NDLI: The GP tests of competence assessment: which part best predicts fitness to practise decisions?

Content Provider	Springer Nature : BioMed Central
Author	Jayaweera, Hirosha Keshani Potts, Henry W. W. Keshwani, Karim Valerio, Chris Baker, Magdalen Mehdizadeh, Leila Sturrock, Alison
Abstract	Background The General Medical Council (GMC) conducts Tests of Competence (ToC) for doctors referred for Fitness to Practise (FtP) issues. GPs take a single best answer knowledge test, an Objective Structured Clinical Examination (OSCE), and a Simulated Surgery (SimSurg) assessment which is a simulated GP consultation. The aim of this study was to examine the similarities between OSCEs and SimSurg to determine whether each assessment contributed something unique to GP ToCs. Methods A mixed methods approach was used. Data were collated on 153 GPs who were required to undertake a ToC as a part of being investigated for FtP issues between February 2010 and October 2016. Using correlation analysis, we examined to what degree performance on the knowledge test, OSCE, and SimSurg related to case examiner recommendations and FtP outcomes, including the unique predictive power of these three assessments. The outcome measures were case examiner recommendations (i) not fit to practise; ii) fit to practise on a limited basis; or iii) fit to practise) as well as FtP outcomes (i) erased/removed from the register; ii) having restrictions/conditions; or iii) be in good standing). For the qualitative component, 45 GP assessors were asked to rate whether they assess the same competencies and which assessment provides better feedback about candidates. Results There was significant overlap between OSCEs and SimSurg, p < 0.001. SimSurg had additional predictive power in the presence of OSCEs and the knowledge test (p = 0.030) in distinguishing doctors from different FtP categories, while OSCEs did not (p = 0.080). Both the OSCEs (p = 0.004) and SimSurg (p < 0.001) had significant negative correlations with case examiner recommendations when accounting for the effects of the other two assessments. Inductive thematic analysis of the responses to the questionnaire showed that assessors perceived OSCEs to be better suited to target specific knowledge and skills. SimSurg was thought to produce a more global picture as the scenarios more accurately portray a patient consultation. Conclusion While all three assessments are strong predictors of both case examiner recommendations and FtP outcomes, our findings suggest that the efficiency of GP ToCs can be improved by removing some of this overlapping content.
Related Links	https://bmcmededuc.biomedcentral.com/counter/pdf/10.1186/s12909-017-1111-0.pdf
Ending Page	9
Page Count	9
Starting Page	1
File Format	HTM / HTML
ISSN	14726920
DOI	10.1186/s12909-017-1111-0
Journal	BMC Medical Education
Issue Number	1
Volume Number	18
Language	English
Publisher	BioMed Central
Publisher Date	2018-01-02
Access Restriction	Open
Subject Keyword	Medical Education Theory of Medicine Bioethics Tests of competence General practice OSCEs Simulated surgery Theory of Medicine/Bioethics
Content Type	Text
Resource Type	Article
Subject	Education Medicine
Journal Impact Factor	2.7/2023
5-Year Journal Impact Factor	3.4/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Are the General Medical Council’s Tests of Competence fair to long standing doctors? A retrospective cohort study

Predictors of fitness to practise declarations in UK medical undergraduates

Physiotherapy clinical educators’ perceptions of student fitness to practise

Registrars as teachers: a qualitative study exploring the experiences of Australian general practice registrars in teaching roles

“Concerns” about medical students’ adverse behaviour and attitude: an audit of practice at Nottingham, with mapping to GMC guidance

How the introduction of OSCEs has affected the time students spend studying: results of a nationwide study

Initiating undergraduate medical students into communities of research practise: what do supervisors recommend?

Fitness-to-practice concerns in rural undergraduate medical education: a qualitative study

The UK medical education database (UKMED) what is it? Why and how might you use it?

The GP tests of competence assessment: which part best predicts fitness to practise decisions?

Similar Documents

Are the General Medical Council’s Tests of Competence fair to long standing doctors? A retrospective cohort study

Predictors of fitness to practise declarations in UK medical undergraduates

Physiotherapy clinical educators’ perceptions of student fitness to practise

Registrars as teachers: a qualitative study exploring the experiences of Australian general practice registrars in teaching roles

“Concerns” about medical students’ adverse behaviour and attitude: an audit of practice at Nottingham, with mapping to GMC guidance

How the introduction of OSCEs has affected the time students spend studying: results of a nationwide study

Initiating undergraduate medical students into communities of research practise: what do supervisors recommend?

Fitness-to-practice concerns in rural undergraduate medical education: a qualitative study

The UK medical education database (UKMED) what is it? Why and how might you use it?

The GP tests of competence assessment: which part best predicts fitness to practise decisions?