Core Revision
For trainees · ST1 and ST2

Case-Based Discussion (CbD)

A structured conversation about a case you chose, where your supervisor probes the reasoning behind what you did. It is an assessment of thinking, not of knowledge.

When, and how many

Four in ST1 and four in ST2, spread through the year rather than clustered.

Choosing a case that will go well
  • Pick a case where you actually had to decide something. A textbook presentation managed textbook-ly gives your supervisor nothing to explore.
  • Cases with uncertainty, competing priorities or a decision you are not sure about produce the best discussions and the most useful feedback.
  • Bring the record. Discussing a case from memory drifts towards how you wish it had gone.
What good looks like
  • You can explain not just what you did but what else you considered and why you rejected it.
  • You are honest about the parts you found difficult.
  • The feedback names something specific you will do differently.
What commonly trips people up
  • Choosing only cases that went well, which produces bland feedback and a thin evidence trail.
  • Treating it as a viva. It is a discussion, and saying “I did not know, so I looked it up and here is what I found” is a strong answer.
  • Leaving all four to the final six weeks of the year.

Work out what you still need

The Evidence Tracker turns your training year and current post into the list that is actually outstanding.

Open the Evidence Tracker

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