ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2006
Involve the patient and pass the MRCGP: investigating shared decision making in a consulting skills examination using a validated instrument.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 4 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed, 4 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- To what extent do general practitioners involve patients in decision-making? A systematic review of studies using the OPTION-instrument.Primary health care research & development · 2025Pooled it
- Assessments of the extent to which health-care providers involve patients in decision making: a systematic review of studies using the OPTION instrument.Health expectations : an international journal of public participation in health care and health policy · 2015Pooled it
- Patients' perceptions of sharing in decisions: a systematic review of interventions to enhance shared decision making in routine clinical practice.The patient · 2012Pooled it
- Shared decision making interventions for people with mental health conditions.The Cochrane database of systematic reviews · 2010Pooled it
- Brief training of student clinicians in shared decision making: a single-blind randomized controlled trial.Journal of general internal medicine · 2014Trial
- Examiner perceptions of the MRCGP recorded consultation assessment for general practice licensing during COVID-19: cross-sectional study.BMC medical education · 2023Article
- Assessing patients' involvement in decision making during the nutritional consultation with a dietitian.Health expectations : an international journal of public participation in health care and health policy · 2014Article
- Deficiency areas in decision making in undergraduate medical students.Advances in medical education and practice · 2014Article
- Reliability and validity of the German version of the OPTION scale.Health expectations : an international journal of public participation in health care and health policy · 2012Article
- Comparing performance among male and female candidates in sex-specific clinical knowledge in the MRCGP.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Article
- Can shared decision making increase the uptake of evidence in clinical practice?Frontline gastroenterology · 2011Article
- Clinical decision-making: physicians' preferences and experiences.BMC family practice · 2007Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundShared decision making is an important aspect of patient centredness. Lack of this consulting behaviour is a common reason for failure in the Membership of the Royal College of General Practitioners (MRCGP) consulting skills examination.
aimTo investigate candidates' performance in shared decision making and overall performance in the MRCGP consulting skills assessment compared with an independently validated measure, the OPTION ('observing patient involvement') scale.
designCross-sectional study.
settingMRCGP examination, UK.
participantsTwo hundred and fifty-two consultations submitted by 36 GPs submitting seven consultations per videotape.
methodA stratified sample of 63 candidates, 21 each from fail, pass and merit selected from candidates in the MRCGP consulting skills examination, were approached for participation. Participants' examination videotapes were independently assessed for shared decision making using the OPTION scale by two non-clinical raters.
resultsThirty-six candidates (of 63; 57%) who participated were no different from non-participants. Candidates who passed the 'sharing management options' in the MRCGP had significantly higher OPTION scores than those who did not (35.4 versus 27.3; mean difference = 8.1, P = 0.044). There was a significant difference between OPTION scores of MRCGP candidates with 'fail' and 'pass' (including pass with merit): 28.6 versus 36.1, 95% confidence interval CI = 1.13 to 13.87. Scores decreased as clinician age increased but were not significantly associated with sex of GP, age or sex of patient or consultation duration. The probability of passing the MRGCP increased as OPTION scores increased.
conclusionThis study demonstrated concurrent validity of the MRCGP consulting skills assessment of sharing management options against an independent validated instrument for shared decision making, the OPTION scale. Candidates who performed best in the MRCGP exhibited high scores with OPTION. This study provides the basis for further work to demonstrate evidence for the potential of training for professional assessment to improve consulting competence.
Indexed as
Identifiers
17132353PMC1927094W2171282248What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.