Postgraduate medical education quality metrics panels can be enhanced by including learner outcomes.

Abstract:

:Postgraduate medical education (PME) quality assurance at Health Education England (HEE) currently relies upon survey data. As no one metric can reflect all aspects of training, and each has its limitations, additional metrics should be explored. At HEE (West Midlands), we explored the use of learner outcomes, speciality examination pass rates and Annual Review of Competence Progression (ARCP) outcomes, as quality metrics. Feedback received from our local Quality Forum of 40 senior educators frames the discussion through this paper. Overall, learner outcomes are useful quality metrics that add to survey data to provide a more comprehensive picture of PME quality. However, the utility of ARCP outcomes as quality metrics is currently limited by concerns regarding variations in ARCP practice between regions. To address these concerns, ARCPs need the same processes, rigour, scrutiny and investment as other high-stakes assessments. This will improve the reliability and validity of the ARCP as an assessment and improve the usefulness of ARCP outcomes as quality metrics. Research is required to determine the optimal combination of metrics to use in PME quality assurance and to appraise the validity and reliability of the ARCP as an assessment.

journal_name

Postgrad Med J

authors

Pinnell J,Tranter A,Cooper S,Whallett A

doi

10.1136/postgradmedj-2020-138669

subject

Has Abstract

pub_date

2020-11-12 00:00:00

eissn

0032-5473

issn

1469-0756

pii

postgradmedj-2020-138669

pub_type

杂志文章
  • Tienilic acid: pharmacokinetics, salicylate interaction and creatinine secretion studies.

    abstract::Tienilic acid is a diuretic-uricosuric compound whose natriuretic site of action is in the cortical diluting segment of the distal nephron. Oral doses of 250 mg given to normal human volunteers provided peak blood levels of 10--11 micrograms/ml at 3--4 hours after administration. Approximately 40% of the dose was reco...

    journal_title:Postgraduate medical journal

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Dubb JW,Stote RM,Maass AR,Hwang BV,Familiar RG,Alexander F

    更新日期:1979-01-01 00:00:00

  • Adrenal insufficiency and bilateral adrenal enlargement: demonstration by computed tomography.

    abstract::A patient presented with fever, malaise and a staphylococcal wound infection occurring 3 weeks after severe haemorrhage from a lacerated brachial artery. There were no clinical features to suggest Addison's disease but abdominal computed tomography to exclude abdominal sepsis showed bilateral adrenal gland enlargement...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.61.715.435

    authors: Wheatley T,Gallagher S,Dixon AK

    更新日期:1985-05-01 00:00:00

  • Spontaneous pneumoperitoneum and other nonsurgical causes of intraperitoneal free gas.

    abstract::Intraperitoneal free gas seen radiologically as air under the diaphragm nearly always indicates a perforated abdominal viscus that requires surgical intervention. Rarely, however, the presence of a pneumoperitoneum may not indicate an intra-abdominal perforation and thus may not require laparotomy. Such a situation is...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pgmj.73.863.531

    authors: Williams NM,Watkin DF

    更新日期:1997-09-01 00:00:00

  • The implementation of cardiac arrest treatment recommendations in English acute NHS trusts: a national survey.

    abstract:PURPOSE OF THE STUDY:There are approximately 35 000 in-hospital cardiac arrests in the UK each year. Successful resuscitation requires integration of the medical science, training and education of clinicians and implementation of best practice in the clinical setting. In 2015, the International Liaison Committee on Res...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/postgradmedj-2016-134732

    authors: Carberry J,Couper K,Yeung J

    更新日期:2017-11-01 00:00:00

  • Tamoxifen for retroperitoneal fibrosis.

    abstract::Retroperitoneal fibrosis, either idiopathic or associated with aortic inflammatory aneurysm, is a chronic fibrotic disease that causes progressive obstruction of ureters and vessels around the lower abdominal aorta. Treatment is often difficult (surgery) or hazardous (steroids). We report a case of a woman with retrop...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.73.864.653

    authors: Frankart L,Lorge F,Donckier J

    更新日期:1997-10-01 00:00:00

  • UK survey of non-medical use of prescription drugs (NMURx) as a valuable source of general population illicit drug use data.

