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Navigating Workplace-Based Assessments: Your Guide to Supervised Learning Events (SLEs)


In the ever-evolving landscape of medical training, workplace-based assessments, also known as Supervised Learning Events (SLEs), are pivotal milestones on your journey. As a junior doctor, they are indispensable elements to fill in your portfolio, serving as a necessary and invaluable record of your progress. In this comprehensive guide, we'll explore various types of SLEs and their crucial roles in shaping your medical career. 

Understanding the Types of Supervised Learning Events (SLEs): 

1. Mini CEX (Clinical Evaluation Exercise): 

- Mini CEX is a structured evaluation method that assesses your clinical skills and competencies in real clinical settings. 

- It involves direct observation by a senior clinician while you interact with patients, conduct examinations, or discuss clinical cases. 

- Mini CEX helps track your progress in clinical skills and ensures that you meet required practice standards. 

2. CBD (Case-Based Discussion): 

- CBD focuses on your understanding of clinical cases and your ability to apply medical knowledge in practical scenarios. 

- These assessments typically involve discussions with senior colleagues about specific clinical cases, covering diagnosis, management, and decision-making. 

- CBDs assess medical knowledge, clinical reasoning, and critical thinking skills, facilitating learning from experienced professionals. 

3. DOPS (Direct Observation of Procedural Skills): 

- DOPS evaluates your proficiency in performing medical procedures or clinical skills. - It entails a supervisor observing you while you carry out procedures, such as suturing, catheter insertion, or physical examinations. 

- DOPS assessments confirm your competence in various skills, emphasizing safety and effectiveness. 

4. LEARN (Learning Evaluation and Reflection Narrative): 

- LEARN assessments focus on your ability to reflect on clinical experiences and extract valuable lessons. 

- You document and reflect on specific clinical events, analyzing what transpired, what you learned, and its impact on your practice. 

- LEARN encourages self-awareness, critical thinking, and continuous learning, particularly useful in understanding adverse events or challenges. 

5. LEADER (Leadership Evaluation and Development Experience Record):

- LEADER assessments spotlight your leadership and management abilities in medical settings. 

- These assessments come into play when you've led teaching programs, audits, or managed acute medical situations. 

- LEADER helps you showcase your contribution to the healthcare team and your potential for medical leadership. 


As a junior doctor, Supervised Learning Events (SLEs) are not merely checkboxes; they are the foundation of your portfolio and the roadmap to your professional growth. 

Need More Help? 

If you have any further questions, I would be happy to answer them at You can register using this link. Find me as an Ambassador/Expert and Follow my profile – Madhulika Puranam- to receive regular support and advice.


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