Journal ArticleDOI
The General Medical Council's Performance Procedures: peer review of performance in the workplace.
Lesley Southgate,Jim Cox,Timothy J. David,David Hatch,Alan D Howes,Neil Johnson,Brian Jolly,Ewan B. Macdonald,Pauline A McAvoy,Peter McCrorie,Joanne Turner +10 more
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The General Medical Council procedures to assess the performance of doctors who may be seriously deficient include peer review of the doctor’s practice at the workplace and tests of competence and skills.Abstract:
The General Medical Council procedures to assess the performance of doctors who may be seriously deficient include peer review of the doctor's practice at the workplace and tests of competence and skills. Peer reviews are conducted by three trained assessors, two from the same speciality as the doctor being assessed, with one lay assessor. The doctor completes a portfolio to describe his/her training, experience, the circumstances of practice and self rate his/her competence and familiarity in dealing with the common problems of his/her own discipline. The assessment includes a review of the doctor's medical records; discussion of cases selected from these records; observation of consultations for clinicians, or of relevant activities in non-clinicians; a tour of the doctor's workplace; interviews with at least 12 third parties (five nominated by the doctor); and structured interviews with the doctor. The content and structure of the peer review are designed to assess the doctor against the standards defined in Good Medical Practice, as applied to the doctor's speciality. The assessment methods are based on validated instruments and gather 700-1000 judgements on each doctor. Early experience of the peer review visits has confirmed their feasibility and effectiveness.read more
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Opening the black box of clinical skills assessment via observation: a conceptual model.
TL;DR: This paper developed a conceptual framework of the factors impacting on faculty members' judgements and ratings of resident doctors (residents) after direct observation with patients, and identified four primary themes that provide insights into the variability of faculty assessments of residents' performance: (i) the frames of reference used by faculty members when translating observations into judgements, (ii) high levels of inference are used during the direct observation process; (iii) the methods by which judgements are synthesised into numerical ratings are variable; and (iv) factors external to resident performance influence ratings.
Journal ArticleDOI
The electronic patient record in primary care—regression or progression? A cross sectional study
Julia Hippisley-Cox,Mike Pringle,Ruth Cater,Alison Wynn,Vicky Hammersley,Carol Coupland,Rhydian Hapgood,Peter Horsfield,Sheila Teasdale,Christine Johnson +9 more
TL;DR: No evidence was found to support the hypotheses that paperless records would be truncated and contain more local abbreviations; and that the absence of writing would decrease subsequent recall; Conversely, it was found that the paper less records compared favourably with manual records.
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A Tea-Steeping or i-Doc Model for Medical Education?
TL;DR: The author explores the implications of both time-based and outcomes-based models for medical education reform and proposes an integration of their best features.
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360-degree Feedback: Possibilities for Assessment of the ACGME Core Competencies for Emergency Medicine Residents
TL;DR: An opportunity exists to develop the 360-degree feedback tool for resident assessment, which provides timely, consolidated feedback from sources in the resident's sphere of influence.
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The Foundation Programme assessment tools: An opportunity to enhance feedback to trainees?
TL;DR: The new assessment procedures for the Foundation Programmes are outlined and the potential of these assessments (using Mini-CEX as main example) as an opportunity to give feedback to trainees discussed.
References
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Journal ArticleDOI
The patient-centred clinical method. 1. A model for the doctor-patient interaction in family medicine.
TL;DR: A patient-centred clinical method appropriate for family medicine designed to attain an understanding of the patient as well as his disease, described in terms of two agendas: the physician's and the patient's.
Journal ArticleDOI
Use of Peer Ratings to Evaluate Physician Performance
Paul G. Ramsey,Marjorie D. Wenrich,Jan D. Carline,Thomas S. Inui,Eric B. Larson,James P. LoGerfo +5 more
TL;DR: Using a shorter version of the questionnaire used in this study, peer ratings provide a practical method to assess clinical performance in areas such as humanistic qualities and communication skills that are difficult to assess with other measures.
Journal Article
Assessment of physician performance in Alberta: the Physician Achievement Review
William Hall,Claudio Violato,Raymond Lewkonia,Jocelyn Lockyer,Herta Fidler,John Toews,Penny Jennett,Michel Donoff,David G. Moores +8 more
TL;DR: The Physician Achievement Review provides a multidimensional view of performance through structured feedback to physicians, and two-thirds of the physicians indicated that they were considering or had implemented changes to their medical practice on the basis of their PAR data.
Journal ArticleDOI
Indicators of the appropriateness of long-term prescribing in general practice in the United Kingdom: consensus development, face and content validity, feasibility, and reliability.
TL;DR: 9 indicators of prescribing appropriateness were produced suitable for application to the medical record of any patient on long term medication in United Kingdom general practice, currently the only available method to assess a patient's drug regimen in its entirety.