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. 2020 Jan 12;10(1):e028455. doi: 10.1136/bmjopen-2018-028455

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© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.

This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.

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Trainee knowledge analysis: user performance by degenerative cervical myelopathy (DCM) question theme. DCM questions assessed three themes—presentation, workup and management. Early stage trainees, those sitting finals/PLAB and the SRA, performed worse in questions relating to management versus more senior trainees taking the MRCGP. Performance for MRCGP trainees was more consistent. The average performance for each question theme was within one SD of the mean. MRCGP, Membership of The Royal College of General Practitioners; PLAB, Professional and Linguistic Assessments Board; SRA, Specialty Recruitment Assessment.