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Table 1 Performance assessments by country of primary medical qualification versus MRCGP Clinical Skills Assessment performance

From: Country of qualification is linked to doctors’ General Medical Council performance assessment rate, but is it linked to their clinical competence?

Doctors’ country of PMQ No. of doctors on LRMP 2013 No. of PAs 1996–2013 Crude rate of PAs/1000 doctors IRR* No. of first-attempt candidates taking CSA 2015–16 Mean CSA scaled mark 2015–16 (pass = 0) CSA fail rate % 2015–16 AKT fail rate % 2015–16
A B C D E F G H I
Bangladesh 874 23 26.32 13 9 –11.78 88.9 71.4
Egypt 3215 45 14.00 8 10 –6.20 80.0 63.6
India 25114 242 9.64 5 90 –3.12 53.3 50.0
Iraq 2326 30 12.90 8 10 –1.00 50.0 50.0
Ireland 4020 28 6.97 2 13 9.77 15.4 8.3
Nigeria 4067 47 11.56 8 71 –4.85 67.6 47.6
Pakistan 9400 61 6.49 4 108 –4.67 68.5 51.7
South Africa 5444 17 3.12 1 7 5.29 28.6 n/a#
Sri Lanka 2376 21 8.84 4 8 –12.50 75.0 0
UK 164691 332 2.02 1 2572 11.20 10.8 14.6
  1. AKT applied knowledge test, CSA Clinical Skills Assessment, IRR incidence rate ratio, LRMP list of registered medical practitioners, MRCGP Membership of the Royal College of General Practitioners, PA performance assessment, PMQ primary medical qualification
  2. *IRR is estimated from Figure 7 in Mehdizadeh et al. [5]; # AKT fail rate not reported