Learning Outcomes for Clinical Skills
Level 1 - What the doctor is able to do
Level 2 - Outcomes for Clinical Skills
The new medical graduate should be able to demonstrate competency in a range of clinical skills unsupervised and to a predetermined standard.
This could include: Level 4
Take a history from patients, relatives and others.
All age groups; local multicultural/multiethnic factors; a wide range of different contexts and a patient-centred, sensitive, structured and thorough approach with demonstration of principles of good communication.
Undertake physical and mental state examination of patients.
General and systems-based; appropriate for patientís age, gender and state of mental and physical health, in a thorough, sensitive, efficient and systematic manner.
Interpret results of history taking, physical and mental state examination and investigations.
Recognition of abnormality and correct interpretation of common investigative tests.
Requesting appropriate investigations.
Make a diagnosis
Gathering and analysis of all available information.
Recognition of important, life threatening conditions requiring immediate treatment.
Formulate a management plan
Focus on patientís needs including the patientís competence to cooperate, prioritise, involve patients and other members of the healthcare team and recognise own limitations.
Records concerning all relevant communications with patients / relatives and colleagues. At a minimum records are legible, dated, signed, concise and contemporaneous.
Exams are limited in terms of simulating the clinical setting realistically and in their ability to predict the performance of any individual in the future.
Recommended methods of assessment for Clinical Skills Outcomes include:
These are the currently the most reliable and valid methods available.
Other methods include:
These methods are either known to be less reliable and valid or require further evaluation in order to determine their usefulness.
Potential new methods of assessment include:
Linked OSCE and EMI questions in alternate stations
Linked OSCE stations
Addition of video to check reliability
Diagnostic Thinking Inventory