Johnson, Peter Neil (1999) The development and testing of a structured trainer's report for summative assessment in general practice. MD thesis, University of Warwick.

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Abstract

The central theme of this thesis is the place of a report provided by the trainer on the
performance of the trainee as part of a process of regulating entry to independent general
medical practice in the United Kingdom (summative assessment). The thesis aims both
to analyse the place of a such a report within a process of summative assessment and to
consider whether it is possible to develop a report form for this purpose that enables
aspects of the general practitioner trainee's skills, knowledge, attitudes and practice to be
assessed by the trainer in a feasible, valid and reliable way.
It is argued that the certification process for entry to independent general practice in the
United Kingdom needs review and that tests of performance, such as a trainer's report,
have a particular role in such a process; that such tests should be criterion-referenced;
and that a number of properties are of particular importance in the development and
testing of a trainer's report in the context of the assessment of doctors completing
general practitioner training in the United Kingdom.
A set of research objectives are delineated for a sequential series of five research studies.
Using a variety of methods (semi-structured group interviews, postal questionnaire
surveys, consensus conference, and pitot testing), these studies demonstrate: that there is
a specific place for a trainer's report; that valid contents can be selected and minimum
standards set; that the report form that has been developed is reliable and feasible and
allows discrimination; and that, should it be widely adopted, there is a strong need for
further testing, a continuing quality assurance system and further developmental work.
It is concluded that summative assessment does have a role in providing an initial step in
assuring the public of the quality of doctors entering independent general practice and
that the report form developed here is suitable for wide application within such a
process. It is also reasoned that a number of lessons about the application of such a
process, and the inclusion of such a report, in other settings can be learnt. In particular it
is suggested that a report provided by a trainer may have a particular role in assessment
when the requirement is the assessment of performance of complex attributes within the
context of training designed to enable the trainee to carry out a particular purpose but
that it should rarely be used as the sole instrument.

Item Type:	Thesis (MD)
Subjects:	R Medicine > RA Public aspects of medicine
Library of Congress Subject Headings (LCSH):	Physicians (General practice) -- Training of -- Great Britain, Physicians (General practice) -- Rating of -- Great Britain
Official Date:	March 1999
Dates:	Date Event March 1999 Submitted
Institution:	University of Warwick
Theses Department:	School of Postgraduate Medical Education
Thesis Type:	MD
Publication Status:	Unpublished
Supervisor(s)/Advisor:	Wilmot, John ; Strachan, Bob
Sponsors:	Great Britain. Dept. of Health (DoH)
Extent:	316, [16] p.
Language:	eng

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