Developing national selection processes for entry into postgraduate specialty training: the case of trauma and orthopedics in the United Kingdom

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• 作者：Mark Goodwin (1)
  David Large (1)
  Máire Kerrin (2)
  Julie Honsberger (3)
  Alison Carr (4)
  David Wilkinson (3)
  
• 关键词：Recruitment ; National selection ; Candidates ; Trauma and orthopedics ; Specialty training ; Patronage ; Fairness ; Equitable ; Assessment ; Scoring matrices ; Domains stations ; Internal reliability ; Validation
• 刊名：Current Reviews in Musculoskeletal Medicine
• 出版年：2014
• 出版时间：June 2014
• 年：2014
• 卷：7
• 期：2
• 页码：145-150
• 全文大小：
• 参考文献：1. Schmidt FL, Hunter JE. The validity and utility of selection methods in personnel psychology: practical and theoretical implications of 85 years of research findings. Psychol Bull. 1998;124:262-4. CrossRef
  2. Jefferis T. Selection for specialist training: what can we learn from other countries? BMJ. 2007;334:711-. CrossRef
  3. Tooke J. Aspiring to excellence. Findings and recommendations of the independent inquiry into modernising medical careers. Interim report. MMC Inquiry, 2007. http://www.mmcinquiry.org.uk.
  4. Health Select Committee. Modernising medical careers. House of commons, 2008.
  5. Patterson F. Selection for medical education, training and practice. In: Walsh K, editor. Oxford Textbook for Medical Education. Oxford University Press; 2013. / This is an important reference as it provides a detailed overview of key concepts to consider in designing selection in medical education, training, and practice. In particular it considers best practice approaches to assessing some of the harder to measure ‘non-academic-attributes in selection (e.g. empathy, teamwork, integrity), in a valid and reliable way. The research described in this current paper on selection into trauma and orthopedics in the UK was based upon many of the concepts outlined in this reference.
  6. Patterson F, Ferguson E. Selection into medical education and training. ASME Understanding Medical Education Monographs. 2007. p. 1-4.
  7. Arnold J, Randall R, Patterson F, Silvester J, Robertson I, Cooper C, et al. Work psychology: Understanding human behaviour in the workplace. London: FT Prentice Hall; 2010.
  8. Smith M, Robertson IT. Systematic personnel selection. London: Macmillan; 1993.
  9. Gilliland SW. The perceived fairness of selection systems: an organizational justice perspective. AMR. 1993;18:694-34.
  10. Terpstra DA, Mohamed AA, Kethley RB. An analysis of federal court cases involving nine selection devices. Int J Select Assess. 1999;7:26-4. CrossRef
  11. Patterson F, Zibarras L, Carr V, et al. Evaluating candidate reactions to selection practices using organizational justice theory. Med Educ. 2011;45:289-7. CrossRef
  12. Patterson F, Lievens F, Kerrin M, Munro N, Irish B. The predictive validity of selection for entry into postgraduate training in general practice: evidence from 3 longitudinal studies Br J Gen Prac. 11;2013;63:734-1. / This is an important reference as it is the first published research (either in the UK or internationally) describing the results of a longitudinal validation of selection practices in specialty selection. That is, does the selection process predict future performance of doctors selected? The reference provides an illustration of the complexities and challenges of conducting predictive validation studies, but demonstrates that with collaboration from key stakeholders it can be achieved. Ongoing validation of the trauma and orthopaedic selection process detailed in this paper is an important next step in understanding the effectiveness of the selection process.
  
• 作者单位：Mark Goodwin (1)
  David Large (1)
  Máire Kerrin (2)
  Julie Honsberger (3)
  Alison Carr (4)
  David Wilkinson (3)
  
  1. Joint Committee on Surgical Training, 35-43 Lincoln’s Inn Fields, WC2A 3PE,, London, UK
  2. Work Psychology Group and City University, London, UK
  3. Health Education Yorkshire and the Humber, Leeds, UK
  4. Health Education England, Leeds, UK
  
• ISSN：1935-9748

文摘

A large body of international research has been done investigating best practice selection across many occupational groups, but there is relatively little research on developing selection methodology for entry to postgraduate training. Hitherto, various selection processes have been used, some of which relied heavily on patronage. Developments in Medical Education, including curriculum design, formal work-based place assessment, alongside the introduction of MMC (Modernizing Medical Careers) paved the way for significant change. Trauma and orthopedics in England is the last surgical specialty to adopt National Selection and did so first in 2013. This paper sets out that journey, the implementation of National selection in 2013, what has been learned, and our goals for the future.