GP Training Record

Every six months, the GP trainee will meet with their trainer or educational supervisor to complete an interim review of progress. Evidence collected is reviewed, a self-assessment conducted and the trainee’s progress assessed by the trainer in each of the twelve competence areas. 

Towards the end of training, a final review is conducted, this time without the trainee’s self-assessment. Successful completion requires achievement in each of the twelve professional competence areas. The trainer makes a recommendation to the deanery regarding the competence of the trainee. A failure to reach the standard will trigger a review by an expert deanery panel, which will make decisions and recommendations as to whether the workplace-based assessment has been completed satisfactorily.

Curriculum coverage
Episodes of learning that are rich in knowledge, such as those that may arise from tutorials, will not be assessed, but will allow trainees and educators to monitor how the knowledge base of the curriculum is being covered in preparation for the Applied Knowledge Test.

A technical skills log records assessment by DOPS building on those examination and procedural skills acquired in Foundation.

Professional Competences
Progression across the twelve competence areas is recorded at regular, evidenced, staging reviews. These areas have been identified as those areas of professional practice that are best tested in the workplace. The areas, although derived from the RCGP curriculum, do not represent general practice in its entirety and should not be treated as a comprehensive curriculum for professional training.

Each area has been defined in terms of developmental word pictures that reflect increasing expertise:

(I) Insufficient evidence
From the available evidence, the doctor’s performance cannot be placed on a higher point of this developmental scale.

(N) Needs further development
Rigid adherence to taught rules or plans. Superficial grasp of unconnected facts. Unable to apply knowledge. Little situational perception or discretionary judgement.

(C) Competent
Accesses and applies coherent and appropriate chunks of knowledge. Able to see actions in terms of longer-term goals. Demonstrates conscious and deliberate planning with increased level of efficiency. Copes with crowdedness and able to prioritise.

(E) Excellent
Intuitive and holistic grasp of situations. No longer relies on rules or maxims. Identifies underlying principles and patterns to define and solve problems. Relates recalled information to the goals of the present situation and is aware of the conditions for application of that knowledge.

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The evidence for WPBA will be recorded in a web-based eportfolio. The eportfolio is much more than an electronic record of specialist training, updated and accessible through the internet, it records details of achievement in the Applied Knowledge Test and Clinical Skills Assessment, and documents all stages of training, records evidence of WPBA, reviews with educational supervisors and the subsequent development as a General Practitioner.

A record of personal development and experience is becoming mandatory for all doctors. It provides evidence that training has taken place and allows the GP trainee to reflect on a range of learning opportunities. The WPBA is defined as the evaluation of a doctor’s progress in their performance over time, in those areas of professional practice best tested in the workplace.

Workplace-based assessment brings together teaching, learning and assessment. Trainees will know what is expected of them and will have the opportunity to demonstrate attainment over time in a variety of contexts. The assessment recorded in the ePortfolio will be drawn from performance and evaluation taking place in the real situations in which doctors work. It also allows competency in areas such as team-working to be appraised in a manner which cannot be done by the AKT and the CSA.

Many tools will be completed on-line without the contributor having to enter the ePortfolio. Writing to many parts of the ePortfolio will be limited to the trainer or educational supervisor. The personal section of the ePortfolio will be hidden to all except the GP trainee.

The AKT and CSA must be passed before the ePortfolio can be signed off as a complete record of GP training and a recommendation of certification (CCT), inclusion in the General Medical Council’s GP Register and applying for membership of the Royal College of General Practitioners.

Developing people for health and healthcare