2. Learning Objectives
By the end of the workshop the learner should
understand
• What is DOPS
• Structure of DOPS
• Where and when it has to be conducted
• Feedback
• Role of Assessor
• Role of Trainee
4. DIRECT OBSERVATION OF PROCEDURAL
SKILLS(DOPS)
• Work place based assessment
• Formative assessment
• A concise and validated method of observation
and evaluation of a procedural skill(technical or
practical skills) performed by a trainee on a real
patient
• Supplemented with a developmental feedback
• Strong learning environment
• Positive effect on the students performance and
self confidence
6. Why??
• Patients safety and standards
• Part of CBME
• To develop Trainees practical skill
• Develops Independence during assessment
• Prompts a deeper and higher reflective approach
• Higher satisfaction
7. HOW???
The trainee is responsible for planning when a DOPS will occur
in consultation with the assessor
• The trainee and assessor determine the assessment criteria
to be considered during the DOPS.
• The assessor observes the trainee conducting a procedural
skill : 10-15 mins
• Following observation, a DOPS form should be completed by
the assessor with the trainee present
• The feedback session occurs immediately after the
observation: 5-10 mins
• Maintenance of records
10. I-Independently performed
O-Observed in patients or on simulations
D-Demonstration on patients or simulators and performance under supervision
NMC CBME UG CURRICULUM-SKILL TRAINING MODULE-PG 4-6
PG CURRICULUM
14. ROLE OF ASSESSORS
• Clinically competent
• Familiar with DOPS process
• Smooth conduction
• Observe the procedure without interruption
• FEEDBACK
15.
16. STEPS FOR EFFECTIVE FEEDBACK
PREPARE
COMPLIMENT
COACH-PRESENT
THE FACTS
ENCOURAGE
FOLLOW UP LATER
1
2
3
4
5
17. FEEDBACK LOOP
• Where are you going ?
• Where are you now ?
• How are you going to get there ?
18.
19. ROLE OF TRAINEES
• S- Spread assessments through job
• A-As many assessors as possible
• F-Feedback as well as scores
• E-Evidence it all up(follow up actions)
• R-Reflect on what they do
22. REFERENCES
• Erfani Khanghahi M, Ebadi Fard Azar F. Direct observation of procedural
skills (DOPS) evaluation method: Systematic review of evidence. Med J
Islam Repub Iran. 2018 Jun 3;32:45. doi: 10.14196/mjiri.32.45. PMID:
30159296; PMCID: PMC6108252
• Lagoo JY, Joshi SB. Introduction of direct observation of procedural skills
(DOPS) as a formative assessment tool during postgraduate training in
anaesthesiology: Exploration of perceptions. Indian J Anaesth. 2021
Mar;65(3):202-209
• Kara CO, Mengi E, Tümkaya F, Topuz B, Ardıç FN. Direct Observation of
Procedural Skills in Otorhinolaryngology Training. Turkish Archives of
Otorhinolaryngology. 2018 Mar;56(1):7-14.