Doncaster tonight, 4pm to midnight and then on-call. Tomorrow you are off all
day.
JP
>>> Simon McCormick 01/15/03 08:53am >>>
Andy,
In Sheffield last year we trialled an assessment of ENP competency, but used
SHOs as guinea pigs. The assessment consisted of a set of short answer
clinical questions, a few OSCEs based on clinical pictures/x-rays and five
practical stations. It worked pretty well and some of the results were
interesting!
I could send you a copy off list if you wanted.
Simon McCormick
Sheffield/Doncaster/Leicester (I'm never quite sure where I work at the
moment!)
----- Original Message -----
From: Andrew Lockey <[log in to unmask]>
To: Simon Mccormick <[log in to unmask]>
Sent: 14 January 2003 21:11
Subject: Re: Competency based assessment for SHO
> A few crazed ramblings from someone still at work after 3 sequential paed
> resuscitations......
>
> I'm not a great fan of tick box lists. It focuses us all on skills and
ignores
> knowledge and, just as importantly, attitudes and communication skills. It
> also encourages generic assessment and also "cherry picking" by SHOs so
that
> they can complete the list.
>
> Remember, each SHO is different and has different learning needs. It may
be
> entirely reasonable to expect a VTS doc to be able to do a full mental
state
> examination and initial psychiatric evaluation including assessment of
risk
> for self harm, but that may not be as appropriate for a surgical trainee
(God
> forbid!!!!!).
>
> Adrian's question is valid however - should there be a core set of
standards
> that each SHO meets regardless of their background and development plan. I
> suppose this is fairly similar to the curriculum for the primary MRCS A&E.
>
> MCQ's? Little use in isolation but can be a valuable component. An OSCE is
a
> far better way of assessing more than just knowledge. More manpower
dependent
> if done properly but more fun and certainly gives a better idea if
stations
> are included that include data interpretation, communication skills,
practical
> skills, and the odd MCQ/MEQ station.
>
> Does anyone have a well designed OSCE that they use for their SHO's? If
so, I
> would gladly trade a copy of my SHO portfolio work!!!!!!!!!
>
> Remember also that OSCE's at different stages of the job serve different
> purposes. At the beginning, they can be used to highlight deficiencies in
core
> knowledge. It is vital that this OSCE is NOT threatening or punative. Best
> done in a relaxed manner. OSCE's at mid-term can be used to ensure that
the
> SHOs are up to speed with vital aspects of the job (good suturing,
> ALS/ATLS/APLS, management of the common emergency e.g. unstable
> angina/LVF/acute abdo etc). OSCE's at the end can be used as an evaluation
of
> the SHO.
>
> Enough of my rambling. This message is reaching gargantuam (or at least
Matt
> Dunn) proportions!
>
> Regards
>
> Andy
>
>
>
> >===== Original Message From Accident and Emergency Academic List
> <[log in to unmask]> =====
> >I'm obtaining some work done by 'educationalists' in this field of
> >assessment.
> >I'll share ideas when I,ve looked at it.
> >
> >Thoughts about MCQ's - again 'educationalists' can contribute! Do MCQ's
> >objectively assess competence? - I'm sure they test knowledge, and
> >technique - not competency.
> >
> >Do people use OSCE's to assess competency at SHO level?
> >What about skills lab based activities - esp for resus skills and team
> >qualities?
> >
> >I agree with Steve that log books are clumsy....I don't think they are
> >entirely objective. I remember my SpR log, usually signed at the end of
> >attachment. 'Or, you've done that haven't you!'
> >
> >Anyone know of work done by FAEM on this subject of assessing competency?
> >
> >Kind regards
> >
> >Adrian Kerner
>
> Totalise - the Users ISP
> ----------------------
> To become a member and a shareholder - visit the site at
> www.totalise.co.uk
>
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