Looking into the famous Miller pyramid which was proposed by George Miler in 1990 which has four stags or levels know,knows how,show how and does as shown in figure 1. Miller differentiated between the third level show how and the fourth level does on the fact , does the student kowns if he is being eaxamined or not (John Norcini). So based on Miller pyramid it can be considered that show how can predict the performane at the does lvl.
However, recently there has been a lot of evidence confirming there is difference between what the doctors can do in controlled and simulated examination environment and what they can do in the real situation at their working place (Rethans JJ) (Ramsey PG). obviously, these finding contradict what Miller has …show more content…
it is clear from this statement that GMC tend to test the doctors at the top level of the pyramid by using the oSCE prognosticating that competence will predict the performance which is not always the case as we have seen in the previous paragraph. However the GMC ignoring other important factors which play an important rule in doctors performance. Particulary for PLAB candidate who are mainly are international medical graduates outside the EEA, not familiar with cultures, hospital setup, patient expectation. An online survey was done by http://careers.bmj.com/careers/advice/Difficulties_for_international_medical_graduates_working_in_the_NHS#ref1 to look into the hurdling issue the IMG face in the NHS. They have contacted 202 IMG working in London hospitals and also they have also involved consulatnts with experice in supervising doctors. They had response from 120 IMG and 24 consulatant, denoting 54 % and 45 % response rate, respectively. The result has shon that a large proportion of the IGM are having difficulties in term of understanding the cultural morla od the patients and the legal framweorks of the nHS. Interstingly the supervisor also agreed on the same issue and even they belive that the trainee problem more what the trainee consider themselves as shown in table …show more content…
Other aspect of PLAB particulary part wo is, it has no siginificant educational impavt on the internation medical graduates. Since the introductioo of the OSCE in mid 1970, it has become well established tool to assess the medical competence at both the undergraduate and postgraduates level http://www.bmj.com/content/bmj/1/5955/447.full.pdf he propsed that osce will improve the objectivity of the clinical assessment and http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2923.2003.01717.x/full has suggested that osce has an important educationa role ………………
Howevr, for the palb OSCE it doesn’t seem to be the case. Again if we reall what GMC expect plab candiadate leveal, it says theat candiadt should be at the level of doctors who finished their foundation level one. But I feel this is unrealistic. It is unfair to compare a UK graduates who spend 5 to 6 years in the medical school with constant exposure to the NHS environment and then they boost their experience by one year placement as foundation doctors. On the other hand the IMG which around 60 % of them are between the age of 23 to 47 ……….which make close to UK foundation age and so elimination the bias that they could be expericng for a longer period, are from country outside the EEa and they have different set up of health sytem,different patient-doctor relationship and
However, recently there has been a lot of evidence confirming there is difference between what the doctors can do in controlled and simulated examination environment and what they can do in the real situation at their working place (Rethans JJ) (Ramsey PG). obviously, these finding contradict what Miller has …show more content…
it is clear from this statement that GMC tend to test the doctors at the top level of the pyramid by using the oSCE prognosticating that competence will predict the performance which is not always the case as we have seen in the previous paragraph. However the GMC ignoring other important factors which play an important rule in doctors performance. Particulary for PLAB candidate who are mainly are international medical graduates outside the EEA, not familiar with cultures, hospital setup, patient expectation. An online survey was done by http://careers.bmj.com/careers/advice/Difficulties_for_international_medical_graduates_working_in_the_NHS#ref1 to look into the hurdling issue the IMG face in the NHS. They have contacted 202 IMG working in London hospitals and also they have also involved consulatnts with experice in supervising doctors. They had response from 120 IMG and 24 consulatant, denoting 54 % and 45 % response rate, respectively. The result has shon that a large proportion of the IGM are having difficulties in term of understanding the cultural morla od the patients and the legal framweorks of the nHS. Interstingly the supervisor also agreed on the same issue and even they belive that the trainee problem more what the trainee consider themselves as shown in table …show more content…
Other aspect of PLAB particulary part wo is, it has no siginificant educational impavt on the internation medical graduates. Since the introductioo of the OSCE in mid 1970, it has become well established tool to assess the medical competence at both the undergraduate and postgraduates level http://www.bmj.com/content/bmj/1/5955/447.full.pdf he propsed that osce will improve the objectivity of the clinical assessment and http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2923.2003.01717.x/full has suggested that osce has an important educationa role ………………
Howevr, for the palb OSCE it doesn’t seem to be the case. Again if we reall what GMC expect plab candiadate leveal, it says theat candiadt should be at the level of doctors who finished their foundation level one. But I feel this is unrealistic. It is unfair to compare a UK graduates who spend 5 to 6 years in the medical school with constant exposure to the NHS environment and then they boost their experience by one year placement as foundation doctors. On the other hand the IMG which around 60 % of them are between the age of 23 to 47 ……….which make close to UK foundation age and so elimination the bias that they could be expericng for a longer period, are from country outside the EEa and they have different set up of health sytem,different patient-doctor relationship and