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Orthopaedic Competence Assessment Project Using the tools David Pitts

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Presentation on theme: "Orthopaedic Competence Assessment Project Using the tools David Pitts"— Presentation transcript:

1 Orthopaedic Competence Assessment Project Using the tools David Pitts

2 OCAP – Mission Improve the quality of HST in orthopaedics through the introduction of a competence based portfolio of coaching and assessment tools

3 This Presentation Overview of system & tools Trainer profile Learning Agreement Procedure Based Assessments Records Coaching

4 Coaching, Assessment & Recording Tools Trainer Profile Learning Agreement Curriculum Vitae Procedures Knowledge Coaching Assessment Evidence Overview

5 Trainer Profile Curriculum Vitae Procedures Knowledge Features

6 Trainer Profile Curriculum Vitae Procedures Knowledge Features

7 Trainer Profile Learning Agreement Curriculum Vitae Procedures Knowledge Coaching Assessment Evidence Features

8 Trainer Profile Learning Agreement Curriculum Vitae Procedures Knowledge Coaching Assessment Evidence Overview

9 Coaching, Assessment & Recording Tools Trainer Profile Learning Agreement Curriculum Vitae Procedures Knowledge Coaching Assessment Evidence Overview

10 Trainer Profile Meeting 1 Meeting 2 Meeting 3 PBA Learning Agreement Consolidation Sheet Completed PBA’s Only 3 pieces of paperwork All will become electronic in time Entire process driven by trainee

11 Trainer Profile Curriculum Vitae Procedures Knowledge Developing a Trainer Profile

12 What I do (Procedures) What you need to know about what I do (Knowledge) What you need to know about me (CV) One time only! Supported by Templates In collaboration with Trainee

13 Trainer Profile 1: Procedures Procedures map –Based on e-logbook Template on CDROM Add your name Delete inapplicable Add whatever’s missing –Comprehensive? –Willing to teach? Save as new file Tools in detail

14 Trainer Profile 2: Knowledge Knowledge map BOA syllabus Template on CDROM Add your name Delete inapplicable –Delete rows, backspace! Add anything missing Develop over time! Tools in detail

15 Trainer Profile 3: Mini-CV CV (brief) –Build relationship –Communicate expectations of Trainee’s performance, behaviour, attitude… Samples on CDROM Add your name Add photograph Cut & paste Save as new file Tools in detail

16 Trainer Profile Curriculum Vitae Procedures Knowledge Using a Trainer Profile

17 1. Using the CV Build relationship Communicate expectations –Performance –Behaviour / conduct –Attitude… “Being a surgeon is more than doing surgery”

18 2. Using the Procedures profile 1 st year trainee 4 th year trainee

19 3. Using the Knowledge profile 1 = Knows of 2 = Knows basic concepts 3 = Knows generally 4 = Knows specifically & broadly BOA syllabus Not the exam! To help trainee make progress Guide reading/study

20 This Presentation Overview of system & tools Trainer profile Learning Agreement Procedure Based Assessments Records Coaching

21 Meeting 1 Meeting 2 Meeting 3 PBA Learning Agreement Agenda Setting Progress Review End of attachment summary Each meeting 20 minutes?

22 Review materials completed by trainee beforehand Tick boxes Sign form Length/depth of discussion & how much you write is up to you Meeting 1

23 Meeting 2 Provide feedback to trainee Review feedback already given in theatre or assessments Tick boxes Agree actions Sign form

24 Meeting 3 Trainee completes reflection beforehand (detail up to you) Trainer & trainee agree progress Tick boxes Sign form

25 This Presentation Overview of system & tools Trainer profile Learning Agreement Procedure Based Assessments Records Coaching

26 Meeting 1 Meeting 2 Meeting 3 PBA Agree which ones (all or part) at first meeting Triggered by Trainee or trainer Results entered onto PBA summary sheet Individual sheets signed and kept in portfolio

27 Current PBAs ( ) Mini-PBA (DOPS) –Closed mgt of # –Clinic activity in T&O –Debridement of wound Hand –Carpal tunnel decompression –Digital and palmar fasciectomy Knee –Diagnostic arthroscopy & simple arthroscopic procedures –Total knee replacement Foot –1 st ray surgery Hip –Total hip replacement Spine –Lumbar discectomy Generic –template Trauma –Compression hip screw intertrochanteric fracture neck of femur –Hemiarthroplasty intra capsular fracture neck of femur –Application of limb external fixator –Operative fixation Weber B ankle fracture –Fixation by tension band wiring, olecranon & patella –Intramedullary nailing femoral or tibial shaft –Tendon repair In development –Upper limb –Paediatric Tools in detail

28 Performance Based Assessments Triggered –Trainee or trainer Objective –Passed / To be improved Indicative Formative individually Summative as whole collection Common format –Consent –Preoperative planning –Preoperative preparation –Exposure & closure –Intra operative technique –Post operative mgt Tools in detail Users Guide on website

29 Example: THR Trainee has forms beforehand (no surprises) Trainer agrees to the PBA (patient, trainee etc) Trainee conducts procedure observed by trainer Usually scrubbed Trainee verbalises, explains what intentions are Trainer steps in as/where necessary Forms completed and feedback given immediately after procedure

30 This Presentation Overview of system & tools Trainer profile Learning Agreement Procedure Based Assessments Records Coaching

31 Learning Agreement

32 PBA Consolidation sheet For discussion at RITA –Must be presented on request Compares scores across PBA’s Evidence of “Learning” Trainee updates as attachment progresses Brings to meeting 2 & 3 Tools in detail

33 Final summary: PBA Consolidation sheet (2 sides)

34 Portfolio Checklist 1.Weekly timetable for attachment SAC 2.Details of on call rota 3.Trainer CV (from trainer portfolio) 4.Procedures Profile (original, signed) 5.Knowledge Profile (original, signed) 6.Learning Agreement agendas (original, signed) 7.All individual assessments completed (original, signed) 8.In-house educational programme (with note of sessions attended) 9.Evidence of activity on audit/research project 10.Details of significant events (to include clinical and professional incidents (and outcomes)) 11.Details of absences from training post

35 This Presentation Overview of system & tools Trainer profile Learning Agreement Procedure Based Assessments Records Coaching

36 Personal Effectiveness Mindmap Viewer software free via website Positive & negative behaviours Facilitates feedback

37 This Presentation Overview of system & tools Trainer profile Learning Agreement Procedure Based Assessments Records Coaching

38 Trainer Profile Learning Agreement Curriculum Vitae Procedures Knowledge Coaching Assessment Evidence Overview


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