Specialist Paramedic

Specialist Paramedic

Work Place Based

Assessments

General Practice Placement for Specialist Paramedics Page 1 of17

November 2013

Contents
Page Number

How to complete this booklet

/ 2

Specimen Signatures

/ 6

Mini Clinical Exams

/ 7

Case Based Discussions

/ 9

Multi-source Feedback

/ 11

Patient Satisfaction Questionnaire

/ 13

Clinical Supervisor Report

/ 15

General Practice Placement for Specialist Paramedics Page 1 of17

November 2013

How to complete this booklet

Introduction

The purpose of Specialist Paramedic placement in General Practice is for you to evidence your performance using Work Place Based Assessment (WPBA) tools.

The evidence gained from this placement along with the two elements of the Specialist Practice exam (applied knowledge and clinical skills assessments) will allow you to demonstrate competence as a Specialist Paramedic in Urgent Care.

Work Place Based Assessments (WPBA)

WPBA’s have been used in General Practice for many years and are a broad and multi sourced judgement of performance whilst in practice. For the purpose of this placement you will need to complete a given number of each of the below assessmentswhich will provide your clinical supervisor the evidence required for their final report. The WPBA’s you will be required to complete are outlined below.

Mini Clinical Exams (Mini CEX):You should use Mini CEX as a memory jogger to drive case based discussions and to act as records of important learning activities. Mini CEX are not prescriptive and the outline provided can be amended as required.

Case Based Discussions (CBD): Case based discussions are opportunities for you to discuss cases that you have seen with your GP teacher. They are both planned and opportunist and a requirement of this placement is that you complete a minimum of five, one for each of the below systems:

Cardiovascular
Neurological
Respiratory
Musculoskeletal
Other e.g skin, endocrine, abdomen

Clinical Observation Tool (COT): You will need to have at least one COT. This will be an observation of your consultation skills and will either be done directly, by having a supervisor sit with you or be videoed and discussed subsequently (please note there is no assessment documentation for COTs)

Multi Source Feedback (MSF):You will be required to obtain and reflect upon feedback from members of the General Practice team on your professionalism, interaction and communication. This feedback should be gained once you are established within the practice and it is suggested that youstart this half way through your placement. You will be required to obtain feedback from five clinical and five non clinical staff

Patient Satisfaction Questionnaire (PSQ): You will be required to obtain and reflect upon feedback from patients that you see. This feedback should be gained once you are established within the practice and it is suggested that youstart this half way through your placement. You will be required to obtain feedback from forty patients.

Clinical Supervisor Report: It is a requirement of this placement that your clinical supervisor signs off a final report. In order for them to do this they will review the evidence you have collected as above.

Summary of placement requirements

Mini CEX = 5
CBD = 5
COT = 1
MSF = 5 Clinical & 5 Non Clinical
PSQ = 40
Final Clinical Supervisors Report

Additional Information

You are responsible to drive the assessment required for this placement. You will be able to get advice on format and opportunities for each assessment within tutorials and from members of the practice team. Failure to obtain the required amount of assessments may mean that you are not able to evidence your performance.

One copy of each WPBA is included within this booklet; you will be required to print out additional copies for your placement.

It is strongly recommended that you purchase and read Peter Tate’s The Doctors Communication Handbook prior to your placement.

Assessment criteria (I.N.C.E.)

I.N.C.E

Each WPBA is a judgement on your performance. There are no pass/fail assessments and the standard of assessment is outlined below.

I ~ Insufficient evidence: From the available evidence, the PP’s performance cannot be placed on a higher point of this developmental scale.

N ~ Needs further development: Rigid adherence to taught rules or plans. Superficial grasp of unconnected facts. Unable to apply knowledge. Little situational perception or discretionary judgement.

C ~ Competent: Accesses and applies coherent and appropriate chunks of knowledge. Able to see actions in terms of longer-term goals. Demonstrates conscious and deliberate planning with increased level of efficiency. Copes and is able to prioritise.

E ~ Excellent: Intuitive and holistic grasp of situations. Identifies underlying principles and patterns to define and solve problems. Relates recalled information to the goals of the present situation and is aware of the conditions for application of that knowledge.