    abstract:PURPOSE OF STUDY:The aim of the study is to describe the prevalence of illicit drug use in England and Wales using data from the UK Survey of Non-Medical Use of Prescription Drugs (NMURx) programme and to compare against the well-established Crime Survey England and Wales (CSEW). The rationale is that recreational and ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/postgradmedj-2018-135798

    authors: Ng FL,Rockhill K,Black J,May KP,Whittington MD,Wood DM,Dargan PI,Green JL

    更新日期:2018-11-01 00:00:00

  • Evaluating the recruitment process into UK anaesthesia core training: a national data linkage study of doctors' performance at selection and subsequent postgraduate training.

    abstract:PURPOSE OF THE STUDY:To explore which factors increase the likelihood of being deemed appointable to core anaesthesia training in the UK and whether those factors subsequently predict performance in postgraduate training. STUDY DESIGN:Observational study linking UK medical specialty recruitment data with postgraduate ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/postgradmedj-2019-136390

    authors: Aslet M,Paton LW,Gale T,Tiffin PA

    更新日期:2020-01-01 00:00:00

  • Secretory symptoms from metastatic adrenal cortical carcinoma responding to octreotide.

    abstract::The prognosis of patients with metastatic adrenal cortical carcinoma is poor, and their disabling symptoms are usually unresponsive to conventional therapy. A patient with Cushing's syndrome secondary to a secretory adrenal cortical carcinoma was treated with octreotide, endocrine therapy and chemotherapy having faile...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.71.834.229

    authors: Pandha HS,Harrington K,Saini S,Lynn J,Peters M,Waxman J

    更新日期:1995-04-01 00:00:00

  • Subacute myelopathy caused by spinal venous infarction.

    abstract::A 44 year old female presented with a subacute myelopathy in association with pelvic venous thrombosis. It is inferred from the temporal relationship of these events that the patient suffered a subacute spinal venous infarction. This is discussed along with the aetiology, anatomical distribution and management of the ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.63.742.669

    authors: Clarke CE,Cumming WJ

    更新日期:1987-08-01 00:00:00

  • Syringomyelia associated with post-meningitic spinal arachnoiditis due to Candida tropicalis.

    abstract::A 63 year old man who suffered from syringomyelia related to post-meningitic spinal arachnoiditis caused by Candida tropicalis is reported. The clinical syndrome of syringomyelia developed gradually and a definite diagnosis was delayed for more than 10 years. The patient has partially recovered after surgical treatmen...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.67.790.767

    authors: Phanthumchinda K,Kaoropthum S

    更新日期:1991-08-01 00:00:00

  • Type IV renal tubular acidosis and spironolactone therapy in the elderly.

    abstract::Spironolactone therapy is a well-known cause of hyperkalaemia, but in susceptible patient, it may also be associated with metabolic acidosis. We report a case of severe renal tubular acidosis (Type IV) with life-threatening hyperkalaemia caused by spironolactone, and discuss the mechanisms by which this may occur. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.69.817.887

    authors: O'Connell JE,Colledge NR

    更新日期:1993-11-01 00:00:00

  • Do subtle findings on chest X-ray predict worse outcomes for paediatric asthma?

    abstract:BACKGROUND:Asthma, a common childhood condition, often presents with chronic cough. While evaluating for chronic cough, many specialists obtain a baseline chest radiograph (CR) to assess for other causes. Usually read as 'normal', sometimes CRs will reveal evidence of airway inflammation in the form of subtle findings,...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/postgradmedj-2020-139165

    authors: Abeles M,Akerman M,Halaby C,Pirzada M

    更新日期:2020-12-03 00:00:00

  • Primary peritonitis in children and adults.

    abstract::Five cases of primary peritonitis are presented, with a sixth related case of pneumococcal peritonitis secondary to a ruptured ovarian cyst. The patients comprised 4 young girls who recovered, and 2 elderly females who died. Pneumococci were isolated in 3 patients; no organism was found in the other 3. One case of pri...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.59.687.21

    authors: Armitage TG,Williamson RC

    更新日期:1983-01-01 00:00:00

  • Surgical emphysema and pneumomediastinum in a child following minor blunt injury to the neck.

