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Lookup NU author(s): Professor Alexander PhillipsORCiD, Dr Anantha Madhavan, David Macafee
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© 2016 John Wiley & Sons Ltd. Background: An increasing emphasis on accountability led to the development of the Intercollegiate Surgical Curriculum Project (ISCP) in the UK. A major feature of ISCP was a focus on competence with the institution of formative assessments to aid learning and provide portfolio evidence. Case-based discussions (CBDs) are one of the main formative assessments used at all stages of training. The aim of this study was to review the use of CBDs by surgical trainees to determine if and when they are useful, and whether they are perceived as being used correctly. Methods: Semi-structured interviews were carried out with both higher and core surgical trainees. Inductive reasoning principles were used to analyse and interpret the responses to open questions. Common themes were determined and thematic analysis was carried out. Results: Forty-two surgical trainees (21 core and 21 higher trainees) were interviewed. Core trainees felt that CBDs were more likely to be used correctly, and both groups thought that they were a positive feature of training. Few stated that they were used to shape training needs. Positive themes identified included the provision of feedback, identifying learning portfolio evidence and encouraging reflection. Negative themes included a 'tick-box' mentality and that the value was diminished by a lack of engagement with the process from trainers. Case-based discussions are one of the main formative assessments used at all stages of training Conclusion: Trainees regarded CBDs as a positive feature allowing the discussion of complicated cases, and encouraging higher thinking and reflection; however, concerns were raised regarding their implementation, which has led to a diminishing of their value.
Author(s): Phillips A, Lim J, Madhavan A, Macafee D
Publication type: Article
Publication status: Published
Journal: Clinical Teacher
Year: 2016
Volume: 13
Issue: 3
Pages: 207-212
Print publication date: 01/06/2016
Online publication date: 29/05/2015
Acceptance date: 01/01/1900
ISSN (print): 1743-4971
ISSN (electronic): 1743-498X
Publisher: Blackwell Publishing Ltd
URL: https://doi.org/10.1111/tct.12411
DOI: 10.1111/tct.12411
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