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BPCLE Knowledge Base

Help and advice on understanding the BPCLE Framework and using BPCLEtool

Preliminary assessment

The preliminary assessment step is an initial, high-level assessment of your health service’s clinical learning environment and entails rating how well you think you achieve the sub-objectives of the BPCLE Framework on a five-point scale(from very poorly to very well). By starting with the sub-objectives, you and your group members receive an overall introduction to the framework, to help you become familiar with its concepts and language.

Preliminary assessment is a very straightforward task. There are 28 statements that correspond to the 28 sub-objectives of the BPCLE Framework and the statements are presented under the element of the framework they relate to. Simply consider each statement in turn and assign a rating score according to how well you believe your organisation achieves that sub-objective. Note that the number of sub-objectives your group will have to rate in the preliminary assessment will depend on which BPCLE elements you elected to include in the assessment.

The aim of this task is to capture the “gut feeling” of relevant staff about the clinical learning environment of the organisation. As such, you should try to complete the task relatively quickly and without attempting to reflect too deeply on the underlying issues. Try not to spend more than a couple of minutes per statement.

You should also try to be honest in your assessment. Completing the preliminary assessment is the first task in a quality improvement exercise and toning down a poor assessment or exaggerating a good assessment will ultimately be self-defeating.

Note that your group does NOT have to complete the preliminary assessment for all sub-objectives before moving onto the detailed assessment. Indeed, you can skip the preliminary assessment step entirely if you wish and you are able to move back and forth between the preliminary and detailed assessment steps. Even if you do complete the preliminary assessment, you are able to re-consider your rating of the sub-objectives in the context of the detailed assessment.

Watch the video tutorial for a demonstration on how to complete your preliminary assessment.

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