CBD - Case Based Discussion

What Is It?

 

One CbD interview is likely to allow approximately three competences to be discussed (the others will be graded “insufficient evidence”)

 

 

 

CBD - the process in GP Post

 

The assessment form and the feedback given must be uploaded onto your e-portfolio.

 

 

 

CBD - the process in Hospital Posts

 

In hospitals, CBD happens in the same cyclical way displayed above EXCEPT the trainee presents 2 cases from which one is selected (not three as in the diagram above).

 

 

 

Can You Give Me Any Guidance?

 

Of course we can.

 

* Case selection is important; it is a case based discussion, so preferably choose cases with a number of contacts, not just a one-off consultation. If the case is straightforward it would be difficult for you to demonstrate excellence, because the level of challenge might be low. Make sure the cases are not too complicated; too complicated and both of you (you and the trainer) may get muddled and lose track of where you are.

 

* Although not essential, you can facilitate a good outcome by, in addition to submitting the relevant clinical records, also providing a commentary, or summary of why you chose that case and indicate which competences you think the case allows you to demonstrate. In the downloads section of this webpage is a CBD summary template for trainees; use it.

 

* Only pick 3-4 competencies that you want to be tested on; if you feel the case demonstrates say 8 or 9 of them, then it will be A) difficult for the trainer to decide what to focus on and B) impossible for to explore the whole 8 or 9 items in any true depth within a 20 minute discussion. So, even if you do think a case demonstrates 8 or 9 areas (say), pick the 4 that you think demonstrate your strongest points in that case or alternatively the areas that have not been explored thus far in previous CBDs.

 

* As you build up cases, try and map out which areas are yet outstanding and try and pick future cases to meet these areas