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E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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A competency based selection procedure for Dutch postgraduate GP training: a pilot study on validity and reliability.

Margit I Vermeulen¹, Fred Tromp, Nicolaas P A Zuithoff

¹Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht , the Netherlands.

The European Journal of General Practice

|March 21, 2014

Summary

This summary is machine-generated.

A new competency-based selection procedure for general practice (GP) training shows promising content validity and reliability. Further research is needed to confirm its predictive validity for GP selection.

Keywords:

Medical education general practice post graduate training selection

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Area of Science:

Medical Education
Healthcare Professional Training
Psychometrics

Background:

Historically, semi-structured interviews (SSI) have been the standard for selecting candidates for postgraduate general practice (GP) training in the Netherlands.
This study introduces and evaluates a novel competency-based selection procedure designed to assess essential competencies for successful GP training.

Purpose of the Study:

To evaluate the reliability and validity of newly developed instruments for a competency-based selection procedure for GP training.
To compare the performance of new selection instruments with the existing procedure.

Main Methods:

A pilot study was conducted using a new selection procedure including the National GP Knowledge Test (LHK), a situational judgment test (SJT), a patterned behavior descriptive interview (PBDI), and a simulated encounter (SIM).
Forty-seven candidates participated in both the new and the current selection procedures, with admission decisions based on the latter.
Data collected included test scores, self-reported and observed competencies, and internal consistency measures.

Main Results:

The new instruments demonstrated varying degrees of reliability and validity. Internal consistencies for LHK and SJT were poor, while PBDI and SIM showed acceptable reliability.
Correlations between different competencies measured by separate instruments were low, but diverse competencies measured by a single instrument showed moderate to strong correlations.
Self-reported competencies (PBDI) were higher than observed competencies (SIM), with a moderate correlation found between LHK and SJT scores.

Conclusions:

The initial findings suggest that the new instruments possess promising content validity and reliability for a competency-based selection process.
Further development and validation, particularly predictive validity studies, are recommended to fully establish the efficacy of this new selection procedure for GP training.