Case Based Discussion assessment

Case Based Discussion (CBD) assessment is an assessment of your clinical reasoning and application of knowledge using your clinical cases in your own clinical context. You must 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.

Your CBD assessment will be conducted as follows:

  • by teleconference
  • at your workplace or somewhere locally
  • assessed on six clinical cases
  • chosen from 12 clinical cases, provided by you
  • over three sessions, by three different assessors
  • with two cases per one hour session, and
  • completed within a six month period.


You must have completed 24 months of training to be eligible for CBD assessment..

CBD is undertaken in an accredited primary rural and remote teaching post where you provide continuity of care. You will need to be established in the practice in order to have patients whom you have seen on more than one occasion.

You should have successfully completed MCQ prior to undertaking CBD.

Preparing for CBD

The following advice relating to preparing for CBD was developed by medical educators, supervisors and registrars:

  • Seek regular constructive feedback throughout your training from a number of sources including supervisors, mentors, medical educators and peers.
  • Practise discussing the management of actual cases as often as you can with your supervisor and medical educator.
  • Make a note of cases that may be suitable for CBD as the patients present.
  • Select medium complexity clinical cases, each covering 2-3 consults.
  • Check cases cover at least six different Primary Curriculum clinical statements and include one mental health consultation.
  • Ensure that you have permission from the practice to use the clinical notes and that they are de-identified.
  • Ensure cases are recent (within last three months) and read through your submitted cases prior to your assessment session to re-acquaint yourself with each of the cases.
  • Be prepared to discuss:
    • appropriate patient assessment
    • formulating appropriate differential diagnoses
    • ordering relevant investigations, and
    • providing suitable management plans.
  • Be familiar with the style of questions that may be used, for example:
    • 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?

Key CBD resources

Resources for CBD include:

Key dates for CBD

Enrolments for CBD are open throughout the year.

Once you have 12 clinical cases prepared, enrol and submit your cases.

The College will be in contact to arrange your three sessions.