Clinical skills assessment.

摘要: BACKGROUND: From September 1996, all GP registrars completing vocational training in the United Kingdom must demonstrate competence by means of a four-part assessment procedure. AIM: To look at accuracy one components training: trainer9s report. METHOD: Seventy-five their general practice end July 1997 were invited to take part practical skills workshop. Eight stations designed test and diagnostic interpretations that included report, clinical vignette accompanied each task. The marking schedule used was developed from minimum standards required Twenty-nine (38%) took RESULTS: Only registrar passed eight stations. maximum number failed any individual five this doctor only sample ultimately fail summative assessment. majority being unable interpret findings. Twenty-five (86%) responded follow-up questionnaire. Of these, six felt unrealistic. All but two had spent least months hospital doing obstetrics gynaecology but, spite this, 31% above for vaginal speculum examination. CONCLUSION: With exception, aspects Discrepancy found between report doctor9s ability carry out procedures. There is an assumption many these are taught assessed undergraduate level during component, cannot be taken granted. Doubt also cast on whether trainers using appropriately, valid reliable tool identify deficient