Skip to main content
NCBI home page
The British Journal of General Practice logoLink to The British Journal of General Practice
. 1996 Oct;46(411):619–622.

Assessment of competence.

L M Campbell 1, T S Murray 1
PMCID: PMC1239790  PMID: 8945803

Abstract

While it is essential that professional competence should be maintained, it is equally important that entry to the specialist ranks should be conditional on the demonstration of an acceptable level of competence. Multiple-choice papers and videotaped consultations are two parts of a multi-format approach to assessment which also includes a trainer's report and an audit report. The number of doctors identified as unsatisfactory at the recertification stage could be reduced by these methods, and the system could also provide a template for the introduction of recertification procedures.

Full text

PDF
619

Selected References

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

  1. Bain J. E., Mackay N. S. Patients' assessment of trainee general practitioners. Med Educ. 1995 Jan;29(1):91–96. doi: 10.1111/j.1365-2923.1995.tb02808.x. [DOI] [PubMed] [Google Scholar]
  2. Bain J. E., Mackay N. S. Videotaping of general practice consultations. BMJ. 1995 Oct 7;311(7010):952–952. doi: 10.1136/bmj.311.7010.952a. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Campbell L. M., Howie J. G., Murray T. S. Summative assessment: a pilot project in the west of Scotland. Br J Gen Pract. 1993 Oct;43(375):430–434. [PMC free article] [PubMed] [Google Scholar]
  4. Campbell L. M., Sullivan F., Murray T. S. Videotaping of general practice consultations: effect on patient satisfaction. BMJ. 1995 Jul 22;311(6999):236–236. doi: 10.1136/bmj.311.6999.236. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. 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]
  6. 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]
  7. Cox K. No Oscar for OSCA. Med Educ. 1990 Nov;24(6):540–545. doi: 10.1111/j.1365-2923.1990.tb02672.x. [DOI] [PubMed] [Google Scholar]
  8. Dowaliby F. J., Andrew B. J. Relationships between clinical competence ratings and examination performance. J Med Educ. 1976 Mar;51(3):181–188. doi: 10.1097/00001888-197603000-00004. [DOI] [PubMed] [Google Scholar]
  9. Edelstein D. R., Ruder H. J. Assessment of clinical skills using videotapes of the complete medical interview and physical examination. Med Teach. 1990;12(2):155–162. doi: 10.3109/01421599009006691. [DOI] [PubMed] [Google Scholar]
  10. Ferrell B. G. Clinical performance assessment using standardized patients: a primer. Fam Med. 1995 Jan;27(1):14–19. [PubMed] [Google Scholar]
  11. Fraser R. C., McKinley R. K., Mulholland H. Consultation competence in general practice: establishing the face validity of prioritized criteria in the Leicester assessment package. Br J Gen Pract. 1994 Mar;44(380):109–113. [PMC free article] [PubMed] [Google Scholar]
  12. 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]
  13. Hays R. B., Jones B. F., Adkins P. B., McKain P. J. Analysis of videotaped consultations to certify competence. Med J Aust. 1990 Jun 4;152(11):609–611. doi: 10.5694/j.1326-5377.1990.tb125395.x. [DOI] [PubMed] [Google Scholar]
  14. Hays R. B., Jones B. F., Adkins P. B., McKain P. J. Analysis of videotaped consultations to certify competence. Med J Aust. 1990 Jun 4;152(11):609–611. doi: 10.5694/j.1326-5377.1990.tb125395.x. [DOI] [PubMed] [Google Scholar]
  15. Herbers J. E., Jr, Noel G. L., Cooper G. S., Harvey J., Pangaro L. N., Weaver M. J. How accurate are faculty evaluations of clinical competence? J Gen Intern Med. 1989 May-Jun;4(3):202–208. doi: 10.1007/BF02599524. [DOI] [PubMed] [Google Scholar]
  16. Hojat M., Gonnella J. S., Veloski J. J., Erdmann J. B. Is the glass half full or half empty? A reexamination of the associations between assessment measures during medical school and clinical competence after graduation. Acad Med. 1993 Feb;68(2 Suppl):S69–S76. doi: 10.1097/00001888-199302000-00035. [DOI] [PubMed] [Google Scholar]
