Workplace Based Assessment

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Workplace Based Assessment

• Dr Jane Mamelok
• RCGP WPBA Lead
• Associate Director GP Education

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Workplace Based Assessment

• The evaluation of a doctors progress over time,
  in their performance in those areas of
  professional practice best tested in the
  workplace

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The new MRCGP Tripos

• Workplace based assessment (WPBA)
• Machine marked test of applied knowledge (AKT)
• Clinical Skills Assessment (CSA)

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nMRCGP Integrated assessment package

• AKT knowledge gt3 /12 ST3
• CSA - CLINICAL skills gt 6/12 ST3
• The WPBA tests those competencies not addressed
  in other components 3 years.
• WPBA attitudes, team work, assessment of
  performance and competence in practice, needs to
  include audit, consultation skills, management,
  peer review and appraisal.

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Millers Pyramid
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Where do the competencies come from?

• Domains of GP Curriculum
• EURACT (European Academy of Teachers in General
  Practice)
• GMC Good Medical Practice

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12 competency areas

• Communication and consultation skills
• Practising holistically
• Data gathering and interpretation
• Making a diagnosis / making decisions
• Clinical management
• Managing complexity and promoting health
• Primary care administration and IMT
• Working with colleagues and in teams
• Community orientation
• Maintaining performance, learning and teaching
• Maintaining an ethical approach to practice
• Fitness to practise

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RELATIONSHIP
DIAGNOSTICS
Professionalism
MANAGEMENT
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Some myths about WPBA

• WPBA is a continuous process, assessing the
  development of competencies in the workplace over
  the 3 year training envelope.
• All assessments must be timely i.e. within that 3
  year envelope, FY2 competencies cannot be carried
  forward for WPBA (although they can link with the
  e-portfolio for NHS appraisal)

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Some myths about WPBA

• By the end of training the trainee must
  demonstrate competence in the 12 required areas.
• Naturally occurring evidence (professional
  conversations, learning logs, audit etc.)
• Evidence taken from WPBA assessment tools informs
  the deanery review process.

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Some myths about WPBA

• WPBA and e-portfolio are NOT synonymous
• WPBA is longitudinal assessment of performance in
  the workplace.
• E- portfolio is the personal learning portfolio
  and this houses all the required assessments
  including WPBA for the nMRCGP and the
  certification and licensing process.

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There is a risk of teaching to the assessment
hurdles

• WPBA is not just 12 COTs 12 CBDs
• MSF PSQ give valuable information about
  attitudes
• The Naturally occurring evidence is the Jewel in
  the crown of WPBA.
• Informal feedback
• Professional conversations that validate
  competency
• Audits, critical events.

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ARCP Panel reviews

• The GPR gathers evidence e-portfolio
• Prior to panel, the Educational Supervisor (ES)
  reviews evidence with GPR and e-portfolio
  generates ES Report (ESR)
• Panel review ESR, collates results AKT/CSA checks
  successful completion WPBA.
• Based on all the evidence, panel make
  recommendation for CCT.

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The Blueprint Dilemma

• Passed MRCGP video but tape would have failed
  summative assessment.
• Is it possible ?
• and what do we do if it happens?
• Could someone pass CSA but fail in those same
  competency area in WPBA?

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Calm, considered reflection
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The solution

• Each component of the tripos is mapped to the
  competency framework, GP Curriculum GMP.
• Each cover different aspects e.g. AKT clinical,
  CSA communication. WPBA covers them all.
• Congruent assessment practices across the
  components
• Nationally agreed guidance and concordance for
  assessment judgements made locally.
• Calibration
• We all agree on the benchmark and do the same
  thing

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Finally

• The process is learner led.
• It is the learners responsibility to gather the
  evidence.
• Empowers the learner.
• Planning and personal organisation is key.

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