nMRCGP

Assessment system for GP training since 2007

Session aims
 Overview of the new MRCGP assessment route to GP CCT

(Certificate of Completion of Training)

 Tour of eportfolio  Tips on writing a good action plan  Signpost some useful guidance documents  Opportunity to discuss thoughts and ask questions about

workplace based assessment and the eportfolio (AKT and CSA will be covered in more depth in other sessions)

What s the general idea?

 Based on GP curriculum (what a GP should know - very

comprehensive)

 Assesses GP competencies (what GP should be able to do)  All components of nMRCGP related to competencies  Recorded on e portfolio  All entries on e portfolio can be linked to both curriculum

and competencies

 Includes 2 exams and many workplace based assessments

Components of nMRCGP
 AKT (Applied Knowledge Test)  done and marked on computer  held 3x/year in Driving Test centres  assesses clinical and GP organisation knowledge  sat in ST2 or ST3, better pass rate in ST3  CSA (Clinical Skills Assessment)  OSCE-type exam closely simulating a real GP surgery OSCE held Oct, Feb, May in Croydon  sat during final year (GP)  WPBA (Workplace Based Assessment)  several components  recorded in e-portfolio e throughout GP training  Fixed min number of assessments per post

 WPBA

 CSA

 AKT

Work Place Based Assessment

 Measures what you actually do  Assesses progress
 To guide continuing learning and help you develop  To inform decision about moving to next training year or

completing training
 Assessed competency level is expected to improve over

time
 Learner-led: you have to arrange assessments Learner-

Components of WPBA
 Mini CEX (hospital);COT (Consultation Observation Tool (GP) (hospital);COT

direct or video observation of patient encounter

 CbD (Case based Discussion)

structured interview with clinical supervisor,, designed to explore your professional judgement. judgement. Not a chat about how you managed a case

 DOPS (direct observation of procedural skills)  MSF (multi source feedback) ST1 and ST3  PSQ (Patient Satisfaction Questionnaires) in GP  CSR (Clinical Supervisor s Report)

Grading of assessments
 Needs further development - where you d

expect to be as a trainee

 Competent - where you need to be at the end

of training

 Excellent - where you might be as a good,

experienced GP

 Insufficient evidence

this competency wasn t demonstrated/assessed on this occasion

Educational supervision
 As well as your clinical supervisor you have an educational

supervisor
 Almost always same person throughout your time on the

scheme
 Is a GP trainer  Role  Provide continuing support and educational guidance  Report on your progress on e portfolio

Annual Review of Competency Progression (ARCP)

 Panel meets at end of every training year  Purpose to assess whether you can proceed to next year

of training or to complete training

 Look at your e portfolio to check whether assessments

done, and other evidence of your progress

How many assessments do you have to do?

Minimum acceptable numbers shown on e portfolio,
our website and RCGP website
 LTFT trainees have to do same number of assessments per

6m and same frequency of ARCP panels

 We strongly recommend FT trainees do more than

minimum, but minimum reasonable for LTFT