WPBA

1. ASSESSMENT OF CLINICAL AND PRACTICAL
SKILLS
Dr.Tina Priscilla
Associate Professor
DVL
Apollo
Medical
College

2. LEARNING OBJECTIVES
Assess skills at the workplace
Use a skills lab to assess competency
Design a skills assessment station

3. ‘Clinical skills’
History-taking
 Physical examination
Clinical investigations,
Diagnostic reasoning,
 Procedural perfection,
Effective communicatio
Team work
 professionalism.
Ongoing
Formative
Summative
Need of more assessment
tools in the toolkit
The Bridge between Knowledge and Skill is PRACTICE
The Bridge between skill and mastery is TIME-Jim Bouchard
SKILL ASSESSMENT

4. ASSESSMENT PLANNING

5. Intellectual skills-MCQ
- EMCQ
- Case presentations
Shows How- Longcase
-OSCE
-Simulations
Does-WPBA

6. WORK PLACE BASED ASSESSMENT

7. WORK PLACE BASED ASSESSMENT
 Target this highest level of the pyramid
 Group of assessment modalities which evaluates
trainees’ performance during the clinical settings.
Assessment of what doctors actually do in practice
WPBA

9. Observation of
clinical performance
DOPS
MINIcex
Discussion of clinical
cases
CbD
Feedback
Multisource feed
back (360° assess
ment)
MPA
TAB
Patient satisfaction
questionnaire
WORK PLACE BASED ASSESSMENT
Assessment tools

11. MINI cex
A workplace-based assessment a short episode of real student-patient interaction within
the workplace
observed and judged by the supervising clinician (observer)
followed by immediate feedback

12. where How what Time
OPD
ER
IP
TRIANGULATION
Complete
clinical skills
15 min-exam
5 min -feedback

13. Diagnostic errors
Improve patient care
Increase Patient satisfaction

14.  procedural skills essential to the provision of good
clinical care.
 practical procedures with a different observer for eac
h encounter
Behaviours observed in a DOPS
-Relevant anatomy and technique
-Obtaining informed consent
-Demonstrating appropriate preparation preprocedure
-Appropriate analgesia or safe sedation
-Technical ability
- Aseptic technique (if appropriate)
-Seeking help where appropriate
-Post procedure management
-Communication skills
-Consideration of patient/professionalism
-Overall ability to perform procedure

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Phase 2
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17. Structured discussion between how a clinical case
was managed by the trainee
Selection of cases and presentation
structured, in-depth discussion
decision-making and application of medical
knowledge
 explore professional judgment.
enables the discussion of the ethical and legal
framework of practice.
Case based discussion-CbD

18.  Knowledge
about the
procedure
 Informed
consent
Pre procedure
preparation
 Analgesia
 Technical ability
 Post procedure
management
 Counselling and
 Communication
DOPS
Short tutor
observations (15-
20mins)
Medical
interviewing skills
Physical
examination skills
 Professionalism/
humanistic qualities
 Clinical
judgement
 Counselling skills
 Organisation and
efficiency
Mini CEX
doctors’ own
Patients (cases)
are used for a
conversation or
discussion that
provides the main
impetus to assess
trainee’s applied
knowledge, clinical
reasoning and
decision-making.
CbD
Mini peer
assessment tool
(mPAT)
Team assessment
of behaviors (TAB)
Patient Satisfaction
questionnarie
(PSQ)
MULTI SOURCE
FEEDBACK(360”)
Collection of
papers
Evidence of
lerning
outcome

19. Strengths WPBA Weakness WPBA
STRONG LEARNING ENVIRONMENT
LEARNING ENVIRONMENT
Strong learning
environment
Validity and
reliability of result
Implementtion
issues

20. You can resize these icons
keeping the quality.
You can change the stroke
and fill color; just select the
icon and click on the paint
bucket/pen.
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We cannot assess everything, So sample carefully so that we get
an accurate idea of the big picture