A Guide to Core Psychiatry (CPT) Workplace Based Assessments ...

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WPBAS completed regularly throughout your placement to demonstrate effective review and appraisal. Therefore, do not leave them until the end of each stage of training or clinical placement. Secondly, although individually they have no ‘pass’ or ‘fail’ score, taken together WPBAs contribute to the Annual Review of Competence Progression (ARCP), which has a summative function providing evidence of the attainment of competencies. Successful completion of the ARCP process is mandatory for eligibility for the MRCPsych examinations. Type of Workplace Based Assessments There are 8 workplace based assessments currently available. These are described in detail in the trainee and assessor guidance for each WPBA tool and are merely outlined below. Assessment of Clinical Expertise (ACE) The assessor observes a whole new patient encounter in order to be able to assess your ability to take a full history and mental state examination and arrive at a diagnosis and management plan. Mini-Assessed Clinical Encounter (mini-ACE) The assessor observes part of a patient interaction, for example history taking or negotiating a treatment plan, and rates your performance. Case-based Discussion (CbD) You select two sets of notes of patients you have recently seen and the assessor picks one to discuss. The discussion will allow demonstration of clinical decision-making and the application of clinical knowledge. Case Presentation (CP) This tool can be used when you give clinical presentations and involves assessment of domains such as presentation skills and interpretation of evidence. Journal Club Presentation (JCP) This can be used when you present a journal article and covers domains such as analysis and critique and answering questions. Directly Observed Procedural Skills (DOPS) This has more limited use in psychiatry compared to other areas of medicine but can used in situations such as administering ECT. Mini-Peer Assessment Tool (mini-PAT) It allows co-workers to assess your attitudes and behaviours and ability to work well with colleagues. Assessment of Teaching (AoT) This is a new tool that has been developed after feedback from the pilot programme. It allows an assessment to be made of teaching skills and may relate to a lecture, tutorial or small group teaching session that you lead. Carrying out Workplace Based Assessments You are responsible for organising your assessments. You should discuss the areas in which you need to be assessed with your Educational Supervisor and plan your WPBAs accordingly. Remember that you will need to be assessed by a range of different assessors in different situations to ensure triangulation of evidence. Don’t rely on your Educational Supervisor to perform all the assessments! Also remember that you must ask for the patient’s agreement when you perform a WPBA that involves a patient. There is an online system for the completion and storage of WPBAs. You can register for this through the College website and it can be accessed at http://training.rcpsych.ac.uk/. After you register you will be able to access the forms relevant to the mandatory WPBAs (ie
ACE, mini-ACE, CbD and mini-PAT). Your assessors must then complete these assessments online. Workplace Based Assessment Requirements The learning needs of individual trainees will determine which competencies they need to be assessed in and the number of assessments that need to be performed; the College Assessment Programme’s eligibility structure should be regarded as a minimum number. Briefly, the number of WPBA’s stipulated in the Assessment Programme for CT1 and ST2&3 is as follows Minimum Number required per year WPBA CT1 CT2 / ST2 CT3 / ST3 Ace 2 3 3 Mini-ACE 4 4 4 CbD 2 2 2 mini-PAT* 2 2 2 Recommended Number per year WPBA CT1 CT2 / ST2 CT3 / ST3 CP 1 1 1 JCP 1 1 1 DOPS As the opportunity arises AoT As the opportunity arises *There will be 5 rounds of mini-PAT’s per year of which 2 must be completed The guidelines in the above tables should be regarded as the minimum number of WPBAs: many trainees will need to do more, for example to provide additional evidence of achievement in a particular area of professional practice. It is important to again note that there is no ‘pass’ or ‘fail’ score for WPBA. You must note that, since they form the basis for feedback and educational planning, you must arrange WPBAs at appropriate intervals throughout your training rather than leaving them until the end of each stage. In particular, we strongly suggest that within the early stages of each phase of training or clinical placement (i.e. within the first month) you undertake a mini-ACE or ACE and a CbD. This is because these tools reflect closely the expected day-to-day work of a psychiatric trainee both in terms of the assessment of cases and clinical reasoning and judgement. The purpose of these early assessments is to identify what you are doing well and in which areas you need to develop. They contribute valuable information to the educational planning of your placement. Therefore it is most unlikely that assessments made early will produce ratings consistent with performance at the standard expected for the completion of the stage of training. Educational Supervisors Report / College Tutor’s Report The Educational Supervisor’s Report and the College Tutor’s Report will be submitted for consideration by the ARCP. It is the ARCP that validates the achievement of competence after considering the presented portfolio information. It is important to note that as the ARCP
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