Journal of the Royal Society of Medicine
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Historical Article
Winston Churchill: acute ataxic stroke in June 1955 with excellent recovery.
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Historical Article
Did John Stuart Mill influence the design of controlled clinical trials?
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Review
Assessing professional competence: a critical review of the Annual Review of Competence Progression.
The Annual Review of Competence Progression is used to determine whether trainee doctors in the United Kingdom are safe and competent to progress to the next training stage. In this article we provide evidence to inform recommendations to enhance the validity of the summative and formative elements of the Annual Review of Competency Progression. The work was commissioned as part of a Health Education England review. ⋯ Variability in the provision and quality of feedback can negatively affect learning. The Annual Review of Competence Progression functions as a high-stakes assessment, likely to have a significant impact on patient care. It should be subject to the same rigorous evaluation as other high-stakes assessments; there should be consistency in procedures across locations, specialties and grades; and all trainees should receive high-quality feedback.