| Simulated consultation |
Consultation with the concerned parent (played by trained medical actor) of a 2 year old child |
20 minutes (5 minutes preparation and up to 15 minutes consultation) |
✓ |
✓ |
|
✓ |
✓ |
✓ |
|
|
✓ |
|
|
| Candidate is required to explore possible diagnoses and deal with the parent's questions/concerns |
|
|
|
|
|
|
|
|
|
|
|
|
Actor exhibits three emotions: fear, confusion, and frustration |
|
|
|
|
|
|
|
|
|
|
|
|
Actor delivers a series of prescribed key statements to express these three emotions |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Group exercise |
Discussion of and prioritisation of 11 competing tasks facing a paediatric SHO |
25 minutes (5 minutes individual preparation and up to 20 minutes group discussion) |
|
✓ |
✓ |
|
✓ |
✓ |
|
✓ |
|
|
|
|
Tasks included administrative tasks, clinical tasks, discussions with patients, parents, and colleagues |
|
|
|
|
|
|
|
|
|
|
|
|
The group is required to decide on an order of priority for the tasks, and to provide a rationale for the prioritisation |
|
|
|
|
|
|
|
|
|
|
|
|
Assessment is based on content and conduct of the discussion as well as “correctness” of solution |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Reflective written exercise |
Candidates present their own written response to the prioritisation task they dealt with in the group exercise (i.e. they rank the various tasks and provide their reasoning) |
25 minutes |
|
✓ |
|
|
✓ |
✓ |
|
✓ |
|
✓ |
|
|
Candidates give their personal reflection on their own performance and the performance of the group as a whole in the group exercise |
|
|
|
|
|
|
|
|
|
|
|
|
|
Assessment is based on the quality of their own response to the task, and their degree of insight into the group discussion |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Structured interview |
All candidates were asked the same three questions. |
15 minutes |
✓ |
✓ |
✓ |
✓ |
|
|
✓ |
|
|
|
✓ |
| Each question was designed to assess 2–3 competencies |
|
|
|
|
|
|
|
|
|
|
|
|
|
Candidates were asked: a question about their CV; one situational question about how they would deal with a risk management problem in paediatrics; and one question asking them to discuss how they had dealt with a particular situation (in relation to team working) in their medical career |
|
|
|
|
|
|
|
|
|
|
|
|
