Assessment and Evaluation Flashcards
7 cards from real FACRRM practice questions. Tap to flip, then mark Knew It or Still Learning โ missed cards come back until you master them.
Read the first 7 Assessment and Evaluation flashcards as text
A FACRRM candidate reviews a study using intention-to-treat (ITT) analysis. What is the primary reason ITT analysis is preferred in RCTs?
Answer: It preserves randomisation and reflects real-world effectiveness
ITT analysis keeps all randomised participants in their original groups regardless of protocol adherence, preserving the benefits of randomisation and providing a pragmatic effectiveness estimate.
In a rural setting, a GP uses the Delphi method to establish consensus guidelines for managing snakebite. What is the defining feature of the Delphi technique?
Answer: Anonymous iterative questionnaires with controlled feedback between expert rounds
The Delphi method uses sequential anonymous questionnaire rounds with aggregated feedback between rounds to build structured expert consensus while avoiding group-think.
A health service wants to compare outcomes of patients managed at a remote clinic versus a regional hospital. Selection bias is most likely to arise from:
Answer: Systematic differences in case-mix between the two settings
Selection bias occurs when the groups being compared differ systematically in characteristics that influence the outcome, such as severity or comorbidity, independent of the care received.
A rural GP uses the direct observation of procedural skills (DOPS) tool to assess a trainee performing lumbar puncture. On which aspect of competency does DOPS primarily focus?
Answer: Technical execution of the clinical procedure in a real or simulated setting
DOPS is a workplace-based assessment tool specifically designed to evaluate the technical performance of clinical and procedural skills during direct observation.
In program evaluation, which evaluation type is most appropriate when a program is new and its theory of change is still being developed?
Answer: Formative evaluation
Formative evaluation is conducted during program development or early implementation to refine the program design and inform improvements before full rollout.
A remote health service calculates a standardised mortality ratio (SMR) of 1.45 for cardiovascular disease compared with a national reference population. The correct interpretation is:
Answer: Observed cardiovascular deaths are 45% higher than expected based on national rates
An SMR of 1.45 means the observed number of deaths is 45% greater than would be expected if the remote population experienced the same age-sex specific rates as the reference population.
A GP registrar's portfolio includes reflective practice entries. According to Gibbs' Reflective Cycle, which stage involves identifying what you could do differently?
Answer: Action plan
Gibbs' Reflective Cycle concludes with an action plan stage, where the practitioner identifies concrete steps they would take differently if the situation arose again.