External clinical teaching visits
External clinical teaching visits (ECTVs) involve in-practice observation of a registrar, providing an opportunity for the registrar to receive teaching and feedback on their individual performance and consultation skills from someone other than their regular supervisor. Assessments performed during ECTVs, like other WBA activities, are considered low-stakes assessments for the purpose of learning.
ECTVs are generally undertaken by an ME or experienced GP who has received appropriate training in conducting a clinical teaching visit. They may be conducted in person or remotely.
During the visit, the external clinical teacher will:
- observe and assess at least four consultations
- conduct one CCA
- provide feedback to the registrar
- talk to the registrar about their placement
- talk to the registrar about their learning
- talk to the supervisor about the assessment and the registrar’s progress
- talk with the practice manager about the registrar (optional)
- complete reporting requirements.
It is impossible for ECT visitors to plan cases for observation in the clinical teaching session. For this reason, they may use a variety of assessments such as mini-CEX, RCA and CBD during each visit.
During GPT 1 and 2, two ECTVs are conducted. The assessor uses both the mini–CEX and RCA tools to assess and provide direct feedback on the registrar’s performance.
During GPT3, only one ECTV is performed, and the assessor uses the mini–CEX and either the CBD or RCA tool (determined by the assessor).