How well do doctors think they perform on the General Medical Council's Tests of Competence pilot examinations? A cross-sectional study

BMJ Open

Volumn 4, Issue 2, 2014, Pages

  Mehdizadeh, Leila ^a   Sturrock, Alison ^a   Myers, Gil ^a   Khatib, Yasmin ^b   Dacre, Jane ^a  

^a ROYAL FREE AND UNIVERSITY COLLEGE MEDICAL SCHOOL   (United Kingdom)

^b QUEEN MARY UNIVERSITY OF LONDON   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CLINICAL EXAMINATION; CROSS-SECTIONAL STUDY; ETHNIC DIFFERENCE; EUROPEAN UNION; FEMALE; HUMAN; KNOWLEDGE; MALE; PHYSICIAN; QUESTIONNAIRE; SEX DIFFERENCE; TASK PERFORMANCE; UNITED KINGDOM; ADULT; CLINICAL COMPETENCE; EDUCATION; ENGLAND; PSYCHOLOGY;

ADULT; CLINICAL COMPETENCE; CROSS-SECTIONAL STUDIES; EDUCATIONAL MEASUREMENT; FEMALE; HUMANS; LONDON; MALE; PHYSICIANS; SURVEYS AND QUESTIONNAIRES;

EID: 84896878841     PISSN: None     EISSN: 20446055     Source Type: Journal    
DOI: 10.1136/bmjopen-2013-004131     Document Type: Article

References (38)

