1. Workplace Based Assessment

2. Year 3 assessment
In Year 3, the student will undertake two forms of assessment which take place in the workplace. This is in additional to other assessments such as written examinations and OSCEs. The two WBAs are Direct Observation of Procedural Skills (DOPS), and mini Clinical Evaluation Exercise (mini-CEX). Both these formats are utilised in the UK Foundation Programme.

3. Assessors
Assessments must be carried out by someone with appropriate expertise in the area being assessed, and who has been appropriately selected, supported and appraised.
They are responsible for honestly and effectively assessing the medical student’s performance and being able to justify their decision.(GMC 2015)
Suitable staff are likely to be one of the following:
Skills Tutors
Doctors above the grade of FY1
Senior nurses (Band 5 or above)
Appropriate allied health professionals

4. Direct Observation of Procedural Skills (DOPS)
DOPS is what is known as a supervised learning event (SLE) tool.
The primary purpose of DOPS on the MBBS course is to provide a structured checklist for giving feedback on the student’s interaction with the patient when performing a practical procedure.

5. Code
DOPS - APPENDIX 1
Year 3
Year 4
Year 5 D1
Venepuncture and managing blood samples x D2
Cannulation D3
Managing an electrocardiograph (ECG) monitor D4
Taking nose, throat and skin swabs D5
Administering oxygen D6
Urine multi-dipstick test D7
Hand washing (including surgical ‘scrubbing up’) D8
Basic respiratory function tests D9
Performing and interpreting a 12-lead electrocardiograph
D10
Intramuscular injections 
D11
Wound care and basic wound dressing 
D12
Measuring blood glucose
D13
Dosage / administration of insulin and use of sliding scales
D14
Subcutaneous injections 
D15
Setting up an infusion; use of infusion devices
D16
Making up drugs for parenteral administration
D17
Male urinary catheterisation
D18
Female urinary catheterisation
D19
IV infusion and prescription of fluids
D20
Blood transfusion
D21
Airway care with simple adjuncts
D22
Taking blood cultures
D23
Arterial blood gases
D24
Skin suturing / use of local anaesthetics
Totals for Year : 10 12 16
x = must be completed during Medicine 1 / Mind & Body 1
x = must be completed during Surgery 1 / Family Health 1
x = may be completed during any module

7. Mini-Clinical Evaluation Exercise (mini-CEX)
A mini-CEX, like DOPs, is a supervised learning event (SLE). It involves observation and feedback on a direct clinical encounter between a medical student and a patient. The main focus of a mini-CEX will be on one of the following four areas, although some patient encounters may cover more than one:
History
Diagnosis
Management
Explanation

8. The evaluation of a Mini-CEX covers six domains which are:
1. History taking
2. Physical examination
3. Communication skills
4. Clinical judgement
5. Professionalism
6. Organisation and efficiency
Not every mini-CEX will cover all areas.
Students should try to ensure that across the academic year, the mini-CEX they undertake do cover the full range of competencies.

9. Year 3
Year 4
Medicine
1 per 4 weeks
Any 2 different specialities
Mind and Body
1 Neurology
1 Mental Health
1 Cancer / End of Life
Surgery
Family Health
1 Paediatrics
1 Women’s Health
1 Women’s health
Total = 8 per year

11. Meaningful Assessment.

12. Resources; Clinical Assessors Handbook
Clinical Tutor Stephen Gowland-Mahon.
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