Assessing clinical competency in medical senior house officers: how and why should we do it?

Most consultants are involved in the training and assessment of several grades of doctors in training especially senior house officers (SHOs) and specialist registrars. In the medical and other specialties there is an increasing trend towards assessing junior doctors’ competency using the record of...

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Bibliographic Details
Published in:Postgraduate Medical Journal 2004-02, Vol.80 (940), p.63-66
Main Author: Carr, S J
Format: Article
Language:English
Subjects:
Accountability
Biological and medical sciences
Clinical competence
Clinical Competence - standards
Clinical medicine
competence
education
Education, Medical, Continuing - methods
Employee Performance Appraisal - methods
Fashion models
General aspects
Health education
Hospitals
Humans
Inservice Training - methods
MCQ
Medical sciences
Medical Staff, Hospital - standards
Medicine
mini-CEX
mini-clinical evaluation exercise
multiple choice question
objective structured clinical examination
OSCE
Physicians
Review
senior house officer
SHO
Skills
Training
United Kingdom
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Summary:Most consultants are involved in the training and assessment of several grades of doctors in training especially senior house officers (SHOs) and specialist registrars. In the medical and other specialties there is an increasing trend towards assessing junior doctors’ competency using the record of in-training assessment process for specialist registrars and using the Royal College of Physicians folder to record competences of medical SHOs. It is necessary to consider why there is a need to assess competency, how it may be done practically, and the advantages and disadvantages of this system of assessment. There are considerable hurdles to the implementation of this system in the medical specialties within today’s NHS and the organisation may need to undergo fairly radical change to facilitate this system.
ISSN:0032-5473
1469-0756
DOI:10.1136/pmj.2003.011718