1. Introduction
This guidance document provides further information on the Satisfactory Completion Framework as detailed in the Practice Experience Program – Standard Stream Progression Policy.
2. Context
Practice Experience Program (PEP) participants are required to complete the educational components of the program to a satisfactory standard. The Satisfactory Completion Framework describes the criteria against which this requirement is measured, both in relation to term progress reports and final reports. The criteria for each of these reporting stages are outlined in detail below.
As per the Practice Experience Program – Standard Stream Progression Policy, access to a provider number under the PEP following the program (post-education component of PEP) is dependent upon satisfactory completion. While progress reports will inform the decision-making process, the final determination will be made on the basis of the final report. The RACGP PEP team will monitor your program activities on the PEP portal and liaise with your Training Organisation to determine program completion.
3. Criteria for satisfactory completion
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Not met
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Met
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Self-directed learning
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Does not demonstrate engagement in self-directed learning
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Engages in self-directed learning evidenced by attainment of at least 40 Continuous Professional Development (CPD) points (or equivalent) per 12 months in the PEP.
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Workplace-based assessment (WBA)
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Does not participate in any clinical assessments
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Completes at least 4 mini-CEX assessment as applied to Direct Observation per term
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Completes at least 2 clinical case analyses (either case-based discussion or random case analysis) per term
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Completes an additional 6 mini-CEX or clinical cases analyses per term.
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Does not complete a Multisource Feedback (MSF) process on completion of the program
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Completes a MSF process
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4. Glossaries
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Clinical case analysis
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A hybrid assessment comprising oral questioning and reviewing clinical notes or case reports.
The PEP Standard Stream offers two options for clinical case analysis:
- Case-based discussion (CBD) requires that participants submit three-four cases on the RACGP case submission template at least two weeks prior to the assessment. Participants can use the case reports that they have written as part of their learning unit completion. The assessor will review their cases and select two cases for discussion. If the cases are not at a satisfactory standard, then the assessor can return these to participant for revision.
- Random case analysis (RCA) is undertaken by the assessor randomly selecting patients seen by the participant in the preceding week. The assessor will need access to the participants appointment book and patient notes.
Please see the PEP Standard Stream Participant Guide for further information.
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Mini-CEX assessment
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Mini-Clinical Evaluation Exercise Assessment is a specific WBA tool used to assess those criteria best evaluated by direct observation of a participants performance in practice and provide feedback on their performance.
The Mini-CEX is flexible, allowing each assessment to be focused on one or more specific areas of the clinical encounter.
Direct observation of consultations can occur via a variety of modalities:
- Direct observation of consultations in your practice – either face-to-face by an ME, using alternative modalities such as Zoom or Skype, or via review of recorded consultations.
- Direct observation of consultations with a simulated patient – either face-to-face by an ME or using alternative modalities such as Zoom or Skype.
Please see the PEP Standard Stream Participant Guide for further information.
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Multisource feedback
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A well-recognised, valid and reliable method of assessing interpersonal and professional behaviour, development and clinical skills.
MSF has three components:
- a colleague feedback assessment tool and a self-assessment tool, known collectively as the Colleague Feedback Evaluation Tool (CFET).
- a patient assessment tool, the Doctors’ Interpersonal Skills Questionnaire (DISQ).
- a self-reflection component where you rate yourself against the questions in the CFET.
Please see the PEP Standard Stream Participant Guide for further information.
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Workplace-based assessment (WBA)
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The assessment of day-to-day working practices undertaken in the working environment. The WBA enables assessment of competencies in a real-world setting.
Please see the PEP Standard Stream Participant Guide for further information.
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5. References
Practice Experience Program – Standard Stream Progression Policy
PEP Standard Stream Participant Guide