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A postgraduate Diploma in Child Health; do examiners and candidates agree on what it assesses?

This study investigates the agreement between examiners and candidates on the assessment of clinical skills in the Postgraduate Diploma in Child Health (DCH) program. The findings highlight areas of agreement and discrepancies, emphasizing the importance of seeking feedback from candidates and examiners to maintain the validity and reliability of the examination.

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A postgraduate Diploma in Child Health; do examiners and candidates agree on what it assesses?

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  1. 11 A postgraduate Diploma in Child Health; do examiners and candidates agree on what it assesses? Reece A, Davis L, Todd P, Bellman M, Newell SJ

  2. Background • Diploma in Child Health (DCH) • a multi-station assessment • assessing clinical skills aimed principally at General Practitioners (GPs) who have completed a 4-6 month period of training in paediatrics. • We report an audit of 13 centres over 2 diets in 2007.

  3. Methods • Data from 13 sittings in 12 centres were obtained. This included 37 examiners (Paediatricians, Child Psychiatrists, Paediatric Surgeons and General Practitioners) and 211 candidates. • Over 60% of candidates were female. • Most had qualified in medicine 3-7 years previously (range 1-31 years).

  4. Results • Examiners • 83% of candidates felt that the examiners were helpful and not intimidating. • 70% of candidates felt the exam had fairly and accurately assessed their ability.

  5. Results • Areas identified as problematic by candidates: • variability in examiner demeanour • short timing of clinical stations • high level of clinical case difficulty • Examiners generally agreed. • Examiners • 83% of candidates felt that the examiners were helpful and not intimidating. • 70% of candidates felt the exam had fairly and accurately assessed their ability.

  6. Results • Examination • Examiners and candidates agreed that the exam was • a good assessment of • history taking skills • communication skills • clinical examination skills • child development knowledge and competence.

  7. Results • Examination • 93.6% examiners, compared to 69.4% candidates on average rated each skill area fit for purpose. • Chi square test showed there was a significant difference between examiners and candidates in levels of agreement (Χ² = 43.08; df = 1; p = 0.001).

  8. Conclusion • The DCH is popular. • Especially for doctors working in General Practice. • Most stations are fit for purpose. • Seeking feedback from candidates and examiners is important. • Allows validity and reliability to maintain its overall high regard by candidates and examiners alike.

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