How many OSATS, mini-CEX or CbDs do I need completed before I can be ‘signed off’ as competent for a particular skill in my logbook?
When using OSATS to define competence, the following approach is recommended in the portfolio: a. an OSATS must have been completed successfully in all areas (i.e. every section ticked for ‘independent practice’) on at least three separate occasions b. at least two different assessors must be involved in signing off the three OSATS c. at least one assessment must be completed by a consultant. Case-based discussions and Mini CEX are also formative assessments and inform supervisors of your progress, but we do state that you have a minimum of three per year (i.e. for each ARCP) Both PMETB and the RCOG have confirmed that in a ‘competency-based’ curriculum, it is not always appropriate to expect a fixed minimum numbers of assessments in order to be deemed competent. This does not allow for individuals who may progress at different rates. The same principle can be applied when reviewing the number of completed CbDs or mini-CEX required to confirm competency for managing a particular clinic
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