Modelling the rate of trainees transitioning to Fellowship before achieving competence under the RANZCP’s Alternative Assessment Pathway to the Objective Structured Clinical Examination
Amos, Andrew, Weightman, Michael James, and Miller, Edward (2023) Modelling the rate of trainees transitioning to Fellowship before achieving competence under the RANZCP’s Alternative Assessment Pathway to the Objective Structured Clinical Examination. Australasian Psychiatry, 31 (6). pp. 741-745.
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Abstract
Objective: The Objective Structured Clinical Examination (OSCE) has been removed from the Royal Australian and New Zealand College of Psychiatrists’ (RANZCP) training pathway. This decision occurred in the context of an Alternative Assessment Pathway (AAP) necessitated by Covid-19, justified by logistical, methodological and equity concerns. The false positive rate of trainees progressing to Fellowship before achieving competence is a key indicator for evaluating any assessment leading to psychiatric Fellowship. Variations in the statistical properties of the AAP and OSCE were analysed for their impact on pre-competent trainees progressing to Fellowship.
Method: Starting with the false positive scenario presented to justify discontinuing the OSCE, false positive rates associated with the AAP and OSCE were calculated based on different assumptions about reliability and accuracy.
Results: The analyses suggest that less reliable and less accurate alternatives to the OSCE, such as the AAP, increase the number of pre-competent trainees progressing to Fellowship.
Conclusions: Given possible increases in pre-competent trainees progressing to Fellowship while alternatives to the OSCE are finalised, confidence in the RANZCP's training program demands robust public analyses of those alternatives.
| Item ID: | 80930 |
|---|---|
| Item Type: | Article (Research - C1) |
| ISSN: | 1440-1665 |
| Keywords: | medical education, professional ethics, psychiatric training |
| Copyright Information: | © The Royal Australian and New Zealand College of Psychiatrists 2023. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
| Date Deposited: | 21 Dec 2023 06:21 |
| FoR Codes: | 32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320221 Psychiatry (incl. psychotherapy) @ 70% 39 EDUCATION > 3903 Education systems > 390303 Higher education @ 30% |
| SEO Codes: | 16 EDUCATION AND TRAINING > 1601 Learner and learning > 160102 Higher education @ 50% 20 HEALTH > 2002 Evaluation of health and support services > 200206 Health system performance (incl. effectiveness of programs) @ 50% |
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