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EDITOR,--Linda Beecham's report that general practitioner registrars may withdraw from summative assessments--because of their uncertainty about the validity of the assessment package, the lack of a unified national assessment, poor communication within English regions, and inadequate testing of the assessment package1--suggests to me that these registrars are ill informed.
Summative assessment has been a component of training in the west of Scotland for three years, and the reliability and validity of the system have been widely reported.2 3 4 5 The system being adopted throughout the United Kingdom is the one currently used in the west of Scotland with a more detailed trainer's report. All regional advisers are aware of these developments; in addition to training the regional advisers, the west of Scotland's assessors have trained 582 regional assessors on the video and audit components of the package at eight courses arranged throughout the
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