Performance in candidates declaring versus those not declaring dyslexia in a licensing clinical examination

• DOI: 10.1111/medu.13953
• Publication Date: 2019-08-21T03:24:37Z
• Authors: Zahid Asghar; Nicki Williams; Meiling Denney; Aloysius Niroshan...
• Keywords: Male; licensing; A300 Clinical Medicine; X360 Academic studies in Specialist Education; assessment; 610; 02 engineering and technology; medical; X360 - Academic studies in specialist education; Dyslexia; 03 medical and health sciences; 0302 clinical medicine; dyslexia; 0202 electrical engineering, electronic engineering, information engineering; Humans; specific learning difficulty; general practice; postgraduate; United Kingdom; MRCGP; Cross-Sectional Studies; Education, Medical, Graduate; differential attainment; ethnicity; Female; Clinical Competence; Educational Measurement; A300 - Clinical medicine; Licensure

Context High‐stakes medical examinations seek to be fair all candidates, including an increasing proportion of trainee doctors with specific learning differences. We aimed investigate the performance declaring dyslexia in clinical skills assessment ( CSA ), objective structured examination for licensing UK general practitioners. Methods employed a cross‐sectional design using and attribute data from candidates taking between 2010 2017. compared who declared (‘early’ before their first attempt or ‘late’ after failing at least once) those did not, multivariable negative binomial regression investigating effect on passing , accounting relevant factors previously associated performance, number attempts, initial score, sex, place primary qualification ethnicity. Results Of 20 879 598 (2.9%) that they had dyslexia. Candidates were more likely male (47.3% versus 37.8%; p < 0.001) have non‐ (26.9% 22.4%; 0.01), but no different ethnicity never late significantly fail early (40.6% 9.2%; (79.3% 15.6%; come minority ethnic group (84.9% 39.2%; 0.001). The chance was lower (incident rate ratio [ IRR ], 0.82; 95% confidence interval CI 0.70–0.96) IRR, 0.95; CI, 0.93–0.97). Conclusions A small less pass particularly if late. Further investigation potential causes solutions is needed.