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Related Experiment Videos

Audit and summative assessment: system development and testing

J R Lough1, J McKay, T S Murray

  • 1Department of Postgraduate Medical Education, University of Glasgow, UK.

Medical Education
|May 1, 1997
PubMed
Summary
This summary is machine-generated.

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General practice registrars must pass an audit project assessment. A new marking system was tested, finding most projects met standards, but a referral process improved identification of those needing improvement.

Area of Science:

  • Medical Education
  • General Practice Training
  • Healthcare Quality Improvement

Background:

  • General practice registrars require summative assessment, including an audit project.
  • A criterion-referenced marking schedule was developed in West Scotland.
  • The schedule has five independent criteria, all requiring above-minimum competence for passing.

Purpose of the Study:

  • To test a new assessment instrument for general practice registrar audit projects.
  • To calculate the sensitivity and specificity of the assessment process.
  • To refine a referral process for audit projects below minimum competence.

Main Methods:

  • A marking exercise was used to test the assessment instrument.
  • 102 registrar audit projects were assessed by three independent assessors.

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  • Sensitivity and specificity were calculated for various assessor combinations.
  • Main Results:

    • 90% (92/102) of projects initially passed.
    • 10% (10/102) were referred back for being below minimum competence.
    • After resubmission, 6% passed, 2% remained below competence, and 2% were not resubmitted.

    Conclusions:

    • A robust referral process for assessing general practice registrar audit projects has been developed.
    • The system aims to maximize the identification of projects below minimum competence.
    • The assessment process demonstrates effectiveness in evaluating registrar performance.