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O rthopaedic C ompetence A ssessment P roject

O rthopaedic C ompetence A ssessment P roject. Using the tools David Pitts d.pitts@rcsed.ac.uk. OCAP – Mission. Improve the quality of HST in orthopaedics through the introduction of a competence based portfolio of coaching and assessment tools. This Presentation. Overview of system & tools

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O rthopaedic C ompetence A ssessment P roject

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  1. OrthopaedicCompetenceAssessmentProject Using the tools David Pitts d.pitts@rcsed.ac.uk

  2. OCAP – Mission • Improve the quality of HST in orthopaedics through the introduction of a competence based portfolio of coaching and assessment tools

  3. This Presentation • Overview of system & tools • Trainer profile • Learning Agreement • Procedure Based Assessments • Records • Coaching

  4. Overview Curriculum Vitae Coaching, Assessment & Recording Tools Knowledge Assessment Trainer Profile Learning Agreement Evidence Procedures Coaching

  5. Curriculum Vitae Features Knowledge Trainer Profile Procedures

  6. Curriculum Vitae Features Knowledge Trainer Profile Procedures

  7. Knowledge Assessment Curriculum Vitae Trainer Profile Learning Agreement Evidence Procedures Coaching Features

  8. Knowledge Assessment Curriculum Vitae Trainer Profile Learning Agreement Evidence Procedures Coaching Overview

  9. Overview Curriculum Vitae Coaching, Assessment & Recording Tools Knowledge Assessment Trainer Profile Learning Agreement Evidence Procedures Coaching

  10. Only 3 pieces of paperwork All will become electronic in time Meeting 3 Completed PBA’s Consolidation Sheet PBA Meeting 2 PBA Meeting 1 Entire process driven by trainee Learning Agreement Trainer Profile

  11. Curriculum Vitae Developing a Trainer Profile Knowledge Trainer Profile Procedures

  12. What I do (Procedures) In collaboration with Trainee What you need to know about what I do (Knowledge) Supported by Templates One time only! What you need to know about me (CV)

  13. Tools in detail Trainer Profile 1:Procedures • Procedures map • Based on e-logbook • Template on CDROM • Add your name • Delete inapplicable • Add whatever’s missing • Comprehensive? • Willing to teach? • Save as new file

  14. Tools in detail Trainer Profile 2:Knowledge Knowledge map • BOA syllabus • Template on CDROM • Add your name • Delete inapplicable • Delete rows, backspace! • Add anything missing • Develop over time!

  15. Tools in detail Trainer Profile 3: Mini-CV • CV (brief) • Build relationship • Communicate expectations of Trainee’s performance, behaviour, attitude… • Samples on CDROM • Add your name • Add photograph • Cut & paste • Save as new file

  16. Curriculum Vitae Using a Trainer Profile Knowledge Trainer Profile Procedures

  17. 1. Using the CV • Build relationship • Communicate expectations • Performance • Behaviour / conduct • Attitude… • “Being a surgeon is more than doing surgery”

  18. 2. Using the Procedures profile 1st year trainee 4th year trainee

  19. 3. Using the Knowledge profile • 1 = Knows of • 2 = Knows basic concepts • 3 = Knows generally • 4 = Knows specifically & broadly • BOA syllabus • Not the exam! • To help trainee make progress • Guide reading/study

  20. This Presentation • Overview of system & tools • Trainer profile • Learning Agreement • Procedure Based Assessments • Records • Coaching

  21. Meeting 3 Learning Agreement PBA End of attachment summary Meeting 2 PBA Progress Review Meeting 1 Agenda Setting Each meeting 20 minutes?

  22. Meeting 1 • Review materials completed by trainee beforehand • Tick boxes • Sign form • Length/depth of discussion & how much you write is up to you

  23. Meeting 2 • Provide feedback to trainee • Review feedback already given in theatre or assessments • Tick boxes • Agree actions • Sign form

  24. Meeting 3 • Trainee completes reflection beforehand (detail up to you) • Trainer & trainee agree progress • Tick boxes • Sign form

  25. This Presentation • Overview of system & tools • Trainer profile • Learning Agreement • Procedure Based Assessments • Records • Coaching

  26. Results entered onto PBA summary sheet Meeting 3 PBA Individual sheets signed and kept in portfolio Meeting 2 PBA Triggered by Trainee or trainer Meeting 1 Agree which ones (all or part) at first meeting

  27. Mini-PBA (DOPS) Closed mgt of # Clinic activity in T&O Debridement of wound Hand Carpal tunnel decompression Digital and palmar fasciectomy Knee Diagnostic arthroscopy & simple arthroscopic procedures Total knee replacement Foot 1st ray surgery Hip Total hip replacement Spine Lumbar discectomy Generic template Trauma Compression hip screw intertrochanteric fracture neck of femur Hemiarthroplasty intra capsular fracture neck of femur Application of limb external fixator Operative fixation Weber B ankle fracture Fixation by tension band wiring, olecranon & patella Intramedullary nailing femoral or tibial shaft Tendon repair In development Upper limb Paediatric Tools in detail Current PBAs (01 03 05)

  28. Triggered Trainee or trainer Objective Passed / To be improved Indicative Formative individually Summative as whole collection Common format Consent Preoperative planning Preoperative preparation Exposure & closure Intra operative technique Post operative mgt Tools in detail Performance Based Assessments Users Guide on website

  29. Example: THR • Trainee has forms beforehand (no surprises) • Trainer agrees to the PBA (patient, trainee etc) • Trainee conducts procedure observed by trainer • Usually scrubbed • Trainee verbalises, explains what intentions are • Trainer steps in as/where necessary • Forms completed and feedback given immediately after procedure

  30. This Presentation • Overview of system & tools • Trainer profile • Learning Agreement • Procedure Based Assessments • Records • Coaching

  31. Learning Agreement

  32. Tools in detail PBA Consolidation sheet • For discussion at RITA • Must be presented on request • Compares scores across PBA’s • Evidence of “Learning” • Trainee updates as attachment progresses • Brings to meeting 2 & 3

  33. Final summary: PBA Consolidation sheet(2 sides)

  34. Portfolio Checklist • Weekly timetable for attachment SAC • Details of on call rota • Trainer CV (from trainer portfolio) • Procedures Profile (original, signed) • Knowledge Profile (original, signed) • Learning Agreement agendas (original, signed) • All individual assessments completed (original, signed) • In-house educational programme (with note of sessions attended) • Evidence of activity on audit/research project • Details of significant events (to include clinical and professional incidents (and outcomes)) • Details of absences from training post

  35. This Presentation • Overview of system & tools • Trainer profile • Learning Agreement • Procedure Based Assessments • Records • Coaching

  36. Mindmap Viewer software free via website Positive & negative behaviours Facilitates feedback Personal Effectiveness

  37. This Presentation • Overview of system & tools • Trainer profile • Learning Agreement • Procedure Based Assessments • Records • Coaching

  38. Knowledge Assessment Curriculum Vitae Trainer Profile Learning Agreement Evidence Procedures Coaching Overview

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