Carr S J
Department of Nephrology, University Hospitals of Leicester NHS Trust, Leicester General Hospital, Gwendolen Road, Leicester LE5 4PW, UK.
Postgrad Med J. 2004 Feb;80(940):63-6. doi: 10.1136/pmj.2003.011718.
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.
大多数会诊医生参与对多个培训阶段医生的培训和评估,尤其是高级住院医师(SHOs)和专科住院医师。在医学及其他专科领域,越来越倾向于利用专科住院医师培训评估过程记录来评估初级医生的能力,并使用皇家内科医师学院文件夹记录医学高级住院医师的能力。有必要思考为何需要评估能力、如何切实进行评估,以及这种评估体系的优缺点。在当今英国国家医疗服务体系(NHS)的医学专科领域实施该体系存在相当大的障碍,组织可能需要进行相当彻底的变革以推动该体系的实施。