We’ve made some changes to registrar assessments for 2020

WAGPET is introducing some changes to the registrar education and assessment framework in 2020. 

Why have we made these changes?

WAGPET have been utilising the Programmatic Assessment framework for the past three years. During which we’ve sought constant feedback from our registrars, supervisors, practice managers and internal staff.

We’ve taken this feedback, alongside changes to college policies and results from numerous bodies of research and made some changes to the registrar education and assessment framework, taking effect in January 2020. 

Many of our supervisors are already aware of these changes. However, in preparation for semester one commencing on Monday, 13 January 2020, we thought it would be pertinent to summarise these changes.

All these changes will be reflected in more detail in both our 2020 Training Facility Handbook and 2020 GP Registrar Handbook. The 2020 editions will be available in the week of Monday, 6 January 2020 on the Forms, Policies and Guides page of the WAGPET website. If you have any questions about the changes to WAGPET’s education and assessment program, please do not hesitate to contact your program training advisor.

Early GP safety assessment

Commencing January 2020, all new GPT1/PRRT1 registrars will undergo an early GP safety assessment. There are several reasons for this:

  1. To determine if registrars new to community GP are safe in their practice,
  2. To identify and support struggling registrars early and give required support to practices and supervisors,
  3. To build on our current programmatic assessment model, and
  4. To improve exam pass rates and training completion.

The early GP safety assessment consists of:

  • GP365 supervisor direct observation assessment of three to six consultations by week four of the semester.
  • 60 MCQ questions to be completed by week four of the semester. These are designed to assess a registrar’s clinical knowledge and identify knowledge gaps.
  • ECT visit conducted by their RME during or before week eight, with completion of an additional seven safety questions.
  • GP365 multisource feedback to be completed by week eight of the semester to give feedback from practice staff on a registrar’s communication skills, teamwork and professionalism.
  • Common GP problems workshop for GPT1/PRRT1 registrars, run at WAGPET in week seven or eight.

The early GP safety assessment is focussed on whether a registrar is practising safely early in practice. It assesses whether registrars are aware of their knowledge gaps and when they require assistance.

It is expected that most registrars will be safe. However, the early safety assessment will assist in identifying registrars who may require additional support and will allow WAGPET foresight into providing additional support to practices who may require further assistance.

If you're a supervisor who's attended one of our recent webinars, please note that the ”seven safety questions” discussed at the webinar will not be required from supervisors in semester one as the online assessment is still in development. We will keep you updated on this in 2020.

Key Clinical Activities (KCAs)

The GP365 online education program was introduced in 2017. It provides structured, evidence-based learning of foundation general practice topics through completion of KCAs. All registrars in GPT1/PRRT and GPT2/PRRT2 are given access to the program and are highly recommended to complete their KCAs at a rate of two to three per week.

As a means of ensuring registrars are competent in a clinical area, KCAs should be discussed during in-practice teaching sessions.

However, from 2020, WAGPET will not formally track completion of KCAs. WAGPET recognises that GP registrars are adult learners and are responsible for their education and study. GP supervisors are also well-equipped to judge whether a registrar is competent in an area of medicine.  

Part-time registrar education

Since 2017, part-time registrars have completed full-time education requirements. They have been required to complete all KCAs in their first 12 months of training as well as in-practice face-to-face teaching.

WAGPET has received feedback on this model and identified that many part-time registrars would benefit from increased flexibility to complete their education and assessment requirements. From January 2020 there are several changes to education and assessment requirements for part-time registrars commencing GPT1/PRRT1, these include:

  • KCAs recommended to be completed over GPT1/PRRT1 and GPT2/PRRT
    • 60 KCAs recommended to be completed and marked by end of GPT1/PRRT1 (first 12 months)
    • Remainder recommended to be completed and marked by end of GPT2/PRRT2 (second 12 months)
  • In practice funded teaching spread over GPT1/PRRT1 and GPT2/PRRT2
    • One hour face-to-face per week in GPT1/PRRT1 (first 12 months) and 30 minutes face-to-face per week in GPT2/PRRT2 (second 12 months)
    • Total 1.5 hours per week funded in GPT1/PRRT1, total 1 hour per week funded in GPT2/PRRT2
  • All new registrars in community practice are to complete an early safety assessment by week eight of the semester
  • Mid and end of semester entrustable professional activities assessments continue on a three monthly basis
  • The remainder of assessments will be completed on a pro-rata basis
    • Supervisor direct observation (excluding safety assessment)
    • Multisource feedback (excluding safety assessment)
    • MCQ (excluding safety assessment)
    • Video review assessment
    • ECT visits (excluding safety assessment)

Part-time registrars who commenced prior to 2020 will continue with previous requirements. Part-time registrars will continue to attend regular regional education days (formally mini-releases) in the first 12 months of GP training. There will be a full timetable of assessment due dates for your registrars on GP365. If you have any questions about the part-time registrar requirements, please contact your program training advisor.

Other assessments

From January 2020, all registrars, regardless of term level, will require a mid and end semester assessment using the entrustable professional activities (EPA) assessment. This includes registrars in an ‘extension for assessment’ term. The procedural skills logbook is no longer a mandatory requirement for RACGP registrars. However, it is still highly recommended that it be used by registrars and supervisors to guide learning and teaching of procedures in general practices. If you have any questions about the changes to WAGPET’s education and assessment program, please do not hesitate to contact your program training advisor.

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