Case-based discussion (CbD) is a workplace-based assessment which is used formatively to help develop a GP trainee's performance and which will also contribute to the judgement made on a trainee's competence at the end of their training. The views of GP trainers and trainee's in their final year of training were explored quantitively to identify if CbD was of value, its limitations and whether or not it could assess a trainee's performance. The results suggest as an isolated assessment it is not possible to fully assess performance. The feedback received by the trainee did encourage the learner to develop and an improvement in performance in subsequent assessments could be demonstrated. This, however, relied on the skills and confidence of the educator in giving feedback. Further work on the development of feedback skills need to be introduced for the benefits of this assessment to be maximised.
This paper describes a new approach to developing strengthened medical appraiser skills prior to the introduction of medical revalidation. We describe how we extended previous skills-based models and competency checklists to produce a behavioural model of effective appraiser performance. Development centre (DC) methods were used to produce a one-day workshop to encourage appraisers to reflect on their current level of ability and to identify and address additional required skills through observation, practice and feedback. In describing the DC, we discuss the impact of using the concept of emotional intelligence (EI) to develop appraiser skills and improve self-awareness. This aimed to support appraisers to effectively influence appraisees' continual professional development (CPD) and review appraisee practice through audit, significant events and patient and colleague feedback, with the ultimate aim of improving patient care. Finally, we provide initial evaluation data for our DC approach.
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