Journal ArticleDOI
The General Medical Council's Performance Procedures: the development and implementation of tests of competence with examples from general practice.
Lesley Southgate,Malcolm Campbell,Jim Cox,John Foulkes,Brian Jolly,Peter McCrorie,Philip Tombleson +6 more
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TLDR
The development of the tests of competence used as part of the General Medical Council’s assessment of potentially seriously deficient doctors is described by reference to tests of knowledge and clinical and practical skills created for general practice.Abstract:
Objective
This paper describes the development of the tests of competence used as part of the General Medical Council’s assessment of potentially seriously deficient doctors. It is illustrated by reference to tests of knowledge and clinical and practical skills created for general practice.
Subjects and tests
A notional sample of 30 volunteers in ‘good standing’ in the specialty (reference group), 27 practitioners referred to the procedures and four practitioners not referred but who were the focus of concern over their performance. Tests were constructed using available guidelines and a specially convened working group in the specialty.
Methods
Standards were set using Angoff, modified contrasting group and global judgement methods, as appropriate.
Results
Tests performed highly reliably, showed evidence of construct validity, intercorrelated at appropriate levels and, at the standards employed, demonstrated good separation of reference and referred groups. Likelihood ratios for above and below standard performance based on competence were large for each test. Seven of 27 doctors referred were shown not to be deficient in both phases of the performance assessment.read more
Citations
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Journal ArticleDOI
The relationship between competence and performance: implications for assessing practice performance.
Jan-Joost Rethans,John J. Norcini,Barón-Maldonado M,David Blackmore,Brian Jolly,Tony LaDuca,S R Lew,Gayle G. Page,Southgate Lh +8 more
TL;DR: Current views of the relationship between competence and performance are described and some of the implications of the distinctions between the two areas are delineated for the purpose of assessing doctors in practice.
Journal ArticleDOI
Competency based medical training: review
TL;DR: The origins and development of the competency approach are explored, its current role in medical training is evaluated, and its strengths and limitations are discussed.
Journal ArticleDOI
Teaching the surgical craft: From selection to certification
Journal ArticleDOI
Is insight important? measuring capacity to change performance.
Richard Hays,Brian Jolly,L J M Caldon,Peter McCrorie,Pauline A McAvoy,I. C. McManus,J-J Rethans +6 more
TL;DR: Insight and performance may be critically related and there are instances where increasing insight in the presence of decreasing performance can also cause difficulties, which can cause difficulties in effective self‐regulation.
Journal ArticleDOI
Conceptual framework for performance assessment: Competency, competence and performance in the context of assessments in healthcare – Deciphering the terminology
TL;DR: A modification of the Dreyfus model applicable to assessments in healthcare is described and a new model for the assessment of performance and performance rating scale (PRS) based on this model is proposed.
References
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Journal ArticleDOI
The Assessment of Clinical skills/competence/performance
TL;DR: In this article, the authors propose a method to solve the problem of homonymity of homophily in the context of homomorphic data, and no abstracts are available.
Journal ArticleDOI
Assessment of clinical competence using an objective structured clinical examination (OSCE)
Ronald M. Harden,F. A. Gleeson +1 more
Journal ArticleDOI
The assessment of professional competence: Developments, research and practical implications.
Journal ArticleDOI
Comparing the psychometric properties of checklists and global rating scales for assessing performance on an OSCE-format examination.
TL;DR: Global rating scales scored by experts showed higher inter-station reliability, better construct validity, and better concurrent validity than did checklists, suggesting that global rating scales administered by experts are a more appropriate summative measure when assessing candidates on performance-based examinations.