Sunday 2 March 2008

Hospital clinical supervisors and the eportfolio

The hosp clinical supervisors have a hard task. It may not be feasible....

They may focus on GPRs being “good eggs” generally and mark them as competent or excellent, which they are not, in eportfolio terms, as they are not being ranked in competency terms as an independent GP as the WBPA requires, but as an ST1 or ST2 trainee. There is no solution to this as far as I can see, because if, say, a GPR is doing an ENT post, at the end of it he is being assessed by the ENT clinical supervisor as competent in ENT for general practice, not as a competent GP in every respect.

This makes this are of the WBPA unfit for purpose as it currently stands. I think we need to have different approaches to hospital clinical supervision feedback of competencies, therefore. The hospital clinical supervisors feedback comments are “naturally occurring evidence” and should be viewed by the educational supervisor in this light, and his advice to the ARCP panel moderated accordingly.

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