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Supervised learning events: direct observation of procedural skills pilot
L Batty1, K McKinnon2, A Skidmore3
1Department of Occupational Health and Wellbeing, King's College Hospital, London SE5 9RS, UK.
Occupational Medicine (Oxford, England)
|August 7, 2016
Summary
New workplace-based assessment (WBA) tools for occupational medicine (OM) doctors were found to be acceptable and improved reflection. These direct observation of procedural skills (DOPS) tools, in a supervised learning event (SLE) format, were approved for national use.
Area of Science:
- Medical Education
- Occupational Medicine
- Assessment Tools
Background:
- Workplace-based assessment (WBA) evaluates specialist competence through direct observation of trainee doctors' on-the-job performance.
- A pilot study tested redesigned direct observation of procedural skills (DOPS) tools in a supervised learning event (SLE) format for UK occupational medicine (OM) trainees.
- Feedback on the new WBA format was analyzed by the Faculty of Occupational Medicine (FOM) Workplace-Based Assessment Advisory Group (WBAAG).
Purpose of the Study:
- To evaluate the utility of redesigned WBA tools for OM trainees.
- Assessed acceptability, feasibility, usability, reliability, and validity of the new assessment tools.
Main Methods:
- Comprehension trials (CT) assessed face and content validity of the new forms with trainees and trainers.
- Inter-rater reliability was evaluated through a video scoring exercise.
- Usability and acceptability were assessed via an electronic survey distributed to trainees and trainers.
Main Results:
- Comprehension trials confirmed acceptable face and content validity for the revised tools.
- Video assessments demonstrated consistent grading among trainers, indicating good inter-rater reliability.
- A significant majority of trainees (68%) and trainers (95%) found the redesigned tools an improvement; 83% of trainees reported enhanced performance reflection.
Conclusions:
- Pilot study findings support the adoption of the new SLE-DOPS forms for WBA in OM.
- The General Medical Council (GMC) approved the new forms for implementation in April 2016.
- The redesigned tools are considered an effective enhancement for OM WBA.
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