Evidence map›Paper›PMID 30007931›Full record

ArticleBMJ open2018

Evaluating the validity of the selection measures used for the UK's foundation medical training programme: a national cohort study.

Daniel T Smith, Paul A Tiffin

Abstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

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  4. Evidence-based appraisal of the role of SJTs in selection.Clinical medicine (London, England) · 2023
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  6. Development and Implementation of Situational Judgment Tests as an Evaluation Method for Training Oncology Physicians: Application in the KOKON-KTO Training.Journal of cancer education : the official journal of the American Association for Cancer Education · 2022
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

2 authors.

Daniel T SmithGeneral Medical Council, London, UK.ORCID 0000-0003-1215-5811
Paul A TiffinHealth Sciences, University of York, York, UK.

Funding

Department of Health CDF-2015-08-011
6 · The paper itself

Abstract

objectivesCurrently relative performance at medical school (educational performance measure (EPM) decile), additional educational achievements and the score on a situational judgement test (SJT) are used to rank applicants to the UK Foundation Years postgraduate medical training programme. We sought to evaluate whether these three measures were predictive of subsequent successful completion of the programme, and thus were valid selection criteria.

methodsData were obtained from the UK Medical Education Database (UKMED) on 14 131 UK applicants to the foundation programme starting in 2013 and 2014. These data included training outcomes in the form of Annual Reviews of Competency Progression (ARCPs), which indicated whether the programme was successfully completed. The relationship between applicants' performance on the three selection measures to the odds of successful programme completion were modelled.

resultsOn univariable analyses, all three measures were associated with the odds of successful completion of the programme. Converting the SJT score to deciles to compare the effect sizes suggested that one decile increase in the EPM increased the odds of completing the programme by approximately 15%, whereas the equivalent value was 8% for the SJT scores. On multivariable analyses (with all three measures included in the model), these effects were only independently and statistically significant for EPM decile (OR 1.14, 95% CI 1.10 to 1.18, p<0.001) and SJT z-score decile (OR 1.05, 95% CI 1.01 to 1.09, p=0.02).

conclusionsThe EPM decile and SJT scores may be effective selection measures for the foundation programme. However, educational achievements does not add value to the other two measures when predicting programme completion. Thus, its usefulness in this context is less clear. Moreover, our findings suggest that the weighting for the EPM decile score, relative to SJT performance, should be increased.

Indexed as

School Admission CriteriaSchools, MedicalStudents, MedicalAcademic PerformanceClinical CompetenceCohort StudiesEducation, Medical, GraduateEducation, Medical, UndergraduateHumansProgram EvaluationUnited Kingdomfoundation programmeselection

Identifiers

PMID30007931
PMCPMC6082493

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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.