Get Through MRCGP 2nd Edition PDF – Clinical Skills Assessment


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This introduction outlines the Clinical Skills Assessment (CSA) and offers a strategy for revision. We consider ‘why’ there needs to be a skills test, and discuss ‘what’ it involves and ‘when’ to apply to take it. Advice on ‘how’ to use this book to prepare for the CSA is then given. For this second edition we have expanded the focus. The book has found an increasing market with readers beyond the UK preparing for Membership of the Royal College of General Practitioners [International] (MRCGP[INT]) clinical skills assessments. We offer advice on preparation for candidates who have qualified abroad and are less familiar with the UK setting and for those preparing for International examinations, which use simulated patients.
Why a clinical skills assessment?
Formal examinations have come under increasing scrutiny now that it is acknowledged that assessment on performance in the workplace – i.e. what a doctor actually does – is the gold standard to aim for. The MRCGP UK is no exception. There is now considerable emphasis on the e-portfolio of workplacebased assessment tasks that need to be completed throughout GP specialty training, supported by discussion and formative review with your trainer.
So why have an examination as well? The reasons are perhaps self-evident. We cannot yet be assured that assessments of performance are robust. The range of cases covered using the workplace-based tools will vary widely across different placements. The challenge of the tasks will differ, as will the quality of judgements made by assessors. From the patient’s perspective, the e-portfolio alone cannot assure a licensing body that the training curriculum has been covered. Yet candidates in the past have not always felt that their trainer has been fair. This can be difficult in the one-to-one supervision offered by general practice. Inevitably, examinations must stay. If approached in the right way, they offer a positive opportunity to consolidate the skills learned through consistent practice during training and through regular contact with patients.

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