CORE Year 3
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Part of the CORE programme consists of simulated patient contacts (SPCs) with an evaluation after each SPC. In addition, there are two training courses in year 1 of the CORE programme. The CORE programme of year 1 is a longitudinal, non-block-specific programme that takes one year and offers the students opportunities to develop their consultation, analysis and reflection skills. CORE assessment takes place continuously and is an integral part of the CORE programme.Rensultation and CoCORE stands for
The focus of CORE is on the competencies of Medical Expert, Communicator and Professional (with respect to consultation and reflection skills) and Health Advocate and Scholar (specifically with respect to reflection skills).Raamplan 2009The objective of CORE assessment is, first of all, to optimise the students’ learning process. Therefore, the student’s development (and how the student actively engages in this) is included in the assessment, also over the years. Furthermore, minimum competency in consultation, analysis and reflection skills is required. CORE assessment aims at a combination of the competency domains as described in the 2009 Framework for Undergraduate Medical Education in the Netherlands
Specific information about the assessment
The CORE programme tests the students by means of a personal file, in which material is collected that is used to assess the student’s competency development with respect to consultation skills and analysis- and reflection skills. It is the student’s responsibility to collect the material for the assessment and to include the following materials in the file:
- The SPC’s and the videoregistration
- Formulating learning objectives in the pre-encounter form
- The evaluation of a SPC in the post-encounter form
- Giving oral and written feedback to fellowstudents
- [This refers to the development of consultation skills over the year, as well as of analysis and reflection skills.Reflection on the student’s competency development during the year Follow-up is done through forms in EPASS]
[1] During the CORE programme, the students’ progress and development are formatively assessed by their CORE teacher. The students receive feedback on each of the four SPCs.
At the end of the year, the CORE teacher assesses the student based on the performance in the CORE group and the quality of the materials in the file. Both skills will be graded with the qualification according to expectation (AtE), below expectation (BE), above expectation(AbE).
1. Consultation skills are assessed based on:
- All SPCs performed and the corresponding reports
- The analysis of the student’s own development (in ‘CORE progress feedback form’ in EPASS)
Rubrics are available for the assessment of these skills.
2. Analysis and Reflection skills are assessed based on:
- The analysis of the student’s own SPCs
- The feedback provided on the SPCs of other students
- Active participation in discussions about and insight into the role of medical professionals
- sensitivity to the patient perspective and to relevant differences between patients
- The analysis of the student’s own development (in ‘CORE progress feedback form’ in EPASS)
Rubrics are available for the assessment of these skills.
[1] This could also be online consultation skills
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Intended learning objectives of the second-year CORE-programme:
- Being able to conduct a full doctor-patient encounter, as far as their knowledge allows
- Being able to break bad news in such a way that the patient understands an the news and feel this was done in an acceptable way
- Being able to deal with difficult communication contexts (breaking bad news and adequately addressing the reaction, dealing with irritated or anxious patient.
Being aware of the limitations in their knowledge, and being able to handle these limitations with regard to themselves and the (simulated) patient