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The Multiple Consultant Report: new assessment; same old problems.

Omar Mukhtar1, Jessica Griffin2, Salma Naheed3

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Summary
This summary is machine-generated.

The Multiple Consultant Report (MCR) for junior doctors lacks awareness and effective feedback, duplicating other assessments. Reconsidering workplace-based assessments is suggested for improved medical education.

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Area of Science:

  • Medical Education
  • Workplace-Based Assessment
  • Junior Doctor Training

Background:

  • The Multiple Consultant Report (MCR) was implemented in the UK in December 2013 as a mandatory assessment tool for junior doctors, including Core Medical Trainees (CMT).
  • The MCR aims to gather consultant supervisor feedback on a doctor's clinical performance.
  • There is a lack of published academic evaluation regarding the MCR's effectiveness as an assessment for learning.

Purpose of the Study:

  • To explore the opinions of Core Medical Trainees (CMT) regarding the Multiple Consultant Report (MCR) at a London teaching hospital.
  • To identify strengths and weaknesses of the MCR from the perspective of junior doctors.

Main Methods:

  • A questionnaire was distributed to 42 Core Medical Trainees (CMT).
  • A focus group was conducted to enrich questionnaire data.
  • Inductive thematic analysis was employed for qualitative data analysis.

Main Results:

  • Twenty-two trainees (52%) completed the questionnaire, and six attended the focus group.
  • A significant finding was the lack of awareness among trainees and assessors about the MCR's purpose and introduction.
  • Ineffective feedback limited the MCR's impact, with trainees perceiving it as a duplication of existing assessments.
  • Registrars were considered better suited to provide detailed feedback for the MCR.

Conclusions:

  • The MCR exhibits similar strengths and weaknesses to existing assessment tools.
  • The study suggests a need to re-evaluate current approaches to workplace-based assessments in medical training.
  • Improving awareness and feedback mechanisms is crucial for the effectiveness of the MCR.