Campbell L M, Murray T S
Department of Postgraduate Medical Education, University of Glasgow.
Br J Gen Pract. 1996 Jul;46(408):411-4.
Summative assessment of general practice trainees will be introduced across the UK for trainees completing vocational training after 1 September 1996.
A study was set up to assess the reliability of the consulting skills assessment which will be used to develop audit and factual knowledge testing as summative assessment tools and to determine the probable impact of the system on the numbers of trainees identified as not yet competent for independent practice.
Videotaped consultations, an audit project, a trainer's report and a multiple-choice paper were evaluated for 359 trainees in the West of Scotland completing their training between 31 July 1993 and 31 July 1995.
A total of 77 trainees (22%) were identified as being potentially of doubtful competence and 17 (5%) were adjudged to be as yet incompetent for independent practice. Videotaped consultation produced the highest pickup rate (14) followed by trainer's judgement (3). Subsequent analysis of the video tapes identified one trainee who should have been picked up by this method but was not.
The videotape instrument reliably identified the non-competent trainees. Audit and factual knowledge tests have a distinct role in summative assessment. The proportion of trainees being refused certificates by this assessment is likely to increase considerably but will still represent only about 5% of all trainees.
1996年9月1日后完成职业培训的全科医生实习医生将在全英国接受总结性评估。
开展一项研究，以评估用于开发审核和事实知识测试作为总结性评估工具的咨询技能评估的可靠性，并确定该系统对被认定尚未具备独立执业能力的实习医生数量可能产生的影响。
对1993年7月31日至1995年7月31日期间在苏格兰西部完成培训的359名实习医生的录像咨询、一个审核项目、培训师报告和一份多项选择题试卷进行了评估。
总共77名实习医生（22%）被认定可能能力存疑，17名（5%）被判定尚未具备独立执业能力。录像咨询的识别率最高（14名），其次是培训师的判断（3名）。随后对录像带的分析发现有一名实习医生本应通过这种方法被识别出来，但却没有。
录像工具能可靠地识别出能力不足的实习医生。审核和事实知识测试在总结性评估中具有独特作用。通过这种评估被拒绝颁发证书的实习医生比例可能会大幅增加，但仍仅占所有实习医生的约5%。
