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nMRCGP

nMRCGP. The Clinical Skills Assessment September 2008. Purpose of the CSA. ‘An assessment of a doctor’s ability to integrate and apply appropriate clinical, professional, communication and practical skills in general practice’

emma-hinton
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nMRCGP

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  1. nMRCGP The Clinical Skills Assessment September 2008

  2. Purpose of the CSA ‘An assessment of a doctor’s ability to integrate and apply appropriate clinical, professional, communication and practical skills in general practice’ Integrative skills assessment - tests a doctor’s abilities to gather information and apply learned understanding of disease processes and person-centred care appropriately in a standardised context, making evidence-based decisions, and communicating effectively with patients and colleagues.

  3. CSA: the centre • Purpose-built centre • No.1 Croydon • Easy access

  4. CSA: the centre • 3 circuits • Morning or afternoon session

  5. CSA: the centre • Candidate stays in ‘surgery’ • 13 cases (including 1 pilot) • Simulated consultations, ten minutes each

  6. CSA: the assessment • Trained role players play patients • Examiners are selected, trained, monitored • Some cases are video recorded • Examiners sit in, observe, mark

  7. CSA: the assessment • Marking cases • examiners use word pictures to grade three domains, then decide on a grade for the case overall (the grade descriptors are published on the RCGP website) • CSA Grade descriptors • Feedback to candidates • examiners can flag areas for improvement • areas flagged by 2 or more examiners are reported to the candidate • Statements 6.9,10,14 • Serious concerns • examiners can flag serious concerns, which may be followed up by RCGP

  8. CSA: three domains

  9. CSA: four grades • Four grades • Clear pass  • Marginal pass  • Marginal fail × • Clear fail × • Grade descriptors • on RCGP website under CSA cases

  10. CSA: feedback • Results and feedback via eportfolio • Number of cases passed • Case grades • Areas for improvement as flagged by assessors

  11. CSA: mapping to the GP curriculum • Cases linked to intended learning outcomes within specified curriculum statements • Sampling from across the curriculum • Cases mapped to curriculum statements • GP curriculum on RCGP website

  12. CSA: mapping to the curriculum

  13. CSA: case selection

  14. CSA: resources • Virtual tour of CSA centre on RCGP website • ‘Information for Candidates’ • Directions to the centre • Format, timing, marking of the assessment • Equipment to bring • CSA sample cases • Feedback • How to use the suggestions for improvement • Courses

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