Consultation Observation Tool

The COT is an expanded version of the MiniCEX and considers consultations with real patients in real time during primary care placements. It assesses the clinical skills and professionalism necessary for good clinical care within consultations and this includes performance of the more holistic judgments needed to consult in General Practice

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More information on COT on the RCGP website

Case based Discussions

The CbD is a structured oral interview designed to assess professional judgement in a clinical case. The assessment assesses a trainees performance against the Capabilities and looks at how they made holistic, balanced and justifiable decisions in relation to patient care. It assesses their understanding and application of medical knowledge, ethical frameworks, ability to prioritise and how they recognised and approached the complexity and uncertainty of the consultation.

Trainees are expected to complete four CbDs in each training year (2 in each 6 month period for a full time trainee)

Cbd question generator for GPs

Care Assessment Tools (CATs)

CATs are undertaken in ST3. A minimum of 4 Case based discussions (CbDs) will be required in both ST1 and 2, and a minimum of 5 CATs (which can include CbDs) by the end of ST3

Suggested CAT formats

  • Case based discussion (CbD)
  • Random case review
  • Leadership activities
  • Prescribing assessment follow up
  • Referrals review
  • Other e.g. debriefs, review of investigation or imaging use, follow-up of QIP

More information on the RCGP website