Workplace-Based Assessment:

Workplace-Based Assessment (WPBA) comprises a range of assessment modalities designed to evaluate trainees’ performance in clinical settings. Central to WPBA is the direct observation of trainees in real workplace environments, supplemented by relevant feedback, fostering reflective practice. WPBA offers increased feasibility over conventional assessments as it is seamlessly integrated into day-to-day routines.

WPBA Components:

• Mini-CEX (Mini-Clinical Evaluation Exercise):

In this assessment, the trainee is observed directly while performing a focused clinical task during a specific patient encounter to assess and provide feedback on the trainee’s performance.

Competencies assessed include:

• • Medical interviewing skills
  • Physical examination skills
  • Humanistic qualities/professionalism
  • Clinical judgment
  • Counseling skills
  • Organization and efficiency

• DOPS (Direct Observation of Procedural Skills):

The trainee is observed while performing a specific clinical procedure during routine practice against set criteria, followed by a face-to-face feedback session.

Competencies assessed include:

• • Technical skills related to the specific procedure
  • Procedural knowledge
  • Decision-making during the procedure

• CBD (Case-Based Discussion)

Discussing a case with a trainee to assess their actions rather than what they think they might do.

Competencies assessed include:

• • Applied knowledge
  • Clinical reasoning and decision-making
  • Ability to recognize dilemmas and manage complex cases
  • Reflecting on the outcome

• Multisource Feedback (360-Feedback)

This evaluation consists of measurement tools, usually a survey or other rating form, completed by multiple people interacting and working with a learner.

Competencies assessed include:

• • Professionalism
  • Interpersonal and communication skills
  • Systems-based practice