The National Office for Summative Assessment
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The COGPED Video
Guidelines for GP Registrars
Checklist for submitting video

Code of practice


Requirements of...

GP Registrars

GP Trainers

Video Assessors


Protocol for maintaining COGPED video assessors competence

Instructions, Marking schedule & Quality Control for 1st, 2nd & 3rd level video assessors

 

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Guidelines and instructions for GP Registrars

The final deadline for submitting a COGPED Video is 31 July 2007. Any GPR wishing to submit a video after that date for Summative Assessment purposes is advised to do so via the MRCGP/SA Single Route Video. There are two remaining diets – Winter 2007 and Spring 2008. The final deadline for new applications is 29 August 2007.

  1. GP Registrars should complete the Videotape Logbook Summary Sheet as this will allow the assessors to see at a glance the contents of the videotape.
     
    1. The 1st column contains a reference number/consultation number. Each consultation recorded should be given a number, in sequence which should also be written on and corresponds with the COGPED videotape logbook.
       
    2. The 2nd column should be completed with the elapsed time at which the recording of each consultation began. For each consultation on the final videotape, determine the start time in terms of how long the final videotape has been running. For example, if consultation 1 lasted 8 minutes and consultation 2 lasted 13 minutes, and there was a one-minute break after each, consultation 3 would begin 23 minutes from the beginning of the videotape. This task is much easier if you have access to a playback machine that counts in ‘real time’. The timer is set to zero at the start of the videotape and you can fast-forward to the start of each consultation and note the elapsed time from the start.
       
    3. The 3rd column should be completed with the camera clock time and the date the consultation was recorded.
       
    4. In the 4th column enter the main reason for the consultation, which may or may not be the same as the patient's presenting complaint, and any special circumstances you wish the assessors to know about.
       
    5. In the 5th column, indicate the length of the consultation in minutes. Remember that the maximum length of any consultation should be no more than 20 minutes.

       
    6. In the 6th column, indicate the age and sex of the patient, using the letters F and M for female and male.
       
    7. In the 7th column, indicate the degree of challenge of the consultation to you using the letters S for straightforward, M for moderate and D for difficult.
       
    8. Tick the last 2 columns as appropriate to show whether you knew the patient before the consultation began, and whether this was a follow-up consultation.

     
  2. As part of summative assessment GP registrars are required to submit a videotape or attend a SPS. A blank standard VHS videotape may be supplied by, or requested from, the Deanery Office.
     
  3. The videotape should be of 2 hours duration (minimum) in standard VHS format. If GP Registrars have a camera which uses any other format this must be transcribed onto a standard VHS videotape.
     
  4. Consultations on the videotape should be spontaneous and not rehearsed.
     
  5. GP registrars MUST ensure that all patients being videoed sign a Consent Form for Video Recording for Assessment Purposes before and after a consultation. Asking the patient for consent should not be seen on the videotape. (Consent must be obtained before the patient enters the consulting room).
     
  6. If the consent form is unsigned, the video camera should be switched off. It should be made clear to patients that a recording will not be undertaken without a patient's consent and that the camera will be switched off on request. There is no need to switch off the camera between consultations unless the gap is likely to be a long one.
     
  7. Incomplete consultations must be deleted.
     
  8. The maximum length of any consultation should be no more than 20 minutes and the tape should comprise a minimum of 8 consultations but preferably more. This means that there should be a mixture of lengths but none longer than 20 minutes. If submitting the tape for the MRCGP, GPRs should bear in mind that the examiners will only look at the first 15 minutes
     
  9. The date and time of the consultation should be clearly visible on the videotape and correspond to the COGPED videotape logbook and to the COGPED videotape logbook summary.
     
  10. The whole videotape should be checked for quality of sound and picture by the GP registrar. The picture needs to show both the doctor's and patient's face.
     
  11. A COGPED video logbook entry must be completed for each consultation. GP registrars are asked to comment on each consultation in the logbook, and it is recommended that GP registrars view each consultation prior to completion of the logbook. GP registrar understanding of the strengths and weaknesses of each consultation is something the assessors will be looking at.
     
  12. GP registrars cannot pass by default and must show positive evidence of these skills. It is therefore imperative that the consultations on the videotape give them the opportunity to demonstrate these skills. A videotape, which contains ‘no challenge consultations’, will therefore not pass the assessment process.
     
  13. It is essential that the videotape submitted is not the first attempt that a GP registrar makes at a videotaped consultation session. GP registrars should have had the opportunity to discuss previously recorded consultation sessions with their GP trainer before submission of their summative assessment videotape.
     
  14. GP registrars may record as many consultations sessions as they like in the time available before submitting a videotape, which they consider, demonstrate their competence. GP Registrars are advised that taping of ordinary surgeries throughout is usually adequate and it should not be necessary to spend large amounts of time editing the videotape. Please ensure all consultations are complete. Incomplete ones will not be assessed.
     
  15. The videotape must be presented no later than 3 months before the end of the general practice training. GP registrars may be asked to submit a further videotape within 1 month if the videotape is not of adequate audio/visual quality, contains ‘no challenge consultations’ or show incomplete consultations. However, GP Registrars should be aware that this will ultimately delay the certification process.
     
  16. To ensure that we continue to provide help and advice to training practices we need access to videos. Your attention is drawn to the 'Video Projects for Educational Purposes Consent' at the bottom of the videotape Declaration Form, which we would urge you to sign.

Note
To take account of the Welsh Language Act 1993, COGPED videotape submissions of consultations in Welsh may be presented for the purpose of summative assessment in the event that Welsh is the preferred language of the patient. Some of the consultations should, however, be in English to confirm the competence of the GP registrar to consult in the English language and all logbook entries should be in English. Submissions in languages other than Welsh and English will not be accepted for the purpose of summative assessment.


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The National Office for Summative Assessment

(Page last updated on 05/06/2007 )
 

The National Office for Summative Assessment

http://www.nosa.org.uk