1. COCPED Video Assessment

2. The assessment process Video assessed by two first level assessors If both pass the video then the process is successfully completed If one REFERs the video then it is assessed simultaneously by two second level assessors If they pass the video then again the process is successful If they REFER then it is sent out of region to 2 national assessors who again may pass the video but here is where a FAIL is recorded

3. Registrars tasks Identify patient’s reason for attendance Take appropriate steps to investigate the problems presented Organise a suitable management plan Reach an agreement with the patient on diagnosis and treatment Demonstrate an understanding (in the logbook) of what was going on in the consultation

4. First level asessment Watch at least 6 consultations Record errors Assess listening Assess action Assess understanding IF for any reason cannot reach a firm decision then result must be refer

5. Errors A single major error on a consultation or several minors should lead to consideration of referral Serious error = causes actual / potential harm Minor error = inconvenience only

6. Listening Doctor identifies and elucidates reasons for attendance A credible / acceptable plan should be negotiated

7. Action Appropriate action to identify patient’s problems Reasonable investigations / referrals Help sought when necessary Patient’s problems should be managed appropriately

8. Understanding GP registrar understands process/outcome of consultation Actions explained Obvious shortcomings identified and relevant background mentioned

9. Rating scale 1.Refer 2.Probably refer 3.Bare Pass 4.Competent 5.Good 6.Excellent

10. Overall Assessment R+ Clear Refer R Refer P Pass P+ Clear Pass