  17. Johnson N., Hasler J., Toby J., Grant J. Consensus minimum standards for use in a trainer's report for summative assessment in general practice. Br J Gen Pract. 1996 Mar;46(404):140–144. [PMC free article] [PubMed] [Google Scholar]
  18. Jones T. V., Gerrity M. S., Earp J. Written case simulations: do they predict physicians' behavior? J Clin Epidemiol. 1990;43(8):805–815. doi: 10.1016/0895-4356(90)90241-g. [DOI] [PubMed] [Google Scholar]
  19. Lough J. R., McKay J., Murray T. S. Audit and summative assessment: a criterion-referenced marking schedule. Br J Gen Pract. 1995 Nov;45(400):607–609. [PMC free article] [PubMed] [Google Scholar]
  20. Morris M. American legislation on AIDS. BMJ. 1991 Aug 10;303(6798):325–326. doi: 10.1136/bmj.303.6798.325. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Newble D. I., Swanson D. B. Psychometric characteristics of the objective structured clinical examination. Med Educ. 1988 Jul;22(4):325–334. doi: 10.1111/j.1365-2923.1988.tb00761.x. [DOI] [PubMed] [Google Scholar]
  22. Norcini J. J., Swanson D. B., Grosso L. J., Webster G. D. Reliability, validity and efficiency of multiple choice question and patient management problem item formats in assessment of clinical competence. Med Educ. 1985 May;19(3):238–247. doi: 10.1111/j.1365-2923.1985.tb01314.x. [DOI] [PubMed] [Google Scholar]
  26. Pieters H. M., Touw-Otten F. W., De Melker R. A. Simulated patients in assessing consultation skills of trainees in general practice vocational training: a validity study. Med Educ. 1994 May;28(3):226–233. doi: 10.1111/j.1365-2923.1994.tb02703.x. [DOI] [PubMed] [Google Scholar]
  27. Pringle M., Robins S., Brown G. Assessing the consultation: methods of observing trainees in general practice. Br Med J (Clin Res Ed) 1984 Jun 2;288(6431):1659–1660. doi: 10.1136/bmj.288.6431.1659. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Pringle M., Stewart-Evans C. Does awareness of being video recorded affect doctors' consultation behaviour? Br J Gen Pract. 1990 Nov;40(340):455–458. [PMC free article] [PubMed] [Google Scholar]
  29. Rethans J. J., Drop R., Sturmans F., van der Vleuten C. A method for introducing standardized (simulated) patients into general practice consultations. Br J Gen Pract. 1991 Mar;41(344):94–96. [PMC free article] [PubMed] [Google Scholar]
  30. Rethans J. J., Sturmans F., Drop R., van der Vleuten C. Assessment of the performance of general practitioners by the use of standardized (simulated) patients. Br J Gen Pract. 1991 Mar;41(344):97–99. [PMC free article] [PubMed] [Google Scholar]
  31. Roberts J., Norman G. Reliability and learning from the objective structured clinical examination. Med Educ. 1990 May;24(3):219–223. doi: 10.1111/j.1365-2923.1990.tb00004.x. [DOI] [PubMed] [Google Scholar]
  32. Servant J. B., Matheson J. A. Video recording in general practice: the patients do mind. J R Coll Gen Pract. 1986 Dec;36(293):555–556. [PMC free article] [PubMed] [Google Scholar]
  33. Wakeford R., Southgate L., Wass V. Improving oral examinations: selecting, training, and monitoring examiners for the MRCGP. Royal College of General Practitioners. BMJ. 1995 Oct 7;311(7010):931–935. doi: 10.1136/bmj.311.7010.931. [DOI] [PMC free article] [PubMed] [Google Scholar]
  34. Williams R. G., Barrows H. S., Vu N. V., Verhulst S. J., Colliver J. A., Marcy M., Steward D. Direct, standardized assessment of clinical competence. Med Educ. 1987 Nov;21(6):482–489. doi: 10.1111/j.1365-2923.1987.tb01407.x. [DOI] [PubMed] [Google Scholar]
  35. Williams R. G., Barrows H. S., Vu N. V., Verhulst S. J., Colliver J. A., Marcy M., Steward D. Direct, standardized assessment of clinical competence. Med Educ. 1987 Nov;21(6):482–489. doi: 10.1111/j.1365-2923.1987.tb01407.x. [DOI] [PubMed] [Google Scholar]

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

RESOURCES