1. General Medical Council. Ready for revalidation: supporting information for appraisal and revalidation. 2012.
2. General Medical Council. Good Medical Practice. 2012.
3. Hays R, Jolly B, Caldon LJM, et al. Is insight important? Measuring capacity to change performance. Med Educ 2002;36:965-71. (Pubitemid 35286320)
4. Cross P. Not can but will college teaching be improved? New Dir Higher Educ 1977;17:1-15.
5. Dunning D, Heath C, Suls J. Flawed self-assessment: implications for health, education, and the workplace. Psychol Sci Public Interest 2004;5:69-106. (Pubitemid 41239773)
6. Ehrlinger J, Johnson K, Banner M, et al. Why the unskilled are unaware: further explorations of (absent) self-insight among the incompetent. Organ Behav Hum Decis Process 2008;105:98-121.
7. Kruger J, Dunning D. Unskilled and unaware of it: how difficulties in recognizing one's own incompetence lead to inflated self-assessments. J Pers Soc Psychol 1999;7:1121-34.
8. Marottoli R, Richardson E. Confidence in, and self-rating of, driving ability among older drivers. Accid Anal Prev 1998;30:331-6. (Pubitemid 128401023)
9. Rutter D, Quine L, Albery I. Perceptions of risk in motorcyclists: unrealistic optimism, relative realism and predictions of behaviour. Br J Psychol 1998;89:681-96. (Pubitemid 128453655)
10. Zenger T. Why do employers only reward extreme performance? Examining the relationships among performance, pay, and turnover. Adm Sci Q 1992;37:198-219.
11. Tracey J, Arroll B, Barham P, et al. The validity of general practitioners' self assessment of knowledge: cross sectional study. BMJ 1997;315:1426.
12. Hodges B, Regehr G, Martin D. Difficulties in recognizing one's own incompetence: novice physicians who are unskilled and unaware of it. Acad Med 2001;76:S87-9. (Pubitemid 32954274)
13. Davis D, Mazmanian PE, Fordis M, et al. Accuracy of physician self-assessment compared with observed measures of competence: a systematic review. J Am Med Assoc 2006;296:1094-102. (Pubitemid 44343529)
14. Ward M, Gruppen L, Regehr G. Measuring self-assessment: current state of the art. Adv Health Sci Educ 2002;7:63 -80.
15. Eva K, Regehr G. Knowing when to look it up: a new conception of self-assessment ability. Acad Med 2007;82(Suppl 10):S81 -4.
16. Eva K, Regehr G. I'll never play professional football and other fallacies of self-assessment. J Contin Educ Health Prof 2008;28:14-19.
17. McConnell M, Regehr G, Wood T, et al. Self-monitoring and its relationship to medical knowledge. Adv Health Sci Educ 2012;17:311-23.
18. General Medical Council. The State of Medical Education and Practice in the UK. 2012.
19. Dunning D, Johnson K, Ehrlinger J, et al. Why people fail to recognize their own incompetence. Curr Dir Psychol Sci 2003;12:83-7. (Pubitemid 36837184)
20. Barnsley L, Lyon P, Ralston S, et al. Clinical skills in junior medical officers: a comparison of self-reported confidence and observed competence. Med Educ 2004;38:358-67. (Pubitemid 38482462)
21. Blanch-Hartigan D. Medical students' self-assessment of performance: results from three meta-analyses. Patient Educ Couns 2011;84:3-9.
22. Tousignant M, Desmarchais J. Accuracy of student self-assessment ability compared to their own performance in a problem-based learning medical program: a correlation study. Adv Health Sci 2002;7:19-27. (Pubitemid 39550167)
23. Blanch D, Hall J, Roter D, et al. Medical student gender and issues of confidence. Patient Educ Couns 2008;72:374-81.
24. Minter R, Gruppen L, Napolitano KS, et al. Gender differences in the self-assessment of surgical residents. Am J Surg 2005;189:647-50. (Pubitemid 40725731)
25. Rees C, Shepherd M. Students' and assessors' attitudes towards students' self-assessment of their personal and professional behaviours. Med Educ 2005;39:30-9.
26. Woolf K, Potts H, et al. Ethnicity and academic performance in UK trained doctors and medical students: systematic review and meta-analysis. BMJ 2011;342:901.
27. Colliver J, Swartz M, Robbs R. The effect of examinee and patient ethnicity in clinical-skills assessment with standardized patients. Adv Health Sci Educ 2001;6:5-13. (Pubitemid 33645938)
28. Dawson B, Iwamoto C, Ross L, et al. Performance on the national board of medical examiners. Part 1 examination by men and women of different race and ethnicity. J Am Med Assoc 1994;272:674-9. (Pubitemid 24270067)
29. Koenig J, Sireci S, Wiley A. Evaluating the predictive validity of MCAT scores across diverse applicant groups. Acad Med 1998;73:1095-106. (Pubitemid 28483861)
30. Veloski J, Callahan C, Xu G, et al. Prediction of students' performances on licensing examinations using age, race, sex, undergraduate GPAs, and MCAT scores. Acad Med 2000; 75:S28-30.
31. Xu G, Veloski J, Hojat M, et al. Longitudinal comparison of the academic performances of Asian-American and white medical students. Acad Med 1993;68:82-6. (Pubitemid 23064442)
32. Kay-Lambkin F, Pearson S, Rolfe I. The influence of admissions variables on first year medical school performance: a study from Newcastle University, Australia. Med Educ 2002;36: 154-9. (Pubitemid 34146714)
33. Liddell M, Koritsas S. Effect of medical students' ethnicity on their attitudes towards consultation skills and final year examination performance. Med Educ 2004;38:187-98. (Pubitemid 38299673)
34. Croskerry P. Achieving quality in clinical decision making: cognitive strategies and detection of bias. Acad Emerg Med 2002; 9:1184-204. (Pubitemid 35291548)
35. Croskerry P. The importance of cognitive errors in diagnosis and strategies to minimize them. Acad Med 2003;78:775-80. (Pubitemid 36993075)
36. Woolf K, Cave J, Greenhalgh T, et al. Ethnic stereotypes and the underachievement of UK medical students from ethnic minorities: qualitative study. BMJ 2008;337:a1220.
37. Kaffash J. RCGP faces legal threat over international GP trainee failure rates, in Pulse. 2012.
38. Woolf K, McManus IC, Potts HWW, et al. The mediators of minority ethnic underperformance in final medical school examinations. Br J Educ Psychol 2011;83:135-59.