A new competency model for general practice: implications for selection, training, and careers

Patterson, Fiona; Tavabie, Abdol; Denney, MeiLing; Kerrin, Máire; Ashworth, Vicki; Koczwara, Anna; MacLeod, Sheona

doi:10.3399/bjgp13x667196

Cited by 77 publications

(112 citation statements)

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“…However, Fones and colleagues found little difference in the rankings of desirable qualities made by those with a medical background compared to those without (Fones et al 1998). Patterson and colleagues investigated a competency model for general practitioners which included canvassing the views of patients (Patterson et al 2000). The only qualities identified exclusively by general practitioners (GPs) were qualities external to the patient consultation, such as 'managing others', 'political awareness' and 'learning and personal development'.…”

Section: Practice Pointsmentioning

confidence: 99%

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The desirable qualities of future doctors – A study of medical student perceptions

et al. 2013

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Background: There is a lack of consensus regarding the qualities possessed by the ideal doctor, and very limited research regarding the views of medical students on these qualities. Aims: To investigate the views of commencing medical students regarding the desirable qualities of doctors. Methods: A survey containing a set of proposed desirable qualities of doctors identified from the existing literature was completed by 158 first-year medical students. Results: The survey had a 75% response rate. Students rated the individual qualities of empathy, motivation to be a doctor, good verbal communication, ethically sound, integrity and honesty as the most important. A factor analysis identified six categories of qualities: methodical processing, cognitive capacity, people skills, generic work ethic, role certainty and warmth. Significant differences in factor scores were found across subgroups of students (international and domestic students, with and without prior tertiary studies) on the following factors: methodical processing, which was scored highest by domestic students with prior tertiary studies, cognitive capacity, which was scored highest by domestic students without prior tertiary studies and generic work ethic, which was scored highest by international students. Conclusions: Medical students identified a range of desirable personal qualities of a doctor which varied according to student characteristics, including their prior educational experience. Future research aiming to define such desirable qualities should include a broader range of stakeholders, including students at different training levels and institutions.

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Section: Practice Pointsmentioning

confidence: 99%

“…Despite the innovations made in processes and methods for medical student selection (Eva et al 2004), inconsistent terminology is used to describe conceptually similar qualities. For example, some studies identify the quality of 'integrity' (Patterson et al 2000), while others identify 'honesty' (Fones et al 1998). …”

Section: Introductionmentioning

confidence: 99%

The desirable qualities of future doctors – A study of medical student perceptions

et al. 2013

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“…10 When comparing all three selection methods, the best prediction of end-oftraining competence is a combination of all three methods (combining both lowand high-fidelity assessments), as each adds something unique in predicting job performance and training outcomes.…”

Section: Discussion Summarymentioning

confidence: 99%

“…Trainees in a GP placement were specifically targeted, rather than those entering training in a hospital environment, as the selection criteria identified from the original job analysis study were tailored specifically for general practice. 10 Clinical supervisors (n = 196) evaluated the registrars' performance on the six target attributes, using a 24-item inventory adapted from the original validation study. An example item for coping with pressure was 'is clear and rational when dealing with difficult issues or situations'.…”

Section: Design and Samplingmentioning

confidence: 99%

The predictive validity of selection for entry into postgraduate training in general practice: evidence from three longitudinal studies

Patterson¹,

Lievens²,

Kerrin³

et al. 2013

Br J Gen Pract

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Background The selection methodology for UK general practice is designed to accommodate several thousand applicants per year and targets six core attributes identified in a multi-method job-analysis study Aim To evaluate the predictive validity of selection methods for entry into postgraduate training, comprising a clinical problem-solving test, a situational judgement test, and a selection centre. Design and setting A three-part longitudinal predictive validity study of selection into training for UK general practice. Method In sample 1, participants were junior doctors applying for training in general practice (n = 6824). In sample 2, participants were GP registrars 1 year into training (n = 196). In sample 3, participants were GP registrars sitting the licensing examination after 3 years, at the end of training (n = 2292). The outcome measures include: assessor ratings of performance in a selection centre comprising job simulation exercises (sample 1); supervisor ratings of trainee job performance 1 year into training (sample 2); and licensing examination results, including an applied knowledge examination and a 12-station clinical skills objective structured clinical examination (OSCE; sample 3). Results Performance ratings at selection predicted subsequent supervisor ratings of job performance 1 year later. Selection results also significantly predicted performance on both the clinical skills OSCE and applied knowledge examination for licensing at the end of training. Conclusion In combination, these longitudinal findings provide good evidence of the predictive validity of the selection methods, and are the first reported for entry into postgraduate training. Results show that the best predictor of work performance and training outcomes is a combination of a clinical problem-solving test, a situational judgement test, and a selection centre. Implications for selection methods for all postgraduate specialties are considered

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“…Many studies add that in addition to its positive implications on patient retention and loyalty, patient satisfaction influences the rate of patient compliance with physician advice and the healing process of patients (Calnan, 1988;Roter, Hall, & Katz, 1987). A competency model for general practice, comprising implications for selection, training, and development (Patterson, Ferguson, Lane, Farrell, Martlew, & Wells, 2000), suggests that effective communication is crucial to the medical job role, in general, and for general practice, in particular.…”

Section: Background and Literature Reviewmentioning

confidence: 99%

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A new competency model for general practice: implications for selection, training, and careers

Cited by 77 publications

References 19 publications

The desirable qualities of future doctors – A study of medical student perceptions

The desirable qualities of future doctors – A study of medical student perceptions

The predictive validity of selection for entry into postgraduate training in general practice: evidence from three longitudinal studies

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