MRCGP and ePortfolio

MRCGP

There is a single assessment process for doctors who wish to obtain a Certificate of Completion of Training (CCT) in general practice. This is an essential requirement for entry to the GMC Generalist Register and Membership of the Royal College of General Practitioners (MRCGP). The assessment procedure is termed MRCGP and full information can be found at:

www.rcgp.org.uk/training-exams/mrcgp-exams-overview.aspx

Resources to help prepare for the CSA are available on the RCGP website:

www.rcgp.org.uk/training-exams/mrcgp-exams-overview/mrcgp-clinical-skills-assessment-csa.aspx

Tips on preparing for the AKT

The RCGP exams team has launched 2 freely available resources for GP trainees planning to sit eht AKT.  Both resources have been prepared by the AKT core group in conjunction with AITs and reflext a practical approach to taking the exam. 

These 2 resources are 'Preparing to take the AKT' and the 'AKT Podcast', both of which are available at RCGP AKT exam webpage.

AKT Tips - from a Sheffield GP trainee

AKT Tips - from the December 2013 BMA GP Trainee Newsletter

www.bradfordvts.co.uk/mrcgp/akt/ - Bradford GPSTP website

Tips on preparing for CSA and practice cases
ePortfolio

The guide in the downloads section below 'ePortfolio Pearls - making the ePortfolio work for you' explains how to make the most of your ePortfolio - please read it and save for future reference as it will tell you almost everything you need to know.

Again, there is also a lot of useful information on the Bradford GPSTP website:

www.bradfordvts.co.uk/mrcgp/eportfolio/

and there is information on a wide variety of topics in the FAQs section in ePortfolio, including how to complete MSF and PSQ:

trainee.gpeportfolio.rcgp.org.uk/Common/FAQs/FAQs.aspx

Quantity and Quality of Entries

Whilst quality is the most important element of your ePortfolio entries, if there is not enough quantity then there will not be enough material to assess the quality.

Remember in this process the ePortfolio, not the doctor, is assessed so you must ensure your ePortfolio reflects you. Please use it to show excellence not just to meet the minimum requirements (see below). Following are some guidelines on what you should include. You should also remember to include reading and other Deanery ARCP recommendations (see below) and keep your PDP up to date.

This should result in a minimum of 2 entries a week in hospital posts and considerably more in GP posts.

It is not acceptable to store up lots of entries and then share them in one big batch as this does not allow your ES to provide timely feedback.

Trainees making fewer entries than the recommended number are likely to be referred to Deanery ARCP panel as there will be insufficient evidence of satisfactory progress.

REMEMBER it is YOUR responsibility to keep your ePortfolio up to date - it is NOT your educational supervisor's job to chase you up/send reminders.

Guidance on ePortfolio Reflective Log Entries

Guidance on what to be wary of when adding learning log entries to your ePortfolio can be found at:

rcgp-news.com/p/49LX-20X/message-from-helen-stokes-lampard

Minimum number of competent assessments required in WPBA

To avoid any problems with your final ARCP panel outcome and CCT, good practice would be for you to have provided evidence of competence for all the professional competences in WPBA and in learning log entries via validation by your Clinical Supervisor.

Good practice would be to have demonstrated competence on a number of occasions in CBDs and COTs over your ST3 for the more common competences (making a diagnosis and decisions, clinical management, managing medical complexity) and at least once in the less easily demonstrated competences (community orientation, organisation, fitness to practice).

Less Than Full Time Trainees (LTFT)

There is information regarding the number of assessments required on the RCGP website at:

www.rcgp.org.uk/gp-training-and-exams/mrcgp-workplace-based-assessment-wpba/less-than-full-time-trainees.aspx

What to include

In a GP post, include ALL:

  • Tutorials
  • GPSTP teaching sessions
  • OOH sessions
  • Interesting cases
  • Complaints
  • SEAs
  • Material from debriefs - this might be about one case or several case. We would expect to see entries made for most debriefs at the beginning of the first GP post.

In a hospital post, include ALL:

  • GPSTP teaching days
  • In-house teaching which is relevant to GP
  • Interesting cases
  • Complaints
  • SEAs
NOE (Naturally Occurring Evidence) Recommendations

NOE refers to evidence you need to include in your learning log which is not easy to demonstrate in the WPBA (CBDs, COTs, etc.).  NOE should help you to show you have achieved the competencies (in particular the teaching element of Maintaining Performance, Learning and Teaching, Fitness to Practice, Community Orientation and Working with Colleagues and in Teams), as well as well as providing evidence that you have covered the curriculum; in particular.  HE Yorkshire & The Humber has developed a Workbook in Excel format to help you to signpost this evidence.

In addition to this, you need to provide evidence of sufficient and satisfactory out of hours (OOH) training, detail any leave taken, and record complaints or Significant Events (as defined by the GMC) or their absence.

There is full information, including the latest version of the Workbook, on the School of Primary Care website at:

www.yorksandhumberdeanery.nhs.uk/general_practice/trainees/naturally_occuring_evidence/

Assessors for WPBA

Please note that assessors for your COTs, CBDs and miniCEX must be grade ST4 or above.

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