Skip to main content
The British Journal of General Practice logoLink to The British Journal of General Practice
. 1994 Mar;44(380):109–113.

Consultation competence in general practice: establishing the face validity of prioritized criteria in the Leicester assessment package.

R C Fraser 1, R K McKinley 1, H Mulholland 1
PMCID: PMC1238811  PMID: 8204317

Abstract

AIM. This study set out to test the face validity of prioritized criteria of consultation competence in general practice as contained in the Leicester assessment package. METHOD. A questionnaire was sent to a geographically stratified random sample of 100 members of the United Kingdom Association of Course Organisers to seek their views on the categories, components and weightings contained in the Leicester assessment package and to determine the proportion of respondents who rejected or suggested a new category, component or weighting or reallocated components to other categories or amended weightings. Their views were sought on a six-point scale (strongly approve, approve, tend to approve, tend to disapprove, disapprove and strongly disapprove). RESULTS. There was a 73% response rate. Of the respondents 99% either strongly approved or approved of the overall set of categories of consultation competence. Only two respondents (3%) expressed any disapproval of individual categories. Thirty five of the 39 suggested components of consultation competence were supported by more than 80% of respondents. There was minimal support for excluding any categories or components of consultation competence, for moving any components to different categories or for the inclusion of new categories or components. Eighty eight per cent of respondents were in favour of the need to identify priorities between any agreed categories of consultation competence and 79% expressed approval of the suggested weightings. Although 42% of respondents indicated a wish for some alteration in weightings, the mean values for all consultation categories suggested by all respondents were almost identical to the original weightings in the Leicester package. CONCLUSION. The face validity of the categories and components of consultation competence contained in the Leicester assessment package has been established, and the suggested weightings of consultation categories have been validated. Consequently, the criteria contained in the Leicester package can be adopted with confidence as measures against which performance can be judged in formative or summative assessment of consultation performance in general practice.

Full text

PDF
112

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Campbell E. J. The diagnosing mind. Lancet. 1987 Apr 11;1(8537):849–851. doi: 10.1016/s0140-6736(87)91620-5. [DOI] [PubMed] [Google Scholar]
  2. Campbell L. M., Murray T. S. Trainee assessment--a regional survey. Br J Gen Pract. 1990 Dec;40(341):507–509. [PMC free article] [PubMed] [Google Scholar]
  3. Carney T. A national standard for entry into general practice. BMJ. 1992 Dec 12;305(6867):1449–1450. doi: 10.1136/bmj.305.6867.1449. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Cox J., Mulholland H. An instrument for assessment of videotapes of general practitioners' performance. BMJ. 1993 Apr 17;306(6884):1043–1046. doi: 10.1136/bmj.306.6884.1043. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Hampton J. R., Harrison M. J., Mitchell J. R., Prichard J. S., Seymour C. Relative contributions of history-taking, physical examination, and laboratory investigation to diagnosis and management of medical outpatients. Br Med J. 1975 May 31;2(5969):486–489. doi: 10.1136/bmj.2.5969.486. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Hays R. B. Assessment of general practice consultations: content validity of a rating scale. Med Educ. 1990 Mar;24(2):110–116. doi: 10.1111/j.1365-2923.1990.tb02508.x. [DOI] [PubMed] [Google Scholar]
  7. Maguire P. Assessing clinical competence. BMJ. 1989 Jan 7;298(6665):4–5. doi: 10.1136/bmj.298.6665.4. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Sandler G. Costs of unnecessary tests. Br Med J. 1979 Jul 7;2(6181):21–24. doi: 10.1136/bmj.2.6181.21. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from The British Journal of General Practice are provided here courtesy of Royal College of General Practitioners

RESOURCES