The Induction and Refresher scheme Simulated Surgery

Area of Science:

• Medical Education
• General Practice Training
• Clinical Skills Assessment

Background:

• The Induction and Refresher scheme Simulated Surgery (I&RSS) is a key assessment for General Practitioners (GPs).
• It is recommended for GPs returning to practice and those from the EU entering UK general practice.
• The I&RSS also serves as a remediation tool for GPs with fitness to practise concerns.

Purpose of the Study:

• To describe the Induction and Refresher scheme Simulated Surgery (I&RSS).
• To evaluate the validity and reliability of the I&RSS.
• To compare the I&RSS with the MRCGP Clinical Skills Exam and discuss candidate performance.

Main Methods:

• Candidates consult with simulated patients presenting common GP scenarios.
• The assessment observes clinical and consulting skills.
• Deaneries utilize I&RSS to identify learning needs prior to scheme entry.

Main Results:

• The paper details the I&RSS process and its psychometric properties.
• Outcomes from the last two years of the exam are reported.
• Performance variations across different candidate groups are discussed.

Conclusions:

• The I&RSS provides a valid and reliable assessment of GP clinical and consulting skills.
• It offers formative feedback, aiding in GP professional development.
• The scheme is crucial for integrating GPs into UK general practice and addressing practice concerns.