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Care Assessment Tool (CAT which includes CbD) - from August 2020

CbDs in General Practice / primary care placements are being replaced by Care Assessment Tools (CATs), which allows a greater range of information and performance to be recorded and assessed against the Capabilities. CbDs will remain in the non-primary care setting and become one type of CAT in in the primary care setting.

Below are suggested events that may be assessed as CATs, with details of the preparation required in advance, the content of the assessment, the Capabilities that may be assessed and the recording required.

A minimum of 4 CbDs will be required for both ST1 and 2, and a minimum of 5 CATs (which can include CbDs) by the end of ST3 from August 2020.

 

ST1

ST2

ST3

 

Old

New

Old

New

Old

New

CBD / CAT

6

4 CbDs

6

4 CbDs

12

5 CATs

Suggested CAT formats

 

CAT assessment form (click)

 

CbDs for hospital placements

Case-based discussion (CbD) is a structured interview designed to explore professional judgement exercised in clinical cases which have been selected by the GPST and presented for evaluation.  

As a GP trainee, you’re responsible for selecting cases, requesting a CbD and ensuring the paperwork is completed properly. You and your CS should ensure that your ePortfolio reflects a balance of cases, including:

  • children
  • mental health
  • cancer and palliative care
  • older adults


CbD submission form (click) 

This has to be completed and submitted with you prospective CBD cases to your Trainer. It details the competencies you feel you have demonstrated and why. This helps focus the CBD and increases the likelihood of you achieving those competencies.

Who can assess you?
The CbD should be carried out by a consultant, an associate specialist or experienced registrar in the speciality concerned (ST4 or above ).  In GP The CBDs should be carried out by trainers approved by the GP school as Clinical and Educational supervisors.

In ST3 one out of the minimum requirement of  12 CbDs can be carried out by a prospective trainer who has been trained for this as part of the pathway to becoming a trainer.

CBDs should not be carried out by other GPs employed in the practice  even those who have been on the GP School Autumn and Spring courses for partners of trainers. CBDs should not be carried out by OOH supervisors unless they are an accredited GP Trainer. 

 

COTs & Audio COTs

The Consultation Observation Tool 
The Consultation Observation Tool (COT) has been designed to be used by Trainers as an evidence-collecting instrument to support the more holistic judgements made about GPStRs. It usually involves a structured review of a videoed consultation rather than observation while your Trainer sits in your surgeries.

Who can assess you?
The COTs should be carried out by trainers approved by the GP school as Clinical and Educational supervisors.

Post August 2020 requirements

 

ST1

ST2

ST3

 

Old

New

Old

New

Old

New

Mini-CEX/COT

6

4

6

4

12

6

Audio-COT

0

0

0

0

0

1

Phrases you can use in consultation to help achieve COT competencies 
COT e-portfolio view with tips for Trainers 
This helps you map the competencies which you have achieved in your COTs since your last Educational Supervision, enabling you to identify the types of cases you need to select for future cases to ensure that you are on track for the MRCGP.

COT submission form 
This has to be completed and submitted with you prospective COT cases to your Trainer. It details the competencies you feel you have demonstrated and why. This helps focus the COT and increases the likelihood of you achieving those competencies.
RCGP guidelines on recording consultations
Consent form for recording consultations 

 

Audio-Consultation Observation Tool (Audio-COT)

General Practice has evolved, and more and more consultations are being carried out by phone. Different skills are needed to carry out a consultation safely and appropriately on the phone from those needed for face-to-face consultation.

The Audio-COT form that has been developed would be expected to be used for at least one COT in ST3, and further ones would be encouraged. A total of three Audio-COTs can contribute towards the overall total of COTs required in ST3.

Audio-COT would not be expected as part of the minimum numbers of COTs in ST1/2. The AudioCOT is encouraged in ST1/2 whilst in a GP placement but it will not count towards the overall total number of COTs in these training years.

The Audio-COT guidance, assessment form and consent form can be seen below.

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