Changes to the assessment of Clinical Examination and Procedural Skills in WPBA have been implemented on the ePortfolio from March 22nd 2016:
Rather than being assessed in isolation from other areas of GP Competence as occurred with the old DOPS, appropriate clinical examinations and any procedures are now included as a competence that trainees must achieve in order to pass WPBA in the MRCGP. There are helpful competence descriptors for the levels of attainment on the ePortfolio. The level of attainment is that of any competent General Practitioner and relates to all the skills and procedures involved in clinical examination including communication skills, documentation, appropriate examination etc.
As with other competences the trainees are asked to accumulate evidence in their portfolio demonstrating their level of attainment in this area. The evidence may be documented via:
1. The CEPs evidence form (in the Evidence section of the portfolio)
which can be completed by a suitable assessor for a clinical procedure e.g. Trainer, Clinical Nurse Specialist, Specialist trainee at ST4 or above
1. Log diary entry for GPSTR to complete 2. Mini CEX 3. COT 4. MSF 5. CSR 6. DOPS [ Although these are no longer added to the portfolio those already recorded can be used as evidence]
Existing assessment forms have been adapted to include a section on CEPs.
Similar to all other competences, trainees will be asked to comment on their level of achievement in their 'Self Ratings' and link appropriate evidence to support their statements.
There is no set number of CEPs to perform, but there needs to be enough to demonstrate to the supervisor's satisfaction competence in clinical examinations. This will be different for each individual depending on skills and previous experience. There are however some particular examinations that need to be specifically included. These are breast examinations, rectal and prostate examinations, and the examinations of male and female genitalia.
You will be asked specifically to comment on the level of competence of these areas in your Educational Supervisor reports.
For further detail I would encourage you and your trainees to look at the helpful guidance produced by the RCGP:
and the training manual for CEPs :