Assessing the performance of specialist registrars.
Assessing the performance of doctors while they are engaged in clinical work is a challenging concept. The introduction of objective-based curricula provides the stimulus and opportunity for the Royal Colleges of Physicians to develop relevant and reliable methods of in-service assessment. We propose to pilot a study investigating the validity, reliability and feasibility of three assessment methods--direct observation of the clinical encounter using an adapted mini-CEX, direct observation of the performance of practical procedures (DOPS), and the doctor's ability to perform effectively as part of a team using 360 degree assessment. The methods will be studied in the setting of routine clinical care. Whilst demanding of time from both trainees and trainers, they will represent a significant advance on the current system which is characterised by a lack of evidence in the assessment process.
Royal College of Physicians, London.
Andrew
A
Wragg
Winnie
W
Wade
Geraint
G
Fuller
George
G
Cowan
Peter
P
Mills
D002983:Clinical Competence / Q000592:standards; D003479:Curriculum / Q000592:standards; D005240:Feasibility Studies; D006801:Humans; D008485:Medical Audit / Q000379:methods*; D008505:Medical Staff, Hospital / Q000592:standards*; D008511:Medicine / Q000592:standards*; D010348:Patient Care Team / Q000592:standards; D010865:Pilot Projects; D015203:Reproducibility of Results; D013038:Specialization; D013222:State Medicine / Q000592:standards; D006113:United Kingdom