Differential attainment in the MRCPsych according to ethnicity and place of qualification between 2013 and 2018: a UK cohort study
| Autor: | Lewis William Paton, Paul A. Tiffin |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Psychiatry
medicine.medical_specialty Clinical psychiatry Education Medical medicine.diagnostic_test business.industry Ethnic group Differential (mechanical device) Physical examination Cultural Diversity General Medicine Sitting United Kingdom Clinical knowledge Cohort Studies Family medicine Ethnicity medicine Humans Observational study business Cohort study |
| Zdroj: | Postgraduate Medical Journal. 97:764-776 |
| ISSN: | 1469-0756 0032-5473 |
| DOI: | 10.1136/postgradmedj-2020-137913 |
| Popis: | Purpose of the study To explore if differential pass rates exist in the clinical component of the UK postgraduate clinical psychiatry exam, the Clinical Assessment of Skills and Competencies (CASC), according to ethnicity and place of qualification (UK vs EEA vs overseas graduates). Study design Observational study using data from the UK Medical Education Database for 2140 doctors sitting the CASC for the first time between 2013 and 2018. Results After controlling for age, sex, time of sitting and performance in the written components of the MRCPsych, differences in CASC pass rates persisted between UK graduates self-identifying as Black and Minority Ethnicity (BME) and non-BME (OR for passing 0.36, 95% CI 0.23 to 0.56, p Conclusions Substantial differences exist in clinical examination performance between UK BME and non-BME candidates, as well as between UK and non-UK graduates. These differences are not explained by differing levels of clinical knowledge. In the interests of equality, this situation requires further investigation and remediation. Future research should focus on understanding how potential bias may be acting within different stages of recruitment, training and assessment within psychiatry. |
| Databáze: | OpenAIRE |
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