Clinical Supervision Bulletin – August 2021 
Issue #5 

Who is this bulletin aimed at? 

All clinical supervisors and their trainees. 
Specific training pathways may have their own recognised workplace-based assessments. Please make sure you are familiar with them and their exact training requirements. 

What are workplace-based assessments (WPBAs)? 

WPBAs refers to a group of assessment instruments that may be used to assess the actual practice of a trainee in the workplace. 
They target the higher end of Miller’s pyramid - allowing the trainee to demonstrate ‘shows how’ and ‘does’. 
Pyramid with 4 level. Bottom 4th level is 'Knows'. 3rd level is 'Knows how'. 2nd level is 'Shows how (competence). Top 1st level is 'Does (performance)'.
Some examples and tips for WPBAs that are used in practice are discussed below. 

Case-based discussions (CBDs) 

Purpose: To discuss an outcome/output from workplace activity using a case record/result. 
Tips for trainees: 
Select a case that is sufficiently challenging and demonstrates at least 1 competency 
Justify your reasoning and decision-making 
Acknowledge areas of further development and how to address them 
Tips for supervisors: 
Avoid teaching ‘on the hoof’ during exploratory discussion 
Do not make judgements until discussion finished 
Do give constructive feedback 
Ensure questions from peers are relevant 

Clinical examination and procedural skills assessment record (CEPSAR) / Direct observations of practical skills (DOPS) 

Purpose: To observe and assess the conduct of a practical procedure. 
Tips for trainees: 
Complete mock sessions 
Be clear on what you wish to demonstrate 
Don’t forget patient consent 
Tips for supervisors: 
Calibrate minimal acceptable standards 
Consider patient feedback 

Multi-source feedback (MSFs) / Patient satisfaction questionnaires (PSQs) 

Purpose: To receive feedback about areas including professionalism, interpersonal skills and communication. 
Tips for trainees: 
Select a broad range of work colleagues 
Ask your staff to hand out the PSQs 
Remember these are learning tools 
Tips for supervisors: 
Relay global trends and avoid focusing on isolated negative feedback 
Agree any areas of further development 

Top tips for successful use of WPBAs: 

Plan ahead 
Establish clearly what competencies are being assessed 
Supervisees should be open to feedback 
View them as learning tools - we all have BLIND SPOTS! 

What other resources / support is available? 

There are resources available on the Clinical Supervision section of the website. 

Other Clinical Supervision Bulletins 

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