A CbD is a structured interview designed to explore professional judgement exercised in real cases which you have managed. You will need to do CbDs in both hospital and GP settings.
In ST1 and 2, you will select two cases and present copies of the clinical entries and relevant records to the clinical supervisor or educational supervisor one week before the discussion. The clinical or educational supervisor will select one of the cases for discussion. The discussion should be framed around the actual case and should not explore hypothetical events. Questions should be designed to elicit evidence of competence and should not shift into a test of knowledge.
In ST3, the you will select four cases and present copies of the clinical entries and relevant records to the trainer or educational supervisor one week before the discussion.
The trainer or educational supervisor will select one or two of the cases for discussion, depending on time available.
Trainers or educational supervisors should aim to cover as many competences as are relevant to each case and can be covered in the time frame. It is unreasonable to expect that all the competences will be covered in a single CbD but if too few are considered useful evidence will be overlooked and there would be inadequate sampling of all the competences. It is helpful for you to highlight the competency areas which you think the case covers to your supervisor at the time you submit the case notes
Each discussion should take about thirty minutes, including the discussion itself, completing the rating form (on the eportfolio) and giving feedback to the GPStR.