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PSU Perfect Day

Performance Enhancement using Developmental Approaches, Dynamic Assessment and Education Theory.

PERFECT DAY is an educational intervention designed to support trainees identified as at risk of underperformance to achieve their full potential at assessment. This is a collaboration between Health Education England across the East Midlands and University of Leicester and Nottingham.





PERFECT DAY consist of three stages:

  • Diagnostic Interview
  • Dynamic Assessment
  • Debrief

Diagnostic Interview

Interviews are conducted by the Professional Support Unit, taking a psycho-social perspective. Key aspects of the medical training journey to date will be explored as well as the interaction between the GP trainees’ personal, professional and education lives, in the context of the vocational training scheme.

Dynamic Assessment

The GP trainees take part in two short videoed consultations with simulated patients. The purpose of this assessment is to triangulate the information about GP trainees as a learner from the interview with what they do on a given task in the primary care context. This is then focused on particular appropriate skills and strategy the GP trainee would employ to successfully manage the task.


 At the final stage the educator will review the consultations with the GP Trainees and give structured in-depth feedback. Self-regulated action techniques will be discussed and how to implement these into practice.

GP Trainees may choose to share their experience of PERFECT DAY with their educational/ clinical supervisor.

Why this intervention?

PERFECT DAY is aimed at GP trainees who struggle with performance in high stakes assessment or have been identified as potentially being in difficulty through the ARCP process. The cost of delayed progression through training is associated with significant costs for the trainee, the training programme, the host practice and the region. For the trainee, the direct costs include the additional financial burden of paying for the re-sit, revision and practice course related to examinations and miscellaneous charges such as travel and accommodation.  The indirect costs in terms of personal, professional and psychological sequelae are significant for the individual going through the experiences.

The intervention aims to give the participating GP trainees an extra boost and confidence and competence for them to do well and realise their potential at assessment as well as in clinical practice.

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