WorkplaceBased Assessments and their Role in Training Dr

Workplace-Based Assessments and their Role in Training Dr Sonji Clarke Deputy Head London School of

Why this is important…. ¡“A highly skilled obstetrician and gynaecologist with the appropriate knowledge and attitudes to lead and deliver high quality care; taking account of patient’s needs and advocating for women’s healthcare. This will involve a questioning approach to research and quality improvement. Working well in teams is essential for safe, effective patient care; obstetricians and gynaecologists must be good communicators, supporters of staff and happy to share their expertise and experience as well as being open to the views of others. On completing training the individual will be prepared for lifelong learning, which will allow them to be adaptable and flexible for a modern NHS. ” Final report of the Curriculum Review Group, 2015 Definition of a Consultant

Professional Identities and Capabilities in Practice • Healthcare professional- 5 CIPs 1 -5 • Researcher/educator/scholar – 3 CIPs 6 -8 • Clinical expert- 4 CIPs 9 -12 • Champion for women’s health 2 CIPs 13 -14 This incorporates the structure of the whole curriculum

WPBA’s- What are they? ¡Reflective Practice – Increased emphasis in the new curriculum and CPD framework ¡OSATS¡Mini CEX ¡CBD ¡Non Technical skills (NOTSS tools) ¡MSF (Multisource Feedback) ¡Self-assessment

Your Educational Supervisor ¡Will use your WPBA’s and other evidence to make a global assessment of your progress and development in CIPs and with your procedures. ¡An assessment will also be made of your non technical skills ¡You will be expected to self assess on your multisource feedback ¡The RCOG or local School Matrix should guide both you and our educational supervisor relating to appropriate progression.

WPBA’s as evidence ¡ Self-assessment ¡ Formative assessment ¡ ES uses evidence to make global judgment on progress ¡ Cb. D ¡ Summative assessment¡ MRCOG part 1 ¡ MRCOG part 2 ¡ MRCOG Part 3 ¡ OSATS ¡ Mini CEX ¡ OSATS ¡ TO 1’s and SO ¡ NOTSS ¡ ESR ¡ Reflective Practice is included in the WPBA’s

OSAT-Objective structured assessment of technical skills ¡May be for assessment of competence (summative) ¡Or used for assessment of development (formative)type must be declared in advance ¡Used to assess procedural skills i. e. ¡Caesarean section, laparoscopy, ECV, MVA ¡There are still some procedures that need 3 osats to demonstrate competence-

RCOG Matrix

Mini-CEX- Mini clinical evaluation exercise ¡ Formative assessment which may be used for observing: ¡ Taking a history ¡ Clinical examination ¡ taking consent ¡ Patient communication ¡ Professional/interpersonal skills ¡ Expected to last 20 minutes ¡ Should be declared in advance ¡ Ideally in obstetrics and gynaecology¡ Remember they are evidence to be used for fulfilling the CIP requirements

Cb. Ds- Case-based discussions ¡ Formal documentation of case discussions between trainee and trainer ¡ Used to formatively assess: ¡ Clinical decision making ¡ Knowledge application ¡ Available for gynaecology and obstetrics, ¡ Perfect for clinic or ward round discussions, or in the emergency areas of Early pregnancy or Labour ward.

NOTSS tools ¡You will be expected to have assessments for your non technical skills ¡The NOTSS tool will be completed, particularly for Labour Ward, but also when running a theatre list. ¡ Examines situational awareness ¡ Leadership and communication skills ¡ Teamwork ¡ Decision making

Multisource Feedback ¡TO 1’s ¡You will be asked to self- assess ¡Then a range of your colleagues will complete a form looking at largely non clinical skills and attributes. ¡A minimum of 10 completed forms will be collated twice yearly by your educational supervisor ¡You should be making contact with your ES approx. 10 times per year

Annual Appraisals ¡If you do not participate in local ARCPs you will be required to complete an annual Trust appraisal ¡This is for the purpose of revalidation with the GMC ¡Ensure that you find out about this at the earliest opportunity through the College Tutor or ES ¡Please find a Mentor who can help you navigate the new eportfolio and the WPBA’s

Access the RCOG e. Resources ASAP https: //elearning. rcog. org. uk/new-curriculum-2019 -trainingresource/introduction

TOP TIPS

TT’s ¡ Watch the RCOG e. Resource on the New Curriculum asap ¡ Access the new eportfolio soon after 31 st October ¡ Ask for a trainee mentor who can walk with you through the portfolio ¡ Start collecting the evidence for your CIPs asap ¡ Don’t be afraid to ask ¡ Meet with your ES within 2 weeks and record your meetings on the portfolio ¡ Don’t leave your portfolio untouched for more than 2 weeks- it will not go well with you!

Good Luck!