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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