace based assessments (WPBA)
  • Time in training post
  • Year 1 assessment, FRCPath1/2
  • Annual review of competence progression (ARCP)

3
Evidence of competence
  • Direct Observation of Practical Skills (DOPS)
  • Practical skills
  • Cut-up, autopsy etc
  • Case based Discussion (CbD)
  • Evaluation of Clinical Events (ECE)
  • Knowledge base, and its application
  • Generic skills
  • Multisource Feedback (MSF)
  • Overview

4
Bad press!!
  • Paper-pushing exercise
  • Tick box process
  • Not considered a relevant assessment tool
  • Trainer/Assessor
  • Unsure of requirements/standard, no interest
  • Time consuming
  • Trainee
  • Focus on filling form (ticking the box)
  • Unrelated to competence

5
Workplace-based assessments
  • Assessment
  • DOPS/ECE/CbD
  • Appropriate case
  • Assessor (usually consultant)
  • Agree result
  • Copies to Educational Supervisor and College

If unsatisfactory, do another!!
  • ARCP

6
Fit for purpose?
  • Strengths
  • Trainee led
  • Responsibility for our own training
  • Real-time feedback on progress
  • Encourages learning (especially CbD)
  • Promotes confidence competence
  • Evidence

7
Limitations
  • Assessor
  • Unsure of procedure
  • Havent worked with trainee long enough
  • No specific stage based competency guidelines
    between stage B and completion
  • Time constraints
  • Senior trainees/BMS etc have little/no experience
    of WPBA
  • Possibly compromises validity of MSF

8
Limitations
  • Case material
  • Case/Topic based
  • Surgicals
  • Cystectomy, not Nephrectomy?
  • Autopsy
  • Usually broad discussion
  • Heart dissection, not lungs?

9
Limitations
  • Trainee led
  • Selection bias
  • Trainer
  • Approachable, favourable report, understands
    process
  • Time constraints
  • Case mix
  • Specialty
  • Inexperience
  • Avoid difficult areas

10
Summary
  • Potentially useful assessment tools
  • Promote
  • Focused training
  • Encourage self awareness
  • Stimulate learning
  • Provide evidence of competence
  • Process can be improved

11
Suggestions
  • Team/specialty based
  • Trainer aware from start of rotation, more
    involved
  • Assessment of trainees overall performance in
    specialty/autopsy as a whole rather than specific
    topics
  • In line with goal of evidence of competence in
    the workplace
  • ?combine DOPS and ECE
  • CbD

12
Suggestions
  • Guidelines
  • Department/Specialty based
  • Education days
  • Promote mutual understanding, provide feedback,
    highlight strengths weaknesses
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