Search

The article presents a study which examines the validity, feasibility, and educational impact of Acute Care Assessment Tool (ACAT) in evaluating the performance of a trainee in acute medicine. ACAT aims to enhance the interaction of trainees with senior doctors and implement the provision of feedback on a trainee's performance in the acute care setting. Results demonstrate the effectiveness of ACAT as a formative assessment of acute medicine practice.

Clinical supervision has always been important, but latterly the heightened demands for more trainees, effective continuing professional development, quality services and accreditation make it a topic for serious scrutiny. The present paper summarizes the structures, processes and outcomes that 10 NHS professions use to respond to this demand in relation to initial professional training. It does this by placing them in the context of the professional debate on balancing the traditional emphasis on supervision quality with the increasing quantity of those requiring supervision. The findings, based on scrutiny of each profession's placement and supervision documentation, indicate significant variability in the quality standards between the professions. Implications are drawn for reconstructing clinical supervision, based on the literature and a composite of the best quality standards in the professions. © 1998 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

The article presents the author's view on the underperforming surgical trainee. He remarks on the contribution of Elisabeth Paine to the "ANZ Journal of Surgey," that address under-performing trainee to be provided with better training and to enhance surgical skills and standards. He mentions the factors that affect the trainee's performance. He notes several factors that are needed to be incorporated to the training including objective criteria, fair process and transparency of decision making.