Training program requirements

Workplace-based assessments


Workplace-based assessments

Overview

During your training program, you’ll be required to satisfactorily complete a series of workplace-based assessments (WBAs). On the SC stream, WBAs provide a comprehensive framework for evaluating your competence in areas of practice best assessed in the context of the workplace.

The following WBA competencies were developed and mapped to the core skills of the RACGP curriculum and syllabus to enable assessment in the workplace:

  • communication skills

  • consultation skills

  • clinical information-gathering and interpretation

  • making a diagnosis, decision-making and reasoning

  • clinical management and therapeutic reasoning

  • preventative and population health

  • professionalism

  • general practice systems and regulatory requirements

  • managing uncertainty

  • identifying and managing the seriously ill patient

For each competency, the expected standard is set at the point of admission to Fellowship, ie the point at which you’re ready to demonstrate competence for unsupervised practice in Australia as per the Progressive capability profile of the general practitioner at Fellowship.

By the time you finish the training program, you must have completed the following WBAs:

WBA requirements

Figure 4: WBA requirements for the SC stream

After you’ve spent at least three calendar months working in your approved practice, you’ll be required to complete a workplace-based assessment. Your medical educator will let you know once you can start scheduling mini-CEXs and case-based discussions (CBDs) and you’ll be given access to the WBA booking calendar to book the sessions at dates and times that suit you. For scheduling questions, email pepspecialistadmin@racgp.org.au


The purpose of the multi-source feedback (MSF) is to obtain feedback from colleagues and patients. The MSF is a well-recognised, valid and reliable method of assessing interpersonal and professional behaviour, development and clinical skills.

You’ll get access to the MSF when you commence work in your approved practice. We recommend you start the MSF once you’re established in the practice, after about three months, as it can take some time to complete and needs to be finalised prior to the end of your training program.

The MSF is delivered by Client Focused Evaluations Program (CFEP) Surveys and has three components:

  • The Patient Feedback for Individual Doctors survey. This survey (paper-based) is completed by a random selection of 40 patients. Data is collected from your patients following their consultations with you. The survey explores patient perceptions about your behaviours, such as listening skills, clarity of explanations, respect for the patient and involvement of the patient in decision-making, as well as the patient’s confidence in your ability.

  • The Colleague Feedback Evaluation Tool (CFET). In the CFET, 15 colleagues nominated by you will be asked to complete an online survey. The colleague feedback evaluation focuses on your professionalism and workplace behaviours. Perceptions are collected about areas such as working relationships, competence and professional development.

  • The self-assessment questionnaire. This questionnaire provides an insight as to how you view yourself and compares these results with the feedback provided.

Upon completion and submission of all three components, you'll receive a report from CFEP Surveys. You'll be required to complete a mandatory reflection activity including an interview with your medical educator and a written self-reflective exercise.

If you completed an MSF within the last 12 months, you may not need to complete a new one. (Your existing MSF survey will need to be approved by your medical educator.)


During a mini-CEX, a direct observation, the assessor will observe you (via videoconferencing) while you’re consulting with patients in your practice. To record their feedback, the assessor will use a standardised assessment tool, the mini-CEX (mini-clinical evaluation exercise). Refer to the mini-CEX rubric and mini-CEX rating form for information on the criteria.

Each mini-CEX must target a different learning need as identified during your induction. 

 

To consider in preparation for a mini-CEX:

The date and time of the assessment will be booked in advance, so make sure you’re ready for the start of the consultation and ensure you have two devices capable of internet connection (eg an office computer, plus a laptop or tablet) and photo ID for the assessor to confirm your identify at the beginning of the assessment. AI transcribing software is not permitted and must be switched off.
Ensure reception is aware of the assessment and arranges your appointment book appropriately. Schedule 30 minutes for each patient to allow for observation and feedback.
Ensure there is some patient-free time at the start of your assessment. This allows time for you and the assessor to discuss the outline for the session.
Preferably keep consultation time with the patient to under 20 minutes, as the effective use of time is one of the performance criteria.
Remember to advise the practice that some bookings may not work well for assessment, examples include cervical screening tests, routine childhood immunisations, removal of sutures and ear syringing.
Patients need to consent to the presence of another doctor during the consultation. Patients should provide verbal consent while booking the appointment, sign a consent form when they arrive for the appointment and confirm their understanding that another doctor will be present when you call them from the waiting room. You should record in the patient’s notes the presence of an observer and their name.
Introduce the assessor to the patient and briefly explain their role (eg ‘Dr X is here to assist me with my professional development’).
The assessor might ask you questions related to the case in order to probe your reasoning. They might also ask to review any written material related to the case, such as a referral letter that you wrote or the notes that you made.
Be prepared to reflect on your own performance and discuss this with the assessor.


CBDs are a type of clinical case analysis (CCA). They are a review of clinical notes/case reports and oral questioning and are designed to assess your clinical reasoning, management and decision-making skills using clinical cases that you’ve managed.

CBDs are done via videoconferencing. The medical educator uses a structured discussion format for the assessment. Targeted questions allow you to demonstrate your competency across specified areas of the  RACGP Curriculum and syllabus. The medical educator will explore in detail any issues relating to the case to identify if you have any clinical knowledge gaps.

On the SC stream, you must complete three CBDs by the end of your training program, including:

  • one with an Aboriginal and Torres Strait Islander focus, and

  • one targeted at a learning need identified during your induction.

Your CBDs must be on different patients from your mini-CEXs to ensure the assessments incorporate diverse populations and presentations.

All work that isn’t your own must be clearly referenced. Guidelines need to be applied and discussed in relation to the patient in question. Any failure to do so will be handled as per the Academic Misconduct Policy.

Case-based discussions (CBD) In a CBD, the participant presents a recent clinical case to the assessor, providing de-identified clinical notes, relevant investigations or results, and details of referrals or preventive healthcare plans.

The case must be one that the participant has been primarily responsible for and that is of a medium level of complexity, eg where clinical reasoning is complicated by uncertainty or where decision making requires multiple issues to be considered. An assessor may request a case be presented that focuses on a specific area, particularly one in which the participant has been identified as needing further support.

As the assessor works through the case with the participant, they may pose questions from varying perspectives to explore clinical reasoning further. The participant may also highlight aspects of the chosen case for discussion, depending on their self-identified learning needs.

Participants must submit their CBD cases on the RACGP case submission template at least two weeks prior to the assessment. The quality of the written submission forms part of the assessment and you may be requested to resubmit the case if it does not convey information sufficiently.


The mini-CEXs and CBDs will be conducted by three independent assessors.

Figure 5: WBAs for the SC stream

Completing the WBAs is one of the FRACGP eligibility requirements.

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