Case Based Discussion assessment

Case Based Discussion (CBD) assessment is an assessment of your clinical reasoning and application of knowledge in a clinical context. You will need to demonstrate evidence of your clinical knowledge and how you apply that knowledge by appropriately assessing patients, formulating differential diagnoses, ordering relevant investigations and providing suitable management plans.

In 2017 all candidates irrespective of the year they commenced training are required to complete CBD assessment.

Your CBD assessment will be conducted as follows:

  • by teleconference - at your workplace or somewhere locally
  • submit 12 clinical cases up front
  • assessed on six of the clinical cases provided by you
  • over three 1 hour sessions, with two cases per session
  • by three different assessors,
  • within a 6 month period.

To be eligible for CBD assessment you will need to have completed 24 months of training.

It is essential that you familiarise yourself with the 'rules and regulations' in the Fellowship Assessment Handbook of the CBD before you enrol.

Candidates are required to submit all twelve (12) case notes up front prior to the CBD sessions being scheduled. 

If you are unable to meet these requirements or have limited availability in the semester we suggest you not enrol until you can meet these requirements.

Assessment key resources

The best preparation for CBD assessment will be clinical practice and having case based discussions with your supervisors and medical educators.

Your key resource for CBD is:

Other resources include:

CBD Facts

  • CBD examinations are a discussion between a candidate and examiner about recent clinical cases that the candidate has managed
  • CBDs are mapped to ACRRM curriculum domain statements
  • You must complete two years of training prior to sitting this exam
  • The ideal time to sit this exam is during your PPRT or in a GP setting where you are responsible for the continuity of patient care
  • All candidates must present 12 clinical cases at a medium level of complexity and which cover at least six different Primary Curriculum clinical statements. One mental health consultation must be included
  • Submitted cases should enable you to demonstrate your clinical knowledge and reasoning ability
  • Case notes must be no older than three months at time of upload to ACRRM
  • Cases should preferably be obtained from a generalist service accredited for Primary Rural and Remote Training rather than specialist service.

Helpful tips for preparing for CBD assessment

The following advice was developed at Rural Medicine Australia 2017 by medical educators and registrars:

  • Seek regular constructive feedback throughout your training from a number of sources: supervisor, mentor, medical educator, and peers
  • Practise discussing the management of actual cases as often as you can with your supervisor and medical educator
  • Read through your submitted cases prior to your exam session to re-acquaint yourself with each of the cases
  • Be prepared to discuss:
    • Appropriate patient assessment
    • Formulating appropriate differential diagnoses
    • Ordering relevant investigations
    • Providing suitable management plans.

Consider these sample questions from past CBD assessments:

  • How did you establish the patient’s point of view? What consultation skills did you use to do this?
  • Were there any cultural dimensions to this consultation? How did you pick these up?
  • Did you explore the impact it had on other family members? What did you find? How did you support them?