 |
 |
That would be excellent. Could you send it to my work email address please? [log in to unmask] Thanks Andy >===== Original Message From Accident and Emergency Academic List <[log in to unmask]> ===== >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 >> Totalise - the Users ISP ---------------------- To become a member and a shareholder - visit the site at www.totalise.co.uk