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How to pass the MRCPsych examination. Dr Bruce Owen. Outcomes. By the end of this session, participants will be able to recognise one model of medical skills and how they are assessed Describe the structure, content and function of the different parts of the assessment system in psychiatry - PowerPoint PPT Presentation
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How to pass the MRCPsych examination
Dr Bruce Owen
Outcomes
• By the end of this session, participants will be able to – recognise one model of medical skills and how
they are assessed– Describe the structure, content and function of
the different parts of the assessment system in psychiatry
– Recognise the concept of learning styles and how to structure their learning for maximum effectiveness
“The most important things are not measured”W Edwards Deming
Two purposes of assessment
• Formative– ‘Assessment for
learning’
• Summative– ‘Assessment of learning
Miller’s pyramid
Does
Shows how
Knows how
Knows
Performance
Competence
Miller’s pyramid and assessment
Does
Shows how
Knows how
Knows
Performance
Competence
Written tests
MCQ/EMI
OSCE (CASC)
WPBA
360˚
CEX
DOPs
CbD
WPBA = Workplace based assessment
OSCE = Observed structured clinical examination
Outcomes
• By the end of this session, participants will be able to – recognise one model of medical skills and how
they are assessed– Describe the structure, content and function of
the different parts of the assessment system in psychiatry
– Recognise the concept of learning styles and how to structure their learning for maximum effectiveness
The Assessment System
• Includes:– Standardised (national) exams – mainly
summative– Workplace-based assessments – mainly formative– Integration – ultimately summative
National exams• Paper 1
– Clinical topics at a basic level– Basic psychology– Psychopathology– Social sciences
• Paper 2– Psychopharmacology– Neuroscience relevant– Epidemiology– Advanced psychology
• Paper 3– Research and ebm– All psychiatry specialties
National clinical exam
• CASC– 8 single stations 7 mins– 4 double/linked stations 10 mins
Miller’s pyramid and assessment
Does
Shows how
Knows how
Knows
Performance
Competence
Written tests
MCQ/EMI
OSCE (CASC)
WPBA
360˚
CEX
DOPs
CbD
WPBA = Workplace based assessment
OSCE = Observed structured clinical examination
WPBA in psychiatry
• Lots of acronyms, only four methods
Four core methods 1
• Based on documents:– Log book assessment– Case based Discussion
(Chart Stimulated Recall)
Four core methods 2
• Direct observation of a procedure– DOPS– DONCS– Teaching– Case presentation– Journal Club
presentation
Four core methods 3
• Observed clinical encounters– Mini-Assessed Clinical
Encounter– Assessment of Clinical
Expertise
Four core methods 4
• Multi-source feedback (360°)– Mini-Peer Assessment
Tool
Integration – the tasks of the Annual Review of Competency Progression
• Assess the evidence– Contained in Portfolio– Formal assessments– Reports
• Make a decision based on the evidence– Summative pass/fail
Guide for ARCP panels
• Guides trainees and trainers as to what should be assessed
• how it should be assessed• and at which stages
ARCP Guide for Core Psychiatry Training
http://www.rcpsych.ac.uk/training/curriculum2010.aspx
ARCP decisions: -
1. Progress onwards2. Need to develop -
within time3. Need to develop -
additional time4. Leave the programme5. Incomplete evidence
Outcomes
• By the end of this session, participants will be able to – recognise one model of medical skills and how
they are assessed– Describe the structure, content and function of
the different parts of the assessment system in psychiatry
– Recognise the concept of learning styles and how to structure their learning for maximum effectiveness
Learning/teaching activities
• Instructional activity• Simulation• Workplace activity• Reflection
Kolb’s Learning Cycle
Concreteexperience
Abstract conceptualisation
Active experimentation
Reflectiveobservation
Watching your trainer perform a risk assessment
Discussion of observations in supervision
Guided reading of psychiatric literature
Perform part of an interview contributing to risk assessment
Kolb (1984) Experiential learning: experience as the source of learning and development. Prentice Hall
Which type of learner are you?
• Reflector – watch and feel– Watch, think and review
• Theorist – watch and think– Think a problem through
• Pragmatist – do and think– Likes to apply new learning
• Activist – do and feel– Likes to experience new things
Thank you!
Any questions?