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ASME SELECTION April 28 th 2010

ASME SELECTION April 28 th 2010. MTAS. ASME SELECTION SOME CURRENT PROBLEMS. Scant recognition of performance . MARKS IN MRCP. MARKS. Medical Schools. McManus BMC Med 2008;6:5. ASME SELECTION SOME CURRENT PROBLEMS. Scant recognition of performance White space boxes

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ASME SELECTION April 28 th 2010

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  1. ASME SELECTIONApril 28th 2010

  2. MTAS

  3. ASME SELECTIONSOME CURRENT PROBLEMS • Scant recognition of performance

  4. MARKS IN MRCP MARKS Medical Schools McManus BMC Med 2008;6:5

  5. ASME SELECTION SOME CURRENT PROBLEMS • Scant recognition of performance • White space boxes • Non-discriminating

  6. ASME SELECTION SOME CURRENT PROBLEMS • Scant recognition of performance • White space boxes • Non-discriminating • Plagiarism

  7. ASME SELECTION SOME CURRENT PROBLEMS • Scant recognition of performance • White space boxes • Non-discriminating • Plagiarism • Tedious + expensive to mark

  8. ASME SELECTION SOME CURRENT PROBLEMS • Scant recognition of performance • White space boxes • Interviews

  9. ASME SELECTION SOME CURRENT PROBLEMS • Scant recognition of performance • White space boxes • Interviews • Single station OSCEs

  10. ASME SELECTION SOME CURRENT PROBLEMS • Scant recognition of performance • White space boxes • Interviews • Single station OSCEs • Different marks system by deanery

  11. ASME SELECTION SOME CURRENT PROBLEMS • Scant recognition of performance • White space boxes • Interviews • Single station OSCEs • Different marks system by deanery • Stick or twist on offers

  12. ASME SELECTION SOME CURRENT PROBLEMS • Scant recognition of performance • White space boxes • Interviews • Single station OSCEs • Different marks system by deanery • Stick or twist on offers • “Commitment to specialty”

  13. IDEAL SELECTION SYSTEM • Transparent • Fair • Objectively chooses best

  14. IDEAL SELECTION SYSTEM • Transparent • Fair • Objectively chooses best • Simple – uses existing data if possible • Cost effective • Avoids cheating / plagiarism • Avoids stick or twist • Consistent (+ Regulated)

  15. FUTURE DIRECTIONS?Foundation • National applied knowledge test • as a component

  16. FUTURE DIRECTIONS?Foundation • National applied knowledge test • as a component • Patient safety requires a knowledgeable doctor

  17. FUTURE DIRECTIONS?ST1/CT1 • ALL SUBJECT TO PILOTING • Shortlisting • Interview everyone if low numbers?

  18. FUTURE DIRECTIONS?ST1/CT1 • ALL SUBJECT TO PILOTING • Shortlisting • Interview everyone or • Computer based CPS/SJT to weed out the very poor

  19. MARKS IN MRCP MARKS Medical Schools McManus BMC Med 2008;6:5

  20. FUTURE DIRECTIONS?ST1/CT1 • ALL SUBJECT TO PILOTING • Shortlisting • Interview everyone or • Computer based CPS/SJT • Available for weeks

  21. FUTURE DIRECTIONS?ST1/CT1 • ALL SUBJECT TO PILOTING • Shortlisting • Interview everyone or • Computer based CPS/SJT • Available for weeks • Changing equated questions

  22. FUTURE DIRECTIONS?ST1/CT1 • ALL SUBJECT TO PILOTING • Shortlisting • Interview everyone or • Computer based CPS/SJT • Available for weeks • Changing equated questions • Single broad SJT

  23. FUTURE DIRECTIONS?ST1/CT1 • ALL SUBJECT TO PILOTING • Shortlisting • Interview everyone or • Computer based CPS/SJT • Available for weeks • Changing equated questions • Single broad SJT – use specialty relevant questions

  24. FUTURE DIRECTIONS?ST1/CT1 • ALL SUBJECT TO PILOTING • Shortlisting? • Selection centre – marks for communication and desired skills -eg • Working under pressure • Organisation

  25. FUTURE DIRECTIONS?ST1/CT1 • ALL SUBJECT TO PILOTING • Shortlisting? • Selection centre – marks for communication and desired skills -eg • Working under pressure • Organisation • Add % for knowledge from CPS/SJT

  26. FUTURE DIRECTIONS?ST1/CT1 • ALL SUBJECT TO PILOTING • Shortlisting? • Selection centre – marks for communication and desired skills -eg • Working under pressure • Organisation • Add % for knowledge from CPS/SJT • TOTAL SCORE

  27. FUTURE DIRECTIONS?ST1/CT1 • ALL SUBJECT TO PILOTING • Shortlisting? • Selection centre • Single national process

  28. FUTURE DIRECTIONS?ST1/CT1 • ALL SUBJECT TO PILOTING • Shortlisting? • Selection centre • Single national process • OR IF marking criterion referenced and reproducible

  29. FUTURE DIRECTIONS?ST1/CT1 • ALL SUBJECT TO PILOTING • Shortlisting? • Selection centre • Single national process • OR IF marking criterion referenced and reproducible, regional selection centres can cascade unsuccessful candidates’ marks to other regions

  30. FUTURE DIRECTIONS?ST3/4 • Feasible to interview all in more specialties as smaller numbers

  31. FUTURE DIRECTIONS?ST3/4 • Feasible to interview all in more specialties • Develop objective marker of progress • NOT WORKPLACE ASSESSMENT

  32. www.aomrc.org.uk/reports.aspx

  33. FUTURE DIRECTIONS?ST3/4 • Feasible to interview all in more specialties • Develop objective marker of progress • NOT WORKPLACE ASSESSMENT • ? Summative assessment • ? College exams • ??

  34. FUTURE DIRECTIONS?ST3/4 • Feasible to interview all in more specialties • Develop objective marker of progress • Detailed selection centre

  35. OTHER REQUIREMENTS • Much better career guidance

  36. OTHER REQUIREMENTS • Much better career guidance • Robust advice from Yr 1- inc CRs • “50% will be GPs”

  37. OTHER REQUIREMENTS • Much better career guidance • Offers period

  38. OTHER REQUIREMENTS • Much better career guidance • Offers period • Computer matching/cascade system • within and across specialties

  39. OTHER REQUIREMENTS • Much better career guidance • Offers period • Computer matching/cascade system • within and across specialties • Matching CT with ST3 numbers

  40. OTHER REQUIREMENTS • Much better career guidance • Offers period • Computer matching/cascade system • within and across specialties • Matching CT with ST3 numbers • Willingness to accept doctors with experience into different specialty

  41. OTHER REQUIREMENTS • Much better career guidance • Offers period • Computer matching/cascade system • within and across specialties • Matching CT with ST3 numbers • Willingness to accept doctors with experience into different specialty • English language ability

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