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How to pass the MRCPsych examination. Dr Bruce Owen. Outcomes. By the end of this session, participants will be able to recognise one model of medical skills and how they are assessed Describe the structure, content and function of the different parts of the assessment system in psychiatry
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How to pass the MRCPsych examination Dr Bruce Owen
Outcomes • By the end of this session, participants will be able to • recognise one model of medical skills and how they are assessed • Describe the structure, content and function of the different parts of the assessment system in psychiatry • Recognise the concept of learning styles and how to structure their learning for maximum effectiveness
“The most important things are not measured” W Edwards Deming
Two purposes of assessment • Formative • ‘Assessment for learning’ • Summative • ‘Assessment of learning
Miller’s pyramid Does Performance Shows how Competence Knows how Knows
Miller’s pyramid and assessment 360˚ Performance CEX Does WPBA DOPs CbD Competence Shows how OSCE (CASC) Written tests MCQ/EMI Knows how Knows WPBA = Workplace based assessment OSCE = Observed structured clinical examination
Outcomes • By the end of this session, participants will be able to • recognise one model of medical skills and how they are assessed • Describe the structure, content and function of the different parts of the assessment system in psychiatry • Recognise the concept of learning styles and how to structure their learning for maximum effectiveness
The Assessment System • Includes: • Standardised (national) exams – mainly summative • Workplace-based assessments – mainly formative • Integration – ultimately summative
National exams • Paper 1 • Clinical topics at a basic level • Basic psychology • Psychopathology • Social sciences • Paper 2 • Psychopharmacology • Neuroscience relevant • Epidemiology • Advanced psychology • Paper 3 • Research and ebm • All psychiatry specialties
National clinical exam • CASC • 8 single stations 7 mins • 4 double/linked stations 10 mins
Miller’s pyramid and assessment 360˚ Performance CEX Does WPBA DOPs CbD Competence Shows how OSCE (CASC) Written tests MCQ/EMI Knows how Knows WPBA = Workplace based assessment OSCE = Observed structured clinical examination
WPBA in psychiatry • Lots of acronyms, only four methods
Four core methods 1 • Based on documents: • Log book assessment • Case based Discussion (Chart Stimulated Recall)
Four core methods 2 • Direct observation of a procedure • DOPS • DONCS • Teaching • Case presentation • Journal Club presentation
Four core methods 3 • Observed clinical encounters • Mini-Assessed Clinical Encounter • Assessment of Clinical Expertise
Four core methods 4 • Multi-source feedback (360°) • Mini-Peer Assessment Tool
Integration – the tasks of the Annual Review of Competency Progression Assess the evidence Contained in Portfolio Formal assessments Reports Make a decision based on the evidence Summative pass/fail
Guide for ARCP panels • Guides trainees and trainers as to what should be assessed • how it should be assessed • and at which stages
ARCP Guide for Core Psychiatry Training http://www.rcpsych.ac.uk/training/curriculum2010.aspx
ARCP decisions: - Progress onwards Need to develop -within time Need to develop -additional time Leave the programme Incomplete evidence
Outcomes • By the end of this session, participants will be able to • recognise one model of medical skills and how they are assessed • Describe the structure, content and function of the different parts of the assessment system in psychiatry • Recognise the concept of learning styles and how to structure their learning for maximum effectiveness
Learning/teaching activities • Instructional activity • Simulation • Workplace activity • Reflection
Concrete experience Active experimentation Reflective observation Abstract conceptualisation Kolb’s Learning Cycle Watching your trainer perform a risk assessment Perform part of an interview contributing to risk assessment Guided reading of psychiatric literature Discussion of observations in supervision Kolb (1984) Experiential learning: experience as the source of learning and development. Prentice Hall
Which type of learner are you? • Reflector – watch and feel • Watch, think and review • Theorist – watch and think • Think a problem through • Pragmatist – do and think • Likes to apply new learning • Activist – do and feel • Likes to experience new things
Thank you! Any questions?