Literature DB >> 23641916

Assessing tomorrow's learners: in competency-based education only a radically different holistic method of assessment will work. Six things we could forget.

Lambert Schuwirth1, Julie Ash.   

Abstract

In this paper we are challenging six traditional notions about assessment that are unhelpful when designing 'assessment for learning'-programmes for competency-based education. We are arguing for the following: Reductionism is not the only way to assure rigour in high-stakes assessment; holistic judgements can be equally rigorous. Combining results of assessment parts only because they are of the same format (like different stations in an OSCE) is often not defensible; instead there must be a logically justifiable combination. Numbers describe the quality of the assessment. Therefore, manipulating the numbers is usually not the best way to improve its quality. Not every assessment moment needs to be a decision moment, disconnecting both makes combining summative and formative functions of assessment easier. Standardisation is not the only route to equity. Especially with diverse student groups tailoring is more equitable than standardisation. The most important element to standardise is the quality of the process and not the process itself. Finally, most assessment is too much focussed on detecting deficiencies and not on valuing individual student differences. In competency-based education--especially with a focus on learner orientation--this 'deficiency-model' is not as well aligned as a 'differences-model'.

Mesh:

Year:  2013        PMID: 23641916     DOI: 10.3109/0142159X.2013.787140

Source DB:  PubMed          Journal:  Med Teach        ISSN: 0142-159X            Impact factor:   3.650


  16 in total

1.  "Staying in the Game": How Procedural Variation Shapes Competence Judgments in Surgical Education.

Authors:  Tavis Apramian; Sayra Cristancho; Chris Watling; Michael Ott; Lorelei Lingard
Journal:  Acad Med       Date:  2016-11       Impact factor: 6.893

Review 2.  Development of and Preliminary Validity Evidence for the EFeCT Feedback Scoring Tool.

Authors:  Shelley Ross; Deena Hamza; Rosslynn Zulla; Samantha Stasiuk; Darren Nichols
Journal:  J Grad Med Educ       Date:  2022-02

3.  Perspectives of Recent Graduates on Clerkship Procedural Skill Training at a Canadian Medical School: an Exploratory Study.

Authors:  Ailish Valeriano; Andrew Kim; Eleni Katsoulas; Anthony Sanfilippo; Louie Wang; Akshay Rajaram
Journal:  Med Sci Educ       Date:  2021-05-21

4.  From Theory to Practice: Utilizing Competency-based Milestones to Assess Professional Growth and Development in the Foundational Science Blocks of a Pre-Clerkship Medical School Curriculum.

Authors:  Cathleen C Pettepher; Kimberly D Lomis; Neil Osheroff
Journal:  Med Sci Educ       Date:  2016-06-07

Review 5.  Assessment of clinical competence in competency-based education.

Authors:  Teresa La Chimea; Zul Kanji; Susan Schmitz
Journal:  Can J Dent Hyg       Date:  2020-06-01

6.  Curriculum for Masters in General Practice - Bhutan.

Authors:  Chhabi Lal Adhikari
Journal:  J Family Med Prim Care       Date:  2021-07-02

7.  Perceptions of postgraduate trainees on the impact of objective structured clinical examinations on their study behavior and clinical practice.

Authors:  Robert O Opoka; Sarah Kiguli; Andrew S Ssemata; Marjan Govaerts; Erik W Driessen
Journal:  Adv Med Educ Pract       Date:  2015-06-03

8.  Introduction of Competence by Design to Canadian Nephrology Postgraduate Training.

Authors:  Maury Pinsk; Jolanta Karpinski; Euan Carlisle
Journal:  Can J Kidney Health Dis       Date:  2018-07-17

9.  Ward rounds in internal medicine: Validation of an Entrustable Professional Activity (EPA) observation checklist.

Authors:  Valerie Schmelter; Esther März; Christian Adolf; Teresa L Wölfel; Christian Lottspeich; Martin R Fischer; Ralf Schmidmaier
Journal:  GMS J Med Educ       Date:  2018-05-15

10.  Association of a Competency-Based Assessment System With Identification of and Support for Medical Residents in Difficulty.

Authors:  Shelley Ross; Natalia M Binczyk; Deena M Hamza; Shirley Schipper; Paul Humphries; Darren Nichols; Michel G Donoff
Journal:  JAMA Netw Open       Date:  2018-11-02
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