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Table 5 Empirically derived competency levels for the FSEP assessment variable

From: Rasch scaling procedures for informing development of a valid Fetal Surveillance Education Program multiple-choice assessment

  RANZCOG FSEP Empirically derived competency levels
Level 1 To achieve correct responses at this level, participants need to be able to recognise what is normal in terms of the CTG. They also need to appreciate the physiology implicit in the normal FHR control. They need to know the definitions of the individual characteristics of a normal CTG. They need to appreciate the indications and contraindications for continuous electronic fetal monitoring (EFM). Participants need to be able to recognise low level abnormalities and the principals of conservative management.
Level 2 To achieve correct responses at level 2, in addition to the previous requirements, participants need to be able to recognise the uteroplacental and fetal physiology implicit in the more common CTG abnormalities. They need to be able to manage these abnormalities within a given context. They need to appreciate the limitations as well as the different modalities of EFM. They also need to recognise trends in CTGs and the implications of those trends. Some of the more basic skills from level 1 are linked to harder CTGs in these level 2 items.
Level 3 To achieve correct responses at level 3, participants need, in addition to the previous requirements, a detailed understanding and appreciation of the physiology of high risk as well as less common FHR abnormalities. Participants need to appreciate additional forms of fetal assessment and their applicability. At this level, practitioners also need to be able to recognise errors in information and interpretation. They need to be able to make high level management decisions based on accurate synthesis of complex information from a wide range of information sources.