8/12/2019 Assessment for the Primary Care Attachment: How Harmonisation has improved assessment and feedback

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Assessment for the Primary Care Attachment

How Harmonisation has improved assessment and feedback

Dr Frances Gerrard, Professor Kamila Hawthorne, Ms Rebecca Masefield

The Purpose of Harmonisation

To organise primary and secondary care placements to act as an apprenticeship

for Year 5 medical students to prepare them for their role as FoundationProgramme doctors

Assessment Tools for Primary Clinical Attachment Assessment Tools for Junior Secondary Assistantship

Personal Learning Plan (PLP)

Case-Based Discussions (CBD) 4

Educational SupervisorsReport

Practical Skills Logbook (on going)

Mini Clinical Examinations (mini-cexs)

Directly Observed Procedures (dops)

My Practice Practice-Based Discussions

Educational Supervisors Report

Practical Skills Logbook (on going)

The Purpose of assessment in year 5

To provide appropriate measurement of performance and feedback to students

using tools that harmonise with the Foundation Programme.

Some Problems with Assessment on 5thYear GP Attachments in Previous Years

PROBLEM: Late completion of student assessments by GP tutors asfinal marking was requested after the student had left the placement

SOLUTION: completion of Case-based discussions with the student

giving immediate feedback in a format similar to Foundation

Programme feedback

PROBLEM: Variability of feedback

SOLUTION: a standard list of competencies for student and tutor

guidance

PROBLEM: Minimal feedback on attendance, competence and

professionalism

SOLUTION: a standardised clinical supervisors report for each final

year clinical placement requiring detailed feedback on the student as

a professional a scholar and an effective practitioner currently the

responsibility of the student to ensure it is delivered to Year 5

administration.

What Do We Assess in Case-Based Discussions?

Case based discussions are learning discussions between the GP tutor and

the student each based on a patient the student has seen in a

consultation. There are guidelines on the range of cases and the studen

submits a written summary prior to the tutorial covering these headings

on which they are assessed

Commonly used comments about students in supervisorsfinal repo

(sample from 20 reports)

(8) Enthusiastic

(3) Pleasant

(6) Professional

(2) Best student we

have had

(4) Team worker

(5) Learns quickly

(6) Impressed

(7) Reliable

(4) Empathy

(7) Intelligent

(3) Knowledgeable

Overall Tutor Rating for Students

49

24

2

Excellent

No Concerns

Some Concerns

Major Concerns

Sample of 75 Reports

oncerns were to do with organisational skills and time-keeping in these two cases

And for the Future

Student portfolio to be completely electronic

Team assessment of behaviour (multisource feedback) for all final year student

placements

Holistic Practice Data Gathering & Interpretation

Making Diagnoses / Decisions Clinical Management

Managing Medical Complexity

Working with Colleagues Community Orientation

Practising Ethically