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. 1998 May;48(430):1219–1223.

Simulated surgery in the summative assessment of general practice training: results of a trial in the Trent and Yorkshire regions.

J Allen 1, A Evans 1, J Foulkes 1, A French 1
PMCID: PMC1410184  PMID: 9692278

Abstract

BACKGROUND: General practice registrars are now required to undertake a summative assessment of their consulting skills. Simulated surgeries have been developed as an alternative to the existing method of assessing video-recorded consultations. AIM: To evaluate the simulated surgery assessment method, developed in the General Practice Postgraduate Education Department in Leicester, for use in assessing general practice consultation skills. METHOD: General practice registrars in Leicester performed two eight-patient simulated surgeries separated by four weeks. Assessment outcomes were compared to demonstrate the consistency of the method. Pilot surgeries in Yorkshire were videotaped, and then rated by video-raters trained for summative assessment. RESULTS: The method consistently identified those registrars who were competent and those who were not yet competent in consulting skills. It proved acceptable to candidate doctors and has fewer resource requirements for both examiners and candidates than other consulting skills assessment methods. CONCLUSION: The method developed in Leicester and successfully transferred to Yorkshire is feasible on a large scale, and offers an acceptable alternative to other consulting skills assessment methods. In this study it consistently identified competent from incompetent candidate doctors.

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Selected References

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

  1. Allen J., Rashid A. What determines competence within a general practice consultation? Assessment of consultation skills using simulated surgeries. Br J Gen Pract. 1998 May;48(430):1259–1262. [PMC free article] [PubMed] [Google Scholar]
  2. Barrows H. S. An overview of the uses of standardized patients for teaching and evaluating clinical skills. AAMC. Acad Med. 1993 Jun;68(6):443–453. doi: 10.1097/00001888-199306000-00002. [DOI] [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., Howie J. G., Murray T. S. Use of videotaped consultations in summative assessment of trainees in general practice. Br J Gen Pract. 1995 Mar;45(392):137–141. [PMC free article] [PubMed] [Google Scholar]
  5. Fraser R. C., McKinley R. K., Mulholland H. Consultation competence in general practice: testing the reliability of the Leicester assessment package. Br J Gen Pract. 1994 Jul;44(384):293–296. [PMC free article] [PubMed] [Google Scholar]
  6. Middleton J. F. The exceptional potential of the consultation revisited. J R Coll Gen Pract. 1989 Sep;39(326):383–386. [PMC free article] [PubMed] [Google Scholar]
  7. 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]
  8. 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]
  9. Rethans J. J., van Boven C. P. Simulated patients in general practice: a different look at the consultation. Br Med J (Clin Res Ed) 1987 Mar 28;294(6575):809–812. doi: 10.1136/bmj.294.6575.809. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Stillman P. L., Ruggill J. S., Rutala P. J., Sabers D. L. Patient instructors as teachers and evaluators. J Med Educ. 1980 Mar;55(3):186–193. doi: 10.1097/00001888-198003000-00005. [DOI] [PubMed] [Google Scholar]
  11. Stillman P. L., Swanson D. B., Smee S., Stillman A. E., Ebert T. H., Emmel V. S., Caslowitz J., Greene H. L., Hamolsky M., Hatem C. Assessing clinical skills of residents with standardized patients. Ann Intern Med. 1986 Nov;105(5):762–771. doi: 10.7326/0003-4819-105-5-762. [DOI] [PubMed] [Google Scholar]
  12. Stillman P., Swanson D., Regan M. B., Philbin M. M., Nelson V., Ebert T., Ley B., Parrino T., Shorey J., Stillman A. Assessment of clinical skills of residents utilizing standardized patients. A follow-up study and recommendations for application. Ann Intern Med. 1991 Mar 1;114(5):393–401. doi: 10.7326/0003-4819-114-5-393. [DOI] [PubMed] [Google Scholar]
  13. Thomson A. N. Reliability of consumer assessment of communication skills in a postgraduate family practice examination. Med Educ. 1994 Mar;28(2):146–150. doi: 10.1111/j.1365-2923.1994.tb02535.x. [DOI] [PubMed] [Google Scholar]
  14. Vu N. V., Marcy M. M., Colliver J. A., Verhulst S. J., Travis T. A., Barrows H. S. Standardized (simulated) patients' accuracy in recording clinical performance check-list items. Med Educ. 1992 Mar;26(2):99–104. doi: 10.1111/j.1365-2923.1992.tb00133.x. [DOI] [PubMed] [Google Scholar]

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