This is separate from certification and the Summative
Assessment package, which is the prerogative of the JCPTGP. The Yorkshire
Assessment Package (YAP) was introduced a number of years ago, to provide GP
Registrars with feedback of their performance relative to their peers on the
scheme and thus allow them to establish their strengths and weaknesses. It has
always been a formative assessment.
1. Formative Multi-format
Knowledge Test in all Specialties, including General Practice
This is an MCQ test of not only factual knowledge but also
application of knowledge. The papers are marked positively only.
There are two sorts of MCQs - the Formative MCQ, which is
not an examination, and this is to give the Trainee individual feedback of
strengths and weaknesses compared to peers. The Summative MCQ, where
performance is marked as pass or fail, occurs at the end of the GP year in
Practice. Both are marked centrally at Regional level.
2. Assessment of Consultation
skills -
This is based on GP Registrar video consultations in
General Practice but we have been one of the regions to pioneer the use of
actors as “simulated patients” and this has now been translated as an
alternative to the Video in Summative Assessment.
3. Assessment of Clinical
Competence -
This is based on performance in post, and results of
objective structured clinical examination (OSCE). The OSCEs are done in
the first six months of the first General Practice attachment. They
consist of a number of stations designed to assess clinical competence.
Examples include breaking bad news, explaining laboratory results, examining
the eye etc.. The results are fed back to the GP Registrar at each
station, and for their personal use only.
4. Checklist and Logbook -
This comprehensive logbook is gradually completed by the GP
Registrar during the course of the three year scheme. It contains
evidence of ongoing experience. a personal education plan and acts as an
on-going learning diary. It is an ideal start for a Personal Development
Plan for later use in revalidation once the GP Registrar becomes a principal.
5. Rating scales -
These are used throughout the training period to help
feedback progress to the individual GP Registrar, and are conducted by the
Trainer in each post.
