nMRCGP

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nMRCGP

• The Clinical Skills Assessment
• September 2008

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Purpose of the CSA

• An assessment of a doctors ability to integrate
  and apply appropriate clinical, professional,
  communication and practical skills in general
  practice
• Integrative skills assessment - tests a doctors
  abilities to gather information and apply learned
  understanding of disease processes and
  person-centred care appropriately in a
  standardised context, making evidence-based
  decisions, and communicating effectively with
  patients and colleagues.

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CSA the centre

• Purpose-built centre
• No.1 Croydon
• Easy access

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CSA the centre

• 3 circuits
• Morning or afternoon session

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CSA the centre

• Candidate stays in surgery
• 13 cases (including 1 pilot)
• Simulated consultations, ten minutes each

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CSA the assessment

• Trained role players play patients
• Examiners are selected, trained, monitored
• Some cases are video recorded
• Examiners sit in, observe, mark

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CSA the assessment

• Marking cases
• examiners use word pictures to grade three
  domains, then decide on a grade for the case
  overall (the grade descriptors are published on
  the RCGP website)
• Feedback to candidates
• examiners can flag areas for improvement
• areas flagged by 2 or more examiners are reported
  to the candidate
• Serious concerns
• examiners can flag serious concerns, which may be
  followed up by RCGP

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CSA three domains
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CSA four grades

• Four grades
• Clear pass ?
• Marginal pass ?
• Marginal fail
• Clear fail
• Grade descriptors
• on RCGP website under CSA cases

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CSA feedback

• Results and feedback via eportfolio
• Number of cases passed
• Case grades
• Areas for improvement as flagged by assessors

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CSA mapping to the GP curriculum

• Cases linked to intended learning outcomes within
  specified curriculum statements
• Sampling from across the curriculum
• Cases mapped to curriculum statements
• GP curriculum on RCGP website

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CSA mapping to the curriculum
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CSA case selection
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CSA resources

• Virtual tour of CSA centre on RCGP website
• Information for Candidates
• Directions to the centre
• Format, timing, marking of the assessment
• Equipment to bring
• CSA sample cases
• Feedback
• How to use the suggestions for improvement
• Courses