McLoughlin Kathleen, Pope Lindsey, Walsh Elaine, Jennings Aisling, Foley Tony
a Department of General Practice , University College Cork , Cork , Ireland.
b School of Medicine, Dentistry & Nursing , University of Glasgow , Glasgow , UK.
Educ Prim Care. 2018 May;29(3):132-137. doi: 10.1080/14739879.2018.1427510. Epub 2018 Jan 25.
Background Successful completion of all three components of the Membership of the Royal College of General Practitioners UK (MRCGP) is required for a doctor to practise independently as a general practitioner (GP). One component, the Clinical Skills Assessment (CSA), is a high fidelity, high stakes examination designed to provide an objective external assessment of clinical skills. Aim The aim of this integrative review was to identify, critically appraise and synthesise published empirical evidence on the CSA to identify areas for further inquiry or future collaboration. Design and setting An integrative review of empirical literature focused on the MRCGP CSA. Method A search strategy was developed to conduct an integrative review of empirical published literature. The quality of studies was assessed using the Mixed Methods Appraisal Tool (MMAT). Results 11 of the 31 records reviewed were included. Studies were heterogeneous looking at the use of simulated patients, child actors and mock CSAs. Variables contributing to performance on the CSA, with a particular emphasis on the International Medical Graduate, were identified. Conclusion A small pool of published evidence regarding the CSA exists, focused on factors influencing CSA performance. Future research could explore the effectiveness of interventions to improve performance on the CSA and use robust measures to consider candidates' experience of the CSA.
背景 英国皇家全科医师学院会员资格（MRCGP）的所有三个组成部分都成功完成后，医生才能独立作为全科医生（GP）执业。其中一个组成部分，即临床技能评估（CSA），是一项高保真、高风险的考试，旨在对临床技能进行客观的外部评估。目的 本整合性综述的目的是识别、批判性评价和综合已发表的关于CSA的实证证据，以确定进一步探究或未来合作的领域。设计与设置 对聚焦于MRCGP CSA的实证文献进行整合性综述。方法 制定了检索策略，对已发表的实证文献进行整合性综述。使用混合方法评估工具（MMAT）评估研究质量。结果 纳入了所审查的31篇记录中的11篇。研究具有异质性，涉及模拟患者、儿童演员和模拟CSA的使用。确定了影响CSA表现的变量，特别强调了国际医学毕业生。结论 关于CSA的已发表证据较少，重点是影响CSA表现的因素。未来的研究可以探索提高CSA表现的干预措施的有效性，并使用可靠的方法来考量考生对CSA的体验。
