title: Introducing performance-based assessment of family physicians.
abstract: Slovenia has implemented a new final summative assessment for vocational training in family medicine. As all family medicine trainees work independently in practice, the assessment is focused on actual performance. The preparation included a literature search, consultation with foreign experts, consultation with tutors and trainees in general practice and testing the assessment with experienced practitioners. The assessment includes three elements: (1) a trainee's report with data on population served, audit of practice and family profiles; (2) a visit to the trainee's practice which includes sitting in with the trainee, and assessment of patients' records, equipment and premises; (3) the final assessment, which includes an MCQ written test, OSCE stations, and an oral exam with discussion about the candidate's report, presentation of five cases from his/her practice and one question by each examiner to assess problem-solving skills. Initial experience has been favourable but further work is needed for evaluation of the assessment.
authors.affiliation: Department of Family Medicine, Medical Faculty, University of Ljubljana, Slovenia. marko.kolsek@mf.uni-lj.si
authors.forename: Marko
authors.initials: M
authors.lastname: Kolsek
authors.forename: Igor
authors.initials: I
authors.lastname: Svab
authors.forename: Danica Rotar
authors.initials: DR
authors.lastname: Pavlic
authors.forename: Mateja
authors.initials: M
authors.lastname: Bulc
mesh_terms: D002983:Clinical Competence; D006801:Humans; D010821:Physicians, Family / Q000592:standards; D017524:Slovenia