    abstract::Largyngotracheal and pharyngoesophageal tears following minor blunt trauma to the neck are uncommon. A child with such an injury is reported and the modes of diagnosis and management are discussed. Patients may initially present with minimal signs and symptoms, but their condition may deteriorate rapidly or insidiousl...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.75.887.548

    authors: Back GW,Banfield G

    更新日期:1999-09-01 00:00:00

  • Left ventricular function in ischaemic heart disease. A review.

    abstract::The clinical significance of the abnormalities seen at left ventriculography in ischaemic heart disease is discussed. Aneurysms may be recognized when left ventriculography is combined with coronary arteriography to show the characteristic obliteration of the supplying artery. Localized areas of abnormal contraction s...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pgmj.54.627.16

    authors: Khattri HN,Raphael MJ,Sharma B,Steiner RE,Goodwin JF

    更新日期:1978-01-01 00:00:00

  • Paraplegia due to thoracic disc herniation.

    abstract::Disc herniation at the thoracic the spine level is more common than generally thought. Localisation of pain may be vague and may erroneously point to cardiopulmonary, gastrointestinal, genito-urinary or even psychiatric disease. Magnetic resonance imaging is the investigation of choice, especially if spinal cord compr...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.73.861.423

    authors: Pal B,Johnson A

    更新日期:1997-07-01 00:00:00

  • Delayed sudden death after ingestion of MCPP and ioxynil: an unusual presentation of hormonal weedkiller intoxication.

    abstract::A patient who died in asystole less than 18 h after ingestion of 'Clovercide Extra', a combination hormonal weedkiller containing ioxynil and 4-chloro-2-methyl phenoxypropionic acid, is described. Previous reports describe coma as an early event following ingestion of these herbicides. In contrast our patient, althoug...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.64.755.681

    authors: Dickey W,McAleer JJ,Callender ME

    更新日期:1988-09-01 00:00:00

  • Exercise and hormonal secretion.

    abstract::The effect of graded exercise on the secretion of cortisol, testosterone, prolactin, growth hormone, thyroid stimulating hormone (TSH), luteinizing hormone and follicle stimulating hormone (FSH) is reported. While cortisol, prolactin, growth hormone and testosterone rise during the period of exercise, a rise in lutein...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.55.644.373

    authors: Gawel MJ,Park DM,Alaghband-Zadeh J,Rose FC

    更新日期:1979-06-01 00:00:00

  • First use of G-CSF in chlorpromazine-induced agranulocytosis: a report of two cases.

    abstract::Chlorpromazine-induced agranulocytosis is an uncommon disorder associated with a high frequency of fatality. We describe two patients with chlorpromazine-induced granulocytosis in whom granulocyte colony stimulating factor (G-CSF) administration enhanced the speed of neutrophil recovery. No toxicity was noted with G-C...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.69.817.885

    authors: Kendra JR,Rugman FP,Flaherty TA,Myers A,Horsfield N,Barton A,Russell L

    更新日期:1993-11-01 00:00:00

  • Primary nongestational choriocarcinoma of the ovary.

    abstract::Primary choriocarcinoma of the ovary arising, presumably, from a germ cell is extremely rare. The patient, a 16 year old girl who presented with dysuria and frequency of micturition developed fatal haemoperitoneum due to rupture of a pure primary nongestational ovarian choriocarcinoma. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.61.718.757

    authors: Raju GC,Woo J,Marchack D,Naraynsingh V

    更新日期:1985-08-01 00:00:00

  • Clinical distinction of cerebral haemorrhage and cerebral infarction.

    abstract::The clinical features of 62 cases of computerized axial tomography scan-proved cerebral haemorrhage and 81 cases of cerebral infarction in the carotid territory have been compared in a retrospective case note survey. The clinical features which can help in making the distinction between haemorrhage and infarction at t...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.56.659.629

    authors: Harrison MJ

    更新日期:1980-09-01 00:00:00

  • Programmed cell death and cancer.

