CbD (Case-Based Discussion)

What is CbD?
Case-based discussion (CbD) is used to enable the documenting of conversations about, and presentations of, cases by trainees.  This activity happens throughout training, but is rarely conducted in a way that provides systematic assessment and structured feedback.  The approach is called chart stimulated recall in the USA and Canada, and is widely used for the assessment of residents and of established doctors who are in difficulty.  In the UK it is used and is being evaluated in the assessment of established practitioners by both the NCAS and the GMC.  CbD is designed to assess clinical decision-making and the application or use of medical knowledge in relation to patient care for which the trainee has been directly responsible.  It also enables the discussion of the ethical and legal framework of practice, and in all instances, it allows trainees to discuss why they acted as they did.
Although the primary purpose is not to assess medical record keeping, as the actual record is the focus for the discussion, the assessor can also evaluate the record keeping in that instance.

Assessment criteria related to competences