Suggested Timeline

Below is a suggested timeline or completion of WPBAs.

Week 1 / Week 2 / Week 3 / Week 4 / Week 5 / Week 6 / Week 7 / Week 8
Induction / Observation
Practice
Clinic / Mini Cex
CBD
Clinic / Mini Cex
CBD
MSF
PSQ
COT
Clinic / Mini Cex
CBD
MSF
PSQ
Clinic / Mini Cex
CBD
MSF
PSQ
Clinic / Mini Cex
CBD
MSF
PSQ
Clinic / Supervisor
Report
Clinic

Once you have completed your placement and this book, please provide a copy of this for your training records. The copy should be sent to:

Jean Duffy

Training Records

South East Coast Ambulance Service NHS Foundation Trust

Education, Training and Development

Galleon House

King Street

Maidstone

Kent ME14 1BG

Specimen Signatures

It essential that all mentors/educators/assessors whose signatures appear in the clinical competence framework document and/orthe university modular competency handbooks, complete the form below,providing a specimen signature and details of their clinical role.

Title/role / Name / Specimen Signature / Date
Mini CEX
Patient details (Initials only)
Presenting Complaint
History of Presenting Complaint
Past Medical History
Medicines and Allergies
Social History
Review of Systems Physical Examination
Impression
Differentials
Plan
Paramedic Practitioner – Case Based Discussion
Paramedic Practitioner's Surname
Paramedic Practitioner's Forename
Paramedic Practitioner's HPC Number
Assessor's Name
Assessor's GMC number
Assessor's Position
Clinical Setting
Please select & Circle as appropriate:
Demonstrates Holistic assessment / I / N / C / E
Data gathering and interpretation / I / N / C / E
Making diagnoses/decisions / I / N / C / E
Clinical management / I / N / C / E
Managing medical complexity / I / N / C / E
Primary care administration/ IMT / I / N / C / E
Working with colleagues and in teams / I / N / C / E
Community orientation / I / N / C / E
Maintaining an ethical approach / I / N / C / E
Fitness to practise / I / N / C / E
Overall assessment / I / N / C / E
Feedback and recommendations for further development
Agreed action
Time taken for discussion (in minutes)
Time taken for feedback (in minutes)
Paramedic Practitioner Multi Source Feedback – Stuart Rutland
Part A - This part should be completed by all respondents
Please select the most appropriate description which defines your Job Title:*

Doctor
Nurse
Administration
Other Health Care Professional
Please provide your assessment of this Paramedic Practitioners overall professional behavior*

Notes: You may wish to consider the following:
The Paramedic Practitioner…

is caring of patients
is respectful to patients
show no prejudice in the care of patients
communicates effectively with patients
respects other colleagues’ roles in the health care team
works constructively in the health care team
communicates effectively with colleagues
speaks good English and at an appropriate level for patients
does not shirk his/her responsibilities
demonstrates commitment to their work as a member of the team
takes responsibility for own learning

Comments (Where possible please justify comments with examples)
Highlights in performance (areas to be commended)*
Possible suggested areas for development in performance*
Part B - To be completed by Clinical staff only
Please provide your assessment of this Paramedic Practitioners overall clinical performance

Notes: You may wish to consider the following:
The Paramedic Practitioner’s ability to…

conduct a thorough history and physical
identify patients’ problems
take a diagnostic patient-centred approach
select appropriate diagnostic tests
involve members of the primary health care team appropriately
learn from clinical practice
perform clinical and technical skills skillfully
manage time appropriately

Comments (Where possible please justify comments with examples)
Highlights in performance (areas to be commended)*
Possible suggested areas for development in performance*
Acknowledgements: This two question Multi-Source Feedback (MSF) was developed by Drs Douglas Murphy, David Bruce and Kevin Eva on behalf of NHS Education Scotland (2005-2006).

Specialist Paramedic - Patient Satisfaction Questionnaire

Please Rate the Paramedic on... (Please circle the most appropriate rating)

Stuart Rutland

1: Making you feel at ease… (Being friendly and warm towards you, treating you with respect; not cold or abrupt)