TITLE

Cross-comparison of MRCGP & MRCP(UK) in a database linkage study of 2,284 candidates taking both examinations: assessment of validity and differential performance by ethnicity

AUTHOR(S)
Wakeford, Richard; Mei Ling Denney; Ludka-Stempien, Katarzyna; Dacre, Jane; McManus, I. C.
PUB. DATE
January 2015
SOURCE
BMC Medical Education;2015, Vol. 15 Issue 1, p24
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background MRCGP and MRCP(UK) are the main entry qualifications for UK doctors entering general [family] practice or hospital [internal] medicine. The performance of MRCGP candidates who subsequently take MRCP(UK) allows validation of each assessment. In the UK, underperformance of ethnic minority doctors taking MRCGP has had a high political profile, with a Judicial Review in the High Court in April 2014 for alleged racial discrimination. Although the legal challenge was dismissed, substantial performance differences between white and BME (Black and Minority Ethnic) doctors undoubtedly exist. Understanding ethnic differences can be helped by comparing the performance of doctors who take both MRCGP and MRCP(UK). Methods We identified 2,284 candidates who had taken one or more parts of both assessments, MRCP(UK) typically being taken 3.7 years before MRCGP. We analyzed performance on knowledge-based MCQs (MRCP(UK) Parts 1 and 2 and MRCGP Applied Knowledge Test (AKT)) and clinical examinations (MRCGP Clinical Skills Assessment (CSA) and MRCP(UK) Practical Assessment of Clinical Skills (PACES)). Results Correlations between MRCGP and MRCP(UK) were high, disattenuated correlations for MRCGP AKT with MRCP(UK) Parts 1 and 2 being 0.748 and 0.698, and for CSA and PACES being 0.636. BME candidates performed less well on all five assessments (P < .001). Correlations disaggregated by ethnicity were complex, MRCGP AKT showing similar correlations with Part1/Part2/PACES in White and BME candidates, but CSA showing stronger correlations with Part1/Part2/PACES in BME candidates than in White candidates. CSA changed its scoring method during the study; multiple regression showed the newer CSA was better predicted by PACES than the previous CSA. Conclusions High correlations between MRCGP and MRCP(UK) support the validity of each, suggesting they assess knowledge cognate to both assessments. Detailed analyses by candidate ethnicity show that although White candidates out-perform BME candidates, the differences are largely mirrored across the two examinations. Whilst the reason for the differential performance is unclear, the similarity of the effects in independent knowledge and clinical examinations suggests the differences are unlikely to result from specific features of either assessment and most likely represent true differences in ability.
ACCESSION #
101019449

 

Related Articles

  • Screening always worthwhile if it's thoughtful. Manning, Chris // Pulse;11/12/2005, Vol. 65 Issue 44, p29 

    Focuses on the effectiveness of the screening program of the entire general practitioners population in great Britain. Tools that can be used for screening; Impact of current little incentive on the efficiency of the screening.

  • Crammer's Corner. Fernandes, Cyrus // InnovAiT;May2012, Vol. 5 Issue 6, p368 

    The article focuses on the structure of consultation on a Clinical Skills Assessment (CSA), which is required for general practitioner (GP) trainees. It explores several consultation models that GP trainees should familiarize in approaching CSA which includes the reason for attendance, history...

  • Assessment of competence.  // Canadian Journal of Surgery;Oct99, Vol. 42 Issue 5, p324 

    Focuses on the controversy concerning the assessment of competence for practising clinicians. Factors determining the assessment of technical skill; Acceptance of continuous professional development as evidence of maintenance of competence; United States' mandatory recertification for...

  • The CSA is failing international trainees. Sidhu, Kamal // Pulse;1/25/2012, Vol. 72 Issue 3, p19 

    The author discusses the need to adapt teaching to different cultural backgrounds in order to pass the clinical skills assessment (CSA).

  • RCGP to refund registrars who failed toughened CSA. Quinn, Ian // Pulse;3/9/2011, Vol. 71 Issue 9, p3 

    The article reports on the decision of Royal College of General Practitioners (RCGP) to refund candidates who failed the clinical skills assessment (CSA) in September 2010 in Great Britain.

  • GP shortage could mean "untrained" doctors being used, doctors fear. Moberly, Tom // BMJ: British Medical Journal;7/18/2015, Vol. 351 Issue 8017, ph3834 

    The article discusses a plan by the British government to employ "untrained" general practice doctors in 2015 to address shortage of GPs which has reportedly been criticized by the British Medical Association and the Royal College of General Practitioners.

  • The BMA has no choice but to back the legal challenge to the MRCGP. Kasaraneni, Krishna // Pulse;Dec2013, p32 

    The author discusses the disparity in the Clinical Skills Assessment (CSA) examination for general practice in Great Britain. He is critical of the review conducted by physicians' organization British Medical Association on the problem. Also investigated is how the association should address...

  • Are doctors from ethnic minorities discriminated against? Beecham, Linda // BMJ: British Medical Journal (International Edition);6/6/92, Vol. 304 Issue 6840, p1513 

    Investigates the discrimination practice against the doctors from ethnic minorities in Great Britain. Allegations of discrimination among physicians applying for senior position in National Health Service; Analysis of appointment of senior registrars and consultant in general practice.

  • 'Anonymise complaints' GMC told.  // Pulse;2/17/2003, Vol. 63 Issue 7, p4 

    Reports that general practitioners have called for complaints against doctors to be anonymized to combat racism in Great Britain. Doctors who are more likely to be found guilty of serious professional misconduct.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics