Examiner perceptions of the MRCGP recorded consultation assessment for general practice licensing during COVID-19: cross-sectional study

BMC Medical Education

Research

Despina Laparidou¹  Vanessa Botan¹  Aloysius Niroshan Siriwardena¹  Graham R. Law¹  Viet-Hai Phung¹  Richard Wakeford²  Peter Cheung³  Meiling Denney³  Adrian Freeman⁴ 

[1] Community and Health Research Unit, School of Health and Social Care, University of Lincoln, LN5 7AT, Lincoln, England;Hughes Hall, University of Cambridge, CB1 2EW, Cambridge, England;Royal College of General Practitioners, 30 Euston Square, NW1 2FB, London, UK;University of Exeter Medical School, EX1 2HZ, Exeter, England;

关键词: Education, medical, postgraduate;    Assessment;    Licensing;    General practice;    COVID-19;   

DOI  :  10.1186/s12909-023-04027-4

 received in 2022-04-14, accepted in 2023-01-12,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThe Recorded Consultation Assessment (RCA) was developed rapidly during the COVID-19 pandemic to replace the Clinical Skills Assessment (CSA) for UK general practice licensing. Our aim was to evaluate examiner perceptions of the RCA.MethodsWe employed a cross-sectional design using a questionnaire survey of RCA examiners with attitudinal (relating to examiners thoughts and perceptions of the RCA) and free text response options. We conducted statistical descriptive and factor analysis of quantitative data with qualitative thematic analysis of free text responses.ResultsOverall, 182 of 260 (70%) examiners completed the questionnaire. Responders felt that consultations submitted were representative of the work of a typical GP during the pandemic and provided a good sample across the curriculum. They were also generally positive about the logistic, advisory and other support provided as well as the digital platform. Despite responders generally agreeing there was sufficient information available in video or audio consultations to judge candidates’ data gathering, clinical management, and interpersonal skills, they were less confident about their ability to make judgments of candidates’ performance compared with the CSA. The qualitative analysis of free text responses detailed the problems of case selection and content, explained examiners’ difficulties when making judgments, and detailed the generally positive views about support, training and information technology. Responders also provided helpful recommendations for improving the assessment.ConclusionThe RCA was considered by examiners to be feasible and broadly acceptable, although they experienced challenges from candidate case selection, case content and judgments leading to suggested areas for improvement.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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Fig. 4