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The long case: the case against its revival: Commentary on … The long case

  • Wendy Burn (a1) and Andrew Brittlebank (a1)
Summary

In their editorial, Michael et al focus on what they see as shortcomings in one important area of clinical assessment of psychiatrists in training and they suggest that methods of workplace-based assessment have failed. However, current thinking in assessment of doctors is to consider assessment systems as a whole and we contend that both forms of assessment – clinical examinations and workplace-based assessments – are needed because they fulfil different needs. This is not to argue that more should not be done to ensure that all who are involved in the assessment of doctors are better prepared for the task or that the current portfolio of assessment methods is complete.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Wendy Burn (wendy.burn@nhs.net)
Footnotes
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See editorial, pp. 377–381, this issue

Declaration of interest

W.B. is the Dean of the Royal College of Psychiatrists and in this role has overall responsibility for the College's assessment system. A.B. has delivered training events for the College and for other bodies in the administration and interpretation of workplace-based assessment tools.

Footnotes
References
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1 Miller, GE. The assessment of clinical skills/competence/performance. Acad Med 1990; 65 (suppl 9): S637.
2 General Medical Council. Standards for Curricula and Assessment Systems. GMC, 2010.
3 van der Vleuten, CPM. The assessment of professional competence: theoretical developments, research and practical implications. Adv Health Sci Educ 1996; 1: 4167.
4 Jolly, B, Grant, J (eds). The Good Assessment Guide: A Practical Guide to Assessment and Appraisal for Higher Specialist Training. Joint Centre for Medical Education, 1997.
5 Fitch, C, Malik, A, Lelliot, P, Bhugra, D, Andiappan, M. Assessing psychiatric competencies: what does the literature tell us about methods of workplace-based assessment? Adv Psychiatr Treat 2008; 14: 122–30.
6 Norcini, JJ. The death of the long case? BMJ 2002; 324: 408–9.
7 Harden, RM, Stevenson, M, Downie, WW, Wilson, GM. Assessment of clinical competence using objective structured examination. BMJ 1975; 1: 447–51.
8 Hodges, B. OSCE! Variations on a theme by Harden. Med Educ 2003; 37: 1134–40.
9 Jackson, ND, Jamieson, A, Khan, A. Assessment in Medical Education and Training: A Practical Guide. Abingdon Radcliffe, 2007.
10 Sauer, J, Hodges, B, Santhouse, A, Blackwood, N. The OSCE has landed: one small step for British psychiatry? Acad Psychiatry 2005; 29: 310–5.
11 Sloan, D, Donnelly, M, Schwartz, R, Strodel, W. The objective structured clinical examination – the new gold standard for evaluating postgraduate clinical-performance. Ann Surg 1995; 222: 735–42.
12 Rushforth, H. Objective structured clinical examination (OSCE): review of literature and implications for nursing education. Nurse Educ Today 2007; 27: 481–90.
13 Michael, A, Rao, R, Goel, V. The long case: a case for revival? Psychiatrist 2013; 37: 377–81.
14 Brittlebank, A, Archer, J, Longson, D, Malik, A, Bhugra, D. Workplace-based assessments in psychiatry: evaluation of a whole assessment system. Acad Psychiatry 2013; 37: 301–7.
15 Holmboe, ES, Hawkins, RE, Huot, SJ. Effects of training in direct observation of medical residents' clinical competence: a randomized trial. Ann Intern Med 2004; 140: 874–81.
16 Menon, S, Winston, M, Sullivan, G. Workplace-based assessment: survey of psychiatric trainees in Wales. Psychiatr Bull 2009; 33: 468–74.
17 Johnson, G, Wade, W, Barrett, J, Jones, M. The Acute Care Assessment Tool: a new assessment in acute medicine. Clin Teacher 2009; 6: 105–9.
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BJPsych Bulletin
  • ISSN: 1758-3209
  • EISSN: 1758-3217
  • URL: /core/journals/bjpsych-bulletin
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The long case: the case against its revival: Commentary on … The long case

  • Wendy Burn (a1) and Andrew Brittlebank (a1)
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