Article Figures & Data
Figures
- Figure 1. Flow of data through the study. Note that owing to blunting the numbers may not sum to the exact values. AKT = Applied Knowledge Test. CSA = Clinical Skills Assessment. MSRA = Multi-Specialty Recruitment Assessment. SC = selection centre.
- Figure 2. The effect size of key demographic characteristics on performance at the three selection assessments (clinical problem-solving [CPS] test, situational judgement test [SJT], and selection centre [SC]). EEA = European Economic Area. IMG = international medical graduate. SES = socioeconomic status according to occupational categorisation ('professional' versus 'non-professional').
- Figure 3. The a priori theoretical model for GP selection, testing the relationship between the predictors and outcome (CSA score) in the multiply imputed study data (m = 10) for all applicants (n = 31 215). AKT = Applied Knowledge Test. CPS = clinical problem-solving. CSA = Clinical Skills Assessment. MSRA = Multi-Specialty Recruitment Assessment. SJT = situational judgement test.
- Figure 4. Path models modified according to modification indices, testing the relationship between the predictors and outcome (CSA score) in the multiply imputed study data (m = 10) for all applicants (Model A, n = 31 215) and for those scoring below the lowest quartile on the MSRA (Model B, n = 7795). AKT = Applied Knowledge Test. CPS = clinical problem-solving. CSA = Clinical Skills Assessment. MSRA = Multi-Specialty Recruitment Assessment. SJT = situational judgement test.
Tables
- Table 1. A breakdown of the demographic variables for those applicants to GP training with and without the primary outcome of interest (CSA score at first attempt)
Demographic variable Applicants not entering scheme, n (%) Entrants with at least one CSA attempt, n (%) All applicants, n (%) Missing values, n (%) Male sex 3465/7420 (46.7) 2240/5550 (40.4) 12 800/31 215 (41.0) 0/31 215 (0.0) Non-professional socioeconomic background 555/3145 (17.6) 685/3610 (19.0) 2995/15 490 (19.3) 15 725/31 215 (50.4) BAME (UK graduates only) 1950/4485 (43.5) 1655/4440 (37.3) 7800/20 140 (38.7) 665/20 805 (3.2) Place of qualifications UK 4655/7420 (62.7) 4585/5550 (82.6) 20 805/31 215 (66.7) 0/31 215 (0.0) EEA 420/7420 (5.7) 190/5550 (3.4) 1520/31 215 (4.9) 0/31 215 (0.0) IMG 2345/7420 (31.6) 775/5550 (14.0) 8895/31 215 (28.5) 0/31 215 (0.0) BAME = Black, Asian and Minority Ethnic. CSA = Clinical Skills Assessment. EEA = European Economic Area. IMG = international medical graduate.
- Table 2. Results from the univariable and multivariable linear regression analyses predicting CSA performance from the scores from the three selection measures (CPS, SJT, and SC) on the multiply imputed study data (m = 10) for the whole sample and for different subgroups of applicants. The last three rows also report the results from analysis of the non-imputed data
Selection assessment Coefficient (β) P value Lower 95% CI Upper 95% CI R2 for the modela Univariable results Clinical problem solving 0.17 (0.51) <0.001 0.16 0.17 0.26 Situational judgement test 0.18 (0.56) <0.001 0.17 0.19 0.31 Selection centre 0.91 (0.39) <0.001 0.83 0.98 0.15 Multivariable results All applicants Clinical problem solving 0.09 (0.28) <0.001 0.08 0.10 0.40 Situational judgement test 0.11 (0.34) <0.001 0.10 0.12 Selection centre 0.43 (0.18) <0.001 0.33 0.53 Applicants scoring below the first quartile on the MSRA Clinical problem solving 0.06 (0.15) <0.001 0.05 0.07 0.12 Situational judgement test 0.08 (0.21) <0.001 0.07 0.10 Selection centre 0.42 (0.21) <0.001 0.32 0.51 Results from non-imputed data Clinical problem solving 0.10 (0.27) <0.001 0.09 0.11 0.30 Situational judgement test 0.12 (0.32) <0.001 0.10 0.13 Selection centre 0.47 (0.17) <0.001 0.37 0.56 aThis is the mean R 2 for the models derived from the imputed data. CPS = clinical problem-solving. CSA = Clinical Skills Assessment. SC = selection centre. SJT = situational judgement test.
Supplementary Data
- PAT_10.3399BJGPO.2023.0167_supp.pdf -
Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.
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New evidence on the validity of the selection methods for recruitment to general practice training: a cohort study
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