WPBA Background

The following is the minimum evidence required at the time of writing for up to date information see the RCGP site.

Minimum requirements prior to 12 month review.

6 x mini-CEX (if in secondary care) / COT (if in primary care) 

6 x CbD 

2 x MSF (each with a minimum of 5 replies from clinicians plus 5 non-clinicians if in primary care) 

1 x PSQ (if in primary care) 

CEPS as appropriate

clinical supervisors report from each hospital post

Minimum requirements prior to 24 month review.

6 x mini-CEX (if in secondary care) / COT (if in primary care) 

6 x CbD 

1 x PSQ (if in primary care and not already completed in ST1) 

CEPS as appropriate

clinical supervisors report from each hospital post

Minimum requirements prior to 36 month review.

12 x CbD 

12 x COT 

2 x MSF (each with 5 clinicians and 5 non-clinicians)

1 x PSQ

This is a structured interview with a GP, consultant or registrar designed to explore your professional judgement in clinical cases. You select and present the cases and the assessor will ask questions to elicit evidence of competence.

You must do a minimum of 3 CBDs per 6 months in ST1 and ST2 and 6 per 6 months in ST3.


A consultant or registrar (ST4 or above) observes you for a 15 minute snapshot of a doctor/patient interaction in order to assesses clinical skills, attitudes and behaviours in a secondary care setting. The assessor will give you immediate feedback.

You must do a minimum of 3 mini-CEX per 6 months in a hospital rotation


The COT tool is for use in GP placements. A consultation is observed by your trainer either directly or on video and this leads to discussion and feedback. The trainer rates the consultation according to a set of COT criteria.

You must do a minimum of 3 COTS per 6 months in an ST1 or ST2 GP post and 6 per 6 months in ST3.


Trainees are expected to demonstrate progress in applying psychomotor skills both in the GP workplace and also within the CSA. When they complete their training they must be competent to apply their skills unsupervised however complex the clinical context might be.

Trainees are expected to discuss their learning needs during placement planning meetings and to record their plans in the learning log and PDP. The range of examinations and procedures and the number of observations will depend on the needs of the trainee and the professional judgment of the educational supervisor.  Observation and assessment of Clinical Examination and Procedural Skills may be made by clinical supervisors and other colleagues (including senior nurses and trainees at ST4 or above).

You must document Clinical Examinations and Procedural Skills in your learning log.  These need to be linked to the relevant curriculum headings and will need to include a range of entries from specific areas, for example cardiovascular/ respiratory / children / the elderly and patients with mental health problems.

There is no prescribed list of Clinical Examinations or Procedural Skills and no minimum number of assessments.  But learning logs will need to include breast examinations and the full range of male and female genital examinations as these are required by the GMC. The ES will be able to link these to the competency area for Clinical Examinations and Procedural Skills.

In the ESR the ES will also be asked three questions within the skills log section of the review. In particular they will be required to comment on the trainee’s skills in conducting breast examination and the full range of female and male genital examinations.  A trainee will need to be competent for licensing in Clinical Examinations and Procedural Skills to obtain their Certificate of Completion of Training.

For more information see http://www.rcgp.org.uk/training-exams/mrcgp-workplace-based-assessment-wpba/ceps-tool-for-mrcgp-workplace-based-assessment.aspx 

The Multi-Source Feedback (MSF) tool provides a sample of attitudes and opinions of colleagues on the clinical performance and professional behaviour of the GPStR. It helps to provide data for reflection on performance and gives useful feedback for self-evaluation.

You must do a minimum of one MSF per six months in ST1 and ST3


The PSQ is for use in GP placements. This tool provides feedback to GPStRs by providing a measure of the patient’s opinion of the doctor’s relationship and empathy during a consultation. The evidence provided is useful in helping trainer and GPStR to address needs and facilitate educational development during the training period.

You most complete one PSQ for each post in Primary Care.


The ePortfolio has a section for the clinical supervisor to write a short structured report on the GPStR at the end of each hospital post. This covers: the knowledge base relevant to the post, practical skills relevant to the post and the professional competences.

Summarises your progress and is used to inform the ARCP panel (see ARCP tab) about progress.