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A Credit Based Scoring System for trainee progression. Mr. Mark J McCarthy TPD for Core Surgical Training- East Midlands (South). Background. Credit Based Scoring system began in August 2007 with the introduction of run- through trainees Concerns that trainees may become complacent
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A Credit Based Scoring System for trainee progression Mr. Mark J McCarthy TPD for Core Surgical Training- East Midlands (South)
Background • Credit Based Scoring system began in August 2007 with the introduction of run- through trainees • Concerns that trainees may become complacent • Concerns over work based assessments • Concerns over which trainees would enter which specialty at ST3
Principles involved • Trainees gain credits for academic and clinical accomplishments over a 12 month period • Prior to ARCP the credits are totalled and the trainees ranked against each other • Trainees told of rank during ARCP interview • The highest ranking trainees then select post/specialty of choice
What did it involve? • All trainees were told in August 07 of the credit based scoring system during their induction and also given a written protocol • All had to be registered with ISCP • MCQ for ST1 and OSCE ST2 • CV completion by May 2007
Outcome after 1st year-Trainers view • Useful to praise those that are doing well at ARCP interview and useful evidence to encourage others and give goal directed feedback • Help make decisions with regards to trainee placements and specialty of choice
Outcome after 1st year-Trainers view • Higher attendances for educational days • Promotion by merit and clinical aptitude • Results correlated well with interview scores with an r value of 0.83
Outcome after 1st year-Trainees view • Gave them clear objectives and goals • Felt it made them more competitive and enhanced their Curriculum Vitae • Those at the bottom of the ranking wish they had taken it more seriously but are doing so now • Exams were good preparation for the MRCS
August 2008 and beyond • Now all CT1 and CT2 trainees are part of this system • Has been adapted for T+O and General Surgery for ST3 and above