1. “PRACTICE BASED ASSESSMENTS” An update for 2017/18
Dr Sabir Zaman Clinical Teaching Fellow CBME Year 5 Academic Lead
We all stand to gain from improved feedback and evaluation. For tutors, this would help you to understand why something did –or didn’t work- and enable you to develop as educators. For students, engaging with the feedback process in a more thoughtful and reflective way will help them to develop skills that they will put to continuous use as they embark on their medical careers. And faculty also stands to gain, as this could highlight areas for potential curriculum development.

2. Aims
Provide an update on Practice Based Assessments required in 2017/18
Take feedback and ideas from Tutors about the assessment process
Consider how we can help students gain the most from assessments and feedback
Consider how we can better support our Tutors

3. Year 5 Community Care Placement
6 week block
Supervised Clinics
Independent Consulting in a safe setting
Some Professional Shadowing
Tutorial time
Primary Care Experience
MDT
Continuity of Care
Part of the Practice Team

4. Aims of the Placement
To help all students to become better doctors, irrespective of their current career preference or eventual career choice.
To provide an introduction to General Practice and Primary Care in all its facets and to help the student experience independent practice whilst in a safe learning environment.
Specific Objectives outlined in Student Handbook on QMPlus

5. Practice Based Assessments for 2016/17
Professionalism – punctuality, reliability, team-player
Practice Based Project
Patient Case and Reflection on Professional Practice Principles
Letter Writing Exercise
Two CEXs – not to be uploaded

6. Other Requirements of the Placement
Attendance at Introductory and Closing Days
Attendance at Hospice Morning – St Joseph’s Hospice
A 4 hour ‘Out Of Hours’ OR ‘Walk-In Centre’ session – advised to book early

7. Other Assessments During Year 5
Prescribing Safety Assessment (PSA) – National Exam
Situational Judgement Test (SJT) – National Exam, Dec 2017 or Jan 2018
Finals – MBBS Exam, March 2018

8. Have you face any challenges with Practice Based Assessments?
In small groups spend a few minutes discussing your experience of Practice Based Assessment during the Year 5 Community Care Placement, and any challenges you may have faced

9. Changes to Assessments in 2017/18
Review of outcomes and feedback from 2017/18
Value of reflective practice clear
Greater focus on chronic and complex care
Consideration of how best to assess written communication skills
Development of Year 5 General Practice Prize
Quality Improvement in Action Task

10. Assessments 2017/18 Patient Case and Reflection Practice Based Project
Complex Care Plan
Quality Improvement in Action Worksheet
Two CEXs

11. Patient Case and Reflection
A write up and a discussion between the Student and Tutor
Both aspects contribute towards the task
Tutors can support students in selecting an appropriate case
Show reflection on two of the “GMC Duties of a Good Doctor” criteria
Include at least one of either ‘Relationship with Colleagues’, or ‘Relationship with Patients’
1000 words including a short (300 word) case summary

12. Practice Based Project
All students expected to produce an individual piece of work
Tutor to agree a task that is related to the Practice Team
Task should aim to help improve patient care in some way
Students should present their findings at the end of the Placement to their Tutor and the Practice Team
Examples have included Audits, Patient Information Leaflets, Posters, Surveys, Care Plans
Can be innovative

13. Practice Based Project
Development of new GP Prize to be presented at Graduation
Initiative of new Professor of Primary Care
Support from RCGP Faculty
Final details currently being developed, further information to follow
As all students must submit this piece of work, all are eligible for the prize
Key to promoting General Practice to our students and faculty

14. Complex Care Plan
Focus on Chronic and Complex Care in General Practice
An area particular to this placement
Aim is to assess skills in gathering and communicating information to patients
Opportunity for students to assess a case in detail – patient should have chronic and complex needs, more than one chronic condition, and multiple medications
Students should spend time interviewing and examining a patient, and review the medical record
Care Plan should be written for the patient – maximum two sides of A4 paper

15. Quality Improvement in Action
Previously Ethics in Action worksheet
Was discussed at ‘Ethics in Action’ workshop at Closing Day
Students invariably did not complete this worksheet
Change in focus to ‘Quality Improvement in Action
Students should consider areas where they have seen improvement – following a complaint, an audit, a meeting, a clinical encounter, an ethical dilemma
All students must complete the worksheet and show their tutors, this will be part of the final assessment form

16. Clinical Evaluation Exercise
Clinical Evaluation Exercise (CEX)
Observed Student Consultations
Two to be done – Week 1 and Week 6
Objective is to see an improvement between these two evaluations
Do not need to be submitted to the Medical School
Copies to be given to student for their records

17. Summary Changes have been made to the assessments for 2017/18
More consideration of Complex and Chronic Care
More consideration of Quality Improvement in Action
Proposal for a new GP Prize
Changes to the curriculum in the near future will result in another review

18. Thank you for your continued support in teaching our Year 5 Students
Any Questions?
Thank you for your continued support in teaching our Year 5 Students

19. Useful Contacts Administrator Lorane Smith l.a.smith@qmul.ac.uk
Academic Lead Dr Sabir Zaman