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How to pass the MRCPsych examination

How to pass the MRCPsych examination. Dr Bruce Owen. Outcomes. By the end of this session, participants will be able to recognise one model of medical skills and how they are assessed Describe the structure, content and function of the different parts of the assessment system in psychiatry

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How to pass the MRCPsych examination

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  1. How to pass the MRCPsych examination Dr Bruce Owen

  2. Outcomes • By the end of this session, participants will be able to • recognise one model of medical skills and how they are assessed • Describe the structure, content and function of the different parts of the assessment system in psychiatry • Recognise the concept of learning styles and how to structure their learning for maximum effectiveness

  3. “The most important things are not measured” W Edwards Deming

  4. Two purposes of assessment • Formative • ‘Assessment for learning’ • Summative • ‘Assessment of learning

  5. Miller’s pyramid Does Performance Shows how Competence Knows how Knows

  6. Miller’s pyramid and assessment 360˚ Performance CEX Does WPBA DOPs CbD Competence Shows how OSCE (CASC) Written tests MCQ/EMI Knows how Knows WPBA = Workplace based assessment OSCE = Observed structured clinical examination

  7. Outcomes • By the end of this session, participants will be able to • recognise one model of medical skills and how they are assessed • Describe the structure, content and function of the different parts of the assessment system in psychiatry • Recognise the concept of learning styles and how to structure their learning for maximum effectiveness

  8. The Assessment System • Includes: • Standardised (national) exams – mainly summative • Workplace-based assessments – mainly formative • Integration – ultimately summative

  9. National exams • Paper 1 • Clinical topics at a basic level • Basic psychology • Psychopathology • Social sciences • Paper 2 • Psychopharmacology • Neuroscience relevant • Epidemiology • Advanced psychology • Paper 3 • Research and ebm • All psychiatry specialties

  10. National clinical exam • CASC • 8 single stations 7 mins • 4 double/linked stations 10 mins

  11. Miller’s pyramid and assessment 360˚ Performance CEX Does WPBA DOPs CbD Competence Shows how OSCE (CASC) Written tests MCQ/EMI Knows how Knows WPBA = Workplace based assessment OSCE = Observed structured clinical examination

  12. WPBA in psychiatry • Lots of acronyms, only four methods

  13. Four core methods 1 • Based on documents: • Log book assessment • Case based Discussion (Chart Stimulated Recall)

  14. Four core methods 2 • Direct observation of a procedure • DOPS • DONCS • Teaching • Case presentation • Journal Club presentation

  15. Four core methods 3 • Observed clinical encounters • Mini-Assessed Clinical Encounter • Assessment of Clinical Expertise

  16. Four core methods 4 • Multi-source feedback (360°) • Mini-Peer Assessment Tool

  17. Integration – the tasks of the Annual Review of Competency Progression Assess the evidence Contained in Portfolio Formal assessments Reports Make a decision based on the evidence Summative pass/fail

  18. Guide for ARCP panels • Guides trainees and trainers as to what should be assessed • how it should be assessed • and at which stages

  19. ARCP Guide for Core Psychiatry Training http://www.rcpsych.ac.uk/training/curriculum2010.aspx

  20. ARCP decisions: - Progress onwards Need to develop -within time Need to develop -additional time Leave the programme Incomplete evidence

  21. Outcomes • By the end of this session, participants will be able to • recognise one model of medical skills and how they are assessed • Describe the structure, content and function of the different parts of the assessment system in psychiatry • Recognise the concept of learning styles and how to structure their learning for maximum effectiveness

  22. Learning/teaching activities • Instructional activity • Simulation • Workplace activity • Reflection

  23. Concrete experience Active experimentation Reflective observation Abstract conceptualisation Kolb’s Learning Cycle Watching your trainer perform a risk assessment Perform part of an interview contributing to risk assessment Guided reading of psychiatric literature Discussion of observations in supervision Kolb (1984) Experiential learning: experience as the source of learning and development. Prentice Hall

  24. Which type of learner are you? • Reflector – watch and feel • Watch, think and review • Theorist – watch and think • Think a problem through • Pragmatist – do and think • Likes to apply new learning • Activist – do and feel • Likes to experience new things

  25. Thank you! Any questions?

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