Balanced scale representing the Educational Performance Measure and Situational Judgement Test in the UK Foundation Programme.

The EPM Edge: Leveling the Playing Field for Future Doctors in the UK

"Is the Educational Performance Measure truly a fair way to rank medical students?"


Securing a spot in the UK Foundation Programme is a crucial step for aspiring doctors. While the Situational Judgement Test (SJT) has been a focal point of discussion regarding fairness, it's equally important to examine the Educational Performance Measure (EPM). This measure carries a comparable weight to the SJT in the ranking process, making it essential to understand its role in determining the allocation of training positions for newly qualified doctors.

The EPM aims to acknowledge students who have demonstrated consistent academic achievement throughout their university careers. A significant portion of the EPM is based on a student's ranking within their university, promoting an environment where diligent effort is rewarded. This contrasts with concerns raised about the SJT, where students have expressed unease regarding score weighting, ranking formats, and potential subjectivity.

While debates around the SJT continue, the EPM serves as a complementary tool designed to assess students based on their overall academic performance. This article dives into how the EPM functions, its strengths, and how it addresses some of the limitations associated with standardized testing.

Academic Ranking: Rewarding Consistent Performance

Balanced scale representing the Educational Performance Measure and Situational Judgement Test in the UK Foundation Programme.

The UK Foundation Programme uses academic performance as a key indicator of a student's potential. Unlike a one-time exam, the EPM considers a student's intra-university ranking, aiming to foster healthy competition and reward consistent hard work. This approach seeks to identify students who have shown dedication and commitment throughout their academic journey.

Critics of standardized tests often point to the potential for a single “off-day” to negatively impact a student's score. The EPM, by considering a broader range of academic achievements, aims to mitigate this risk. It acknowledges that a student's overall performance is a more reliable indicator of their capabilities than a single test score.
  • Intra-University Ranking: Focuses on a student's performance relative to their peers within the same institution.
  • Consistent Performance: Aims to reward students who have consistently excelled throughout their academic careers.
  • Healthy Competition: Encourages students to strive for excellence in their studies.
However, the EPM is not without its critics. Concerns have been raised about potential disparities between universities. While the EPM rewards students who rank highly within their specific university, it may not fully capture the achievements of top-performing students nationwide. A 2008 study analyzing the performance of 5,287 doctors in Royal College of Physicians postgraduate examinations revealed significant differences in results across university cohorts. For instance, 76% and 67% of graduates from Cambridge and Newcastle universities, respectively, passed their written examination on the first attempt, compared to 32% for Liverpool, 38% for Dundee, and 37% for Belfast. This highlights the need for a standardized evaluation system across all medical schools in the UK, similar to the standardized medical licensing examinations in the United States.

A Balanced Approach to Evaluating Future Doctors

Both the SJT and EPM have their strengths and weaknesses. The EPM acknowledges a broader range of academic achievements, potentially mitigating the impact of a single “off-day” on a student's overall ranking. However, concerns about inter-university disparities remain. The UK Foundation Programme is continuously evolving, and further research and refinement of both the SJT and EPM are essential to ensure a fair and comprehensive evaluation process.

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