[Guidelines on 2008 Supplementary Exit Examination of Vocational Training in Family Medicine]
[Clinical Audit Report] [Practice Assessment] [Consultation Skills Assessment] |
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| PRACTICE ASSESSMENT |
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| Each candidate is required to submit FOUR COPIES of the practice assessment rating form (appendix C) with the candidate's part completed and the required attachments together with the application form on or before May 31, 2008. |
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| Practice Assessment is an assessment of the structure, organization, management and quality of care of the candidate's practice as well as the candidate's knowledge and understanding of his/her practice. It consists of five parts: |
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Part A |
Practice Organization |
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Part B |
Practice Management |
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Part C |
Pharmacy and Drug Labeling |
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Part D |
Records |
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Part E |
Investigations |
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| For Part D (Records), the candidate is required to provide a list of 300 patients (attach. 12) who have been attended by the candidate within 4 weeks prior to the closing date of application of the Exit Examination. The list shall include the following information: record number, initials of the patient (please do not include the patients' full names or HKID numbers), sex, age, diagnosis, date of consultation and date of first consultation of each of these 300 patients. Hard copies of the records, which include basic information, anticipatory care information as well as at least the last 5 consultations, should be made available for assessment before the Practice Assessment started. |
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| For Part E (Investigations), the candidate is required to provide the details of ten consecutive cases with which investigations (attach.13) have been done within 4 weeks prior to the closing date of application of the Exit Examination. Health screening and locum cases should be excluded. No more than 5 annual/regular complication screening of Diabetes and Hypertension should be included. Marks will be deducted on a pro-rata basis if any non-eligible cases or excess protocol driven cases are included. The candidate may be requested to provide evidence that these investigations are consecutive. Relevant information about these cases including dates, clinical information, tests done, reasons for doing the tests, results and follow-up actions should be given (please do not include the patients' full names or HKID numbers). Both the information given and the medical records related to the investigations done will be assessed. The medical records provided should be consistent with candidates' usual records. |
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| ASSESSMENT PROCESS & CRITERIA |
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| Two examiners appointed by the Specialty Board, who may be accompanied by a third examiner and/or observing examiner (maximum four examiners), will visit the candidate's practice in any day during the specified period (July 2 to September 30, 2008). Each examiner will present to the candidate a letter from the HKCFP for identification and an assurance of confidentiality for the practice assessment. Marks will be allocated on a global scale for each part independently by the examiners. A third examiner's mark may be taken into account if the Specialty Board decides that this is necessary. The assessment by the third examiner may be done during the same visit with the first two examiners or on a separate visit. |
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| Different aspects of the clinic will be assessed in detail as listed in the rating form. The candidate and the practice staff should be present in the practice during the assessment. The candidate is expected to know his/her practice well. All questions including dispensing procedures, keeping of drugs, sterilization procedures, emergency equipment must be answered in-person by the candidate. Examiners may cross check the answers with the practice staff. The assessment will take up to four hours. |
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| The candidate needs to attain 65% or above in each of the five parts of the Practice Assessment to obtain a pass in this segment. Only those parts that have not achieved a standard of ? 65% will need to be re-assessed. |
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