Competencies in Practice (CiPs) proof of concept study
The JRCPTB in conjunction with MRCP(UK) is currently developing the new internal medicine curriculum on behalf of the Federation of the Royal Colleges of Physicians. An integral part of this work involves the development of a supporting assessment system. The present curricula for physician training are based on achieving a large number of individual competencies that are assessed throughout training by a variety of different methods. An improved, more authentic, simplified and more easily deliverable system for assessing progress through the new curricula could be attained by centring the curriculum on a smaller number of outcomes rather than multiple detailed competencies.
We proposed 14 learning outcomes or ‘Competencies in Practice’ (CiPs) for internal medicine that collectively cover the key professional activities expected of a fully trained physician. For each CiP we have described four ‘levels’ at which a trainee may be judged to be performing. Ascribing a specific level to each CiP for each trainee will allow progress to be gauged and to relate progress to what tasks are actually performed in the clinical workplace and the level of supervision that the task must be performed under.
During the summer of 2016 JRCPTB, in partnership with the Royal College of Physicians, London Education department completed a ‘proof of concept’ study to test the CiPs and to compare that with the current annual assessment process for physician training.
The final report is published below.
The learning from this project has enabled us to make significant changes to the proposed Internal Medicine curriculum. This will be out for consultation in the very near future.
We would like to acknowledge the generous support of NES Scotland, the Wales Deanery and HEKSS for providing financial support to enable this project to come to fruition and completion in a very short period of time.