Towards a formative assessment of classroom competencies (FACCs) for postgraduate medical trainees

Gray, Christopher S., Hildreth, Anthony, Fisher, Catherine, Brown, Andrew, Jones, Anita, Turner, Ruth and Boobis, Leslie (2008) Towards a formative assessment of classroom competencies (FACCs) for postgraduate medical trainees. BMC Medical Education, 8 (61). pp. 1-9. ISSN 1472-6920

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Official URL: http://dx.doi.org/10.1186/1472-6920-8-61

Abstract

Background
An assumption of clinical competency is no longer acceptable or feasible in routine clinical practice. We sought to determine the feasibility, practicability and efficacy of undertaking a formal assessment of clinical competency for all postgraduate medical trainees in a large NHS foundation trust.

Methods
FY1 doctors were asked to complete a questionnaire to determine prior experience and self reported confidence in performing the GMC core competencies. From this a consensus panel of key partners considered and developed an 8 station
Objective
Structured Clinical Examination (OSCE) circuit to assess clinical competencies in all training grade medical staff... The OSCE was then administered to all training grade doctors as part of their NHS trust induction process.

Results
106 (87.6% of all trainees) participated in the assessment during the first 14 days of appointment. Candidates achieved high median raw percentage scores for the majority of stations however analysis of pre defined critical errors and omissions identified important areas for concern. Performance of newly qualified FY1 doctor was significantly better than other grades for the arterial blood gas estimation and nasogastric tube insertion stations.

Discussion
Delivering a formal classroom assessment of clinical competencies to all trainees as part of the induction process was both feasible and useful. The assessment identified areas of concern for future training and also served to reassure as to the proficiency of trainees in undertaking the majority of core competencies.

Item Type: Article
Subjects: B900 Others in Subjects allied to Medicine
X900 Others in Education
Department: Faculties > Health and Life Sciences > School of Health, Community and Education Studies > Healthcare
Depositing User: EPrints Services
Date Deposited: 09 Sep 2009 14:02
Last Modified: 12 Feb 2016 04:49
URI: http://nrl.northumbria.ac.uk/id/eprint/641

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