    abstract::Programmed cell death (PCD) is an important terminal pathway for cells of multicellular organisms, and is involved in a variety of biological events that include morphogenesis, maintenance of tissue homeostasis, and elimination of harmful cells. Dysfunction of PCD leads to various diseases in humans, especially variou...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pgmj.2008.072629

    authors: Sun Y,Peng ZL

    更新日期:2009-03-01 00:00:00

  • Acute endoscopic intervention in non-variceal upper gastrointestinal bleeding.

    abstract::Upper gastrointestinal bleeding is one of the commonest emergencies encountered by general physicians. Once haemodynamic stability has been achieved, therapeutic endoscopy is vital in control and arrest of bleeding. Various methods are available and the evidence is reviewed as to the most optimal approach. Clinical pa...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pgmj.2004.020867

    authors: Arasaradnam RP,Donnelly MT

    更新日期:2005-02-01 00:00:00

  • Approach to the patient with epilepsy in the outpatient department.

    abstract::Epilepsy is common and serious (prevalence 750 per 100 000) and has an impact upon employment, education, and driving. The diagnosis requires a detailed history including witness account. Clinicians must distinguish seizures particularly from syncope and psychogenic attacks. Electroencephalography and magnetic resonan...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pgmj.2004.029298

    authors: Hadjikoutis S,Smith PE

    更新日期:2005-07-01 00:00:00

  • Teaching M&M rounds skills: enhancing and assessing patient safety competencies using the Ottawa M&M model.

    abstract:BACKGROUND:Postgraduate medical education bodies and national patient safety institutes recommend that trainees develop patient safety competencies such as those for Morbidity and Mortality (M&M) rounds, yet there exists no model for their educational delivery. OBJECTIVE:We studied the effect of a single educational i...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/postgradmedj-2015-133265

    authors: Mondoux SE,Frank JR,Kwok ESH,Cwinn AA,Lee AC,Calder LA

    更新日期:2016-11-01 00:00:00

  • A review of oesophageal manometry testing in a district general hospital.

    abstract::Although several modalities are available to investigate oesophageal motility disorders, manometry is the gold standard. The procedure is increasingly available in district general hospitals but the clinical utility of this investigation in this setting remains unclear. The aim in this study was to evaluate the use an...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pmj.78.915.34

    authors: Ragunath K,Williams JG

    更新日期:2002-01-01 00:00:00

  • A clinicopathological classification of granulomatous disorders.

    abstract::Granulomatous disorders comprise a large family sharing the histological denominator of granuloma formation. A granuloma is a focal compact collection of inflammatory cells, mononuclear cells predominating, usually as a result of the persistence of a non-degradable product and of active cell mediated hypersensitivity....

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pmj.76.898.457

    authors: James DG

    更新日期:2000-08-01 00:00:00

  • Direct assessment of gastrointestinal inflammation and mucosal immunity in children with cystic fibrosis.

    abstract::Fibrosing colonopathy is a recently described complication of cystic fibrosis, of unknown aetiology but possibly related to treatment with high-dose pancreatic enzyme supplements. We have used a whole gut perfusion technique to study subclinical gut inflammation in cystic fibrosis patients; concentrations of haemoglob...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:

    authors: Croft NM,Marshall TG,Ferguson A

    更新日期:1996-03-01 00:00:00

  • In vitro fertilization of hamster eggs as a test system for drug effect on spermatozoa--lack of clomipramine effect.

    abstract::Clomipramine may affect reproduction in male rats and dogs, while other psychotropic drugs can affect sperm motility in vitro. This study investigates the motility of hamster sperm and the fertilization of hamster eggs in vitro with epididymal sperm from alpha-chlorohydrin-pretreated males, and after preincubation wit...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:

    authors: Stein DM,Schnieden H

    更新日期:1980-01-01 00:00:00

  • Eosinophilic fasciitis with pulmonary and pleural involvement.

    abstract::We report a case of eosinophilic fasciitis, with the unusual features of pulmonary and pleural involvement. Similar cases which involve the lungs have been reported after exposure to L-tryptophan, but there is no relevant drug history in this case. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pmj.76.891.36

    authors: Killen JW,Swift GL,White RJ

    更新日期:2000-01-01 00:00:00