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Selecting general practice specialty trainees: where next?

Bill Irish1, Fiona Patterson

  • 1GP National Recruitment Office, Severn Deanery, Bristol.bill.irish@southwest.nhs.uk

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|November 11, 2010
PubMed
Summary
This summary is machine-generated.

General practice (GP) speciality training selection uses a multi-method approach assessing key competencies. Current methods show predictive validity, but require review due to evolving UK general practice and concerns about international medical graduates.

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Area of Science:

  • Medical Education
  • General Practice Training
  • Assessment Methods

Background:

  • Selection for GP speciality training relies on a multi-method job analysis.
  • Six core competencies (empathy, communication, integrity, clinical expertise, problem-solving, resilience) are assessed.
  • Current national selection involves machine-marked tests and high-fidelity exercises.

Purpose of the Study:

  • To evaluate the current GP speciality training selection process.
  • To identify areas for streamlining and re-engineering for efficiency and robustness.
  • To address concerns regarding differential performance between UK and international medical graduates.

Main Methods:

  • Multi-method job analysis study.
  • Machine-marked clinical problem-solving and situational judgement tests.
  • High-fidelity exercises (e.g., simulated patient consultations).

Main Results:

  • Current selection methods demonstrate good internal reliability and predictive validity.
  • High correlations observed between selection outcomes and subsequent job performance/MRCGP examinations.
  • Candidates perceive high-fidelity assessments as most job-relevant and fair.

Conclusions:

  • The GP selection process is generally effective but requires urgent review.
  • Emerging data suggests opportunities for process optimization and re-engineering.
  • Addressing differential performance and adapting to changes in UK general practice are critical.