What is a CAT?
A CAT is a Care Assessment Tool. It is a workplace-based assessment that is used to record a trainee’s ability in any of the capabilities, and can be any one of a variety of different types of assessment tools including the Case Based Discussion (CbD).
How many CATS do I have to do?
In ST1/2 you will only need to do CbDs and not any of the other types of CAT. You are expected to complete four CbDs in each training year (a minimum of two for each 6 monthly Educational Supervisor Report (ESR)). In ST3 five CATs are required.
How is a CAT different from a CbD?
A CAT is an overarching work place assessment term which includes CbDs. Other types of assessment can also be used to assess and record your performance in all the capabilities and are also considered to be CATs. These include problem patient discussions, random case reviews, debriefs, referral analysis and other consultation assessment tools.
Are a range of CATS needed or are single assessments sufficient e.g. all random case reviews?
In ST1 and ST2 you will only do CbDs as this is a tool that is already familiar in both primary and secondary care settings and it will ensure consistency. In ST3, however, you can complete a range of different types of CAT depending on the clinical / educational setting. There are no set numbers for each different type of CAT.
Do all the capabilities have to be graded in at least one CAT?
Ideally the CATS will cover the full range of the capabilities. This will provide a triangulation of grades for each capability across of range of different assessment methods.
It is expected that you will have been assessed in all of the capabilities using a formal assessment tool at least once in your training.
Do I have to do a CAT for each of the Clinical Experience Groups?
While it is not mandatory for you to have a CAT for each Clinical Experience Group, a range of types of assessment and information will need to be provided in the Portfolio to show exposure to, learning from, and competence in caring, for the range of Clinical Experience Groups across each training year.
I am a less than full time trainee. How many CATs do I need to complete?
You will complete the same number of assessments in total as a full time trainee but these will be spread throughout your training and a pro rata number of assessments will be needed for each calendar year.
When I am in Primary care as an ST1 or 2, in addition to the required number of CbDs can I also complete other types of CAT?
You will need to complete the minimum number of CbDs for that post but you can also complete additional CATs. However, it should be noted that these will not replace other mandatory assessments.
How many capabilities and Clinical Experience Groups can be linked to each CAT?
It is expected that a maximum of 3 capabilities and 2 Clinical Experience Groups be linked to each CAT so that in-depth reflection and meaningful feedback is given for each.
Separate assessments can be used if the assessment covers a larger number of either.
Can I do all the required number of CATs in one or two tutorials?
No. It is expected that the assessments will be spread out over time to demonstrate that you are progressing. The number stated are a minimum and if you are not demonstrating the grade expected for your level of training, additional assessments should be completed.
How long will it take me to complete a CAT?
This will depend on the type of assessment being completed. A referrals review may take a couple or hours. A debrief may take 15 minutes and a CbD usually takes between 20-30 minutes. A random case review may take an hour but will depend on the number of consultations reviewed. The time for each assessment will depend on the content and the discussion that takes place.