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
>>
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