Innovative Alternative Certification Examination for Medical Graduates
"Explore how an Alternative Certification Examination (ACE) innovatively assesses all eight professional practice domains for medical graduates. Results show strong correlations, making it a comprehensive and beneficial exam format. Discover insights, feedback, and future sustainability considerations."
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Presentation Transcript
An Alternative Certification Examination 'ACE' to assess the domains of professional practice
WHY INNOVATIVE ? Medical graduates are required to be competent in many domains of professional practice. Current undergraduate examination methods assess up to five of these eight required skills. This study sought to evaluate an alternative format to assessing all eight of the required domains.
METHODS 143 medical students were invited to participate in an "ACE" . 137 students agreed to participate - 95.8% of the class. The "ACE" format consisted of 4 sequential patient encounters observed by two independent examiners. Examiners and students evaluated this exam format using a Likert scale and free text comments.
RESULTS The "ACE" assessed all eight professional domains. The correlation of grades between independent examiners in the "ACE" was strong at 0.907 (CI 0.766, 1) Cronbach`s Alpha.
RESULTS Considered Patient Safety Yes 120 No 100 80 60 40 20 0 1
RESULTS Percentile Question Statement Q1 M Q3 ACE is a comprehensive exam format 1 4 4 5 Identifies strengths/weaknesses 2 4 4 4 ACE is a better exam method compared to OSCE 3 4 4.5 5 Examining a Total Patient Episode is better than an OSCE individual station approach 4 4 4.5 5
RESULTS No where to hide , Makes you manage the whole event , Not just do a history or a cannula , Gives you an idea of the intern role , Could see immediately the students who had been on the wards , Logistically much easier to run than an OSCE .
FUTURE SUSTAINABILITY A multi- disciplinary examination to evaluate this methodology further. Investigation into how many cases are needed to ensure sensitivity and specificity.
POTENTIAL FOR USE ACROSS COLLEGE Nursing Physiotherapy Speech and Language Therapy Dietetics Dentistry
CONTACT DETAILS MARIE MORRIS MORRISM4@TCD.IE
