Workplace Based Assessments (WPBA)
These are in essence a way of looking at how a doctor performs in practice, as well as their underlying knowledge base. They can be either formative (helping to guide development) or summative (pass/fail).
The type of WBA chosen will depend on what needs to be assessed, for example a DOPS can be used to assess a practical skill (e.g. line insertion), whereas a CBD can be used to assess knowledge (e.g. a trainees’ understanding of the process behind lung transplant).
The function of the assessment is to provide you as the learner with a mechanism for training through guidance and feedback. These WPBA also provide evidence of competence.
WPBA can be based on:
• Observation - Dops/ Mini - CEX
• Discussion- CBD
• Feedback - MSF
• Multifactorial - ALMAT
• End of unit - CUT
The RCoA has extensive guidance on WBA’S available HERE
. This webpage provides an overview of WPBA’s as well as requirements for assessment in both units of training, and those necessary for progression to the next level of training.
The WPBA requirements for ACCS training are quite complicated. Rather than duplicating the information on these webpages, the trainee is advised to visit the ACCS pages HERE
WPBA are "Linked" to Units of Training (UoT). Trainees are advised to link appropriate WPBA to multiple UoT to help meet minimum WPBA requirements and demonstrate competence in multiple areas. For example:
A trainee who chooses to request a DOPs for performing an axillary nerve block for a minor Orthopaedic case, thereby allowing the patient to go home the same day could link the DOPs to Regional, Orthopaedic and Day Case modules.
A trainee who requests a mini-CEX for anaesthetising a five year old for tonsillectomy could link the CEX to Paediatrics, ENT, Airway and Day Case modules.