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Biomedical subjects

N A Spike

Publications and source records attributed to N A Spike.

5 recordsLinked to original sources

Analysis by training status of performance in the certification examination for Australian family doctors.

OBJECTIVES: Following recent changes to eligibility requirements for recognition as a general practitioner in Australia, an increasing proportion of candidates select the non-training, or practice-eligible, route to the RACGP Fellowship Examination, without the benefit of formal general practice training. DESIGN: Pass rates for the training and practice-eligible cohorts from the 1996 and 1997 examinations were determined and compared. SETTING: Royal Australian College of General Practitioners (RACGP). SUBJECTS: General practitioner candidates for the RACGP. RESULTS: The analysis of the 1996 and 1997 examinations showed that the overall pass rate and individual examination segment scores of the practice-eligible route candidates were lower than those for candidates from the training route. CONCLUSIONS: The observed difference in performance is more probably due to different preparation for the examination than any systematic bias against particular groups of candidates. All candidates for the examination would benefit from exposure to the general practice curriculum and supervised experience in Australian general practice.

Australia↗

Longitudinal reliability of the Royal Australian College of General Practitioners certification examination.

The examination for Fellowship of the Royal Australian College of General Practitioners is a long-standing examination that is regarded as a valid and comprehensive assessment of competence for general practice in Australia. Income and employment opportunities now depend on passing this battery of eight subtests. This paper describes the structures of the examination and reports an analysis of the reliability and efficiency of the examinations, based on data from five consecutive examinations. Results indicate that the examination achieves acceptable overall reliability, although suggestions for changes to improve reliability are made. A decision on implementing any changes must take into consideration any consequent changes in validity.

Australia↗

Competency of medical students in general practice procedural skills.

A self-reported competency survey of 1988 sixth year medical students in Queensland revealed that only 2 of 47 procedural skills considered essential for general practice had been performed alone by 80 per cent or more of students. Six of the essential skills had not been performed by more than 80 per cent of students. Consideration needs to be given to the content and effectiveness of undergraduate general practice procedural skills training.

Australia↗

General practice procedural skills.

In 1988 a self reported competency survey of Queensland interns was undertaken in the final months of their pre-registration year. The survey revealed that 24 of 46 essential procedural skills for general practice had been performed alone by 80 per cent or more of interns. Eleven of the remaining 22 procedures had been performed under supervision by at least 80 per cent of the respondents. There were four procedures that had been performed by fewer than half the respondents.

Australia↗

Analysis of the RACGP Fellowship examination results.

The FRACGP examination assesses a candidate's performance in five behavioural attributes--knowledge, interpretation, problem solving, affective behaviour and psychomotor skills. These attributes were used as the basis for comparing the performance of various groups of candidates in the examination.

Adult↗