Aileen Barrett1,2, Rose Galvin3, Yvonne Steinert4, Albert Scherpbier5, Ann O'Shaughnessy1, Mary Horgan2, Tanya Horsley6,7. 1. a Education, Innovation and Research , Royal College of Physicians of Ireland , Dublin , Ireland. 2. b School of Medicine, College of Medicine and Health Sciences, Brookfield Health Sciences Complex, University College Cork , Cork , Ireland. 3. c Discipline of Physiotherapy, Department of Clinical Therapies, Faculty of Education and Health Sciences , University of Limerick , Limerick , Ireland. 4. d Centre for Medical Education, Faculty of Medicine, McGill University , Montreal , Quebec , Canada. 5. e Faculty of Health, Medicine and Life Sciences , University of Maastricht , Maastricht , The Netherlands. 6. f Research Unit, Royal College of Physicians and Surgeons of Canada , Ottawa , Canada. 7. g Faculty of Medicine , University of Ottawa , Ottawa , Ontario , Canada.
Abstract
INTRODUCTION: The extent to which workplace-based assessment (WBA) can be used as a facilitator of change among trainee doctors has not been established; this is particularly important in the case of underperforming trainees. The aim of this review is to examine the use of WBA in identifying and remediating performance among this cohort. METHODS: Following publication of a review protocol a comprehensive search of eight databases took place to identify relevant articles published prior to November 2015. All screening, data extraction and analysis procedures were performed in duplicate or with quality checks and necessary consensus methods throughout. Given the study-level heterogeneity, a descriptive synthesis approach informed the study analysis. RESULTS: Twenty studies met the inclusion criteria. The use of WBA within the context of remediation is not supported within the existing literature. The identification of underperformance is not supported by the use of stand-alone, single-assessor WBA events although specific areas of underperformance may be identified. Multisource feedback (MSF) tools may facilitate identification of underperformance. CONCLUSION: The extent to which WBA can be used to detect and manage underperformance in postgraduate trainees is unclear although evidence to date suggests that multirater assessments (i.e. MSF) may be of more use than single-rater judgments (e.g. mini-clinical evaluation exercise).
INTRODUCTION: The extent to which workplace-based assessment (WBA) can be used as a facilitator of change among trainee doctors has not been established; this is particularly important in the case of underperforming trainees. The aim of this review is to examine the use of WBA in identifying and remediating performance among this cohort. METHODS: Following publication of a review protocol a comprehensive search of eight databases took place to identify relevant articles published prior to November 2015. All screening, data extraction and analysis procedures were performed in duplicate or with quality checks and necessary consensus methods throughout. Given the study-level heterogeneity, a descriptive synthesis approach informed the study analysis. RESULTS: Twenty studies met the inclusion criteria. The use of WBA within the context of remediation is not supported within the existing literature. The identification of underperformance is not supported by the use of stand-alone, single-assessor WBA events although specific areas of underperformance may be identified. Multisource feedback (MSF) tools may facilitate identification of underperformance. CONCLUSION: The extent to which WBA can be used to detect and manage underperformance in postgraduate trainees is unclear although evidence to date suggests that multirater assessments (i.e. MSF) may be of more use than single-rater judgments (e.g. mini-clinical evaluation exercise).
Authors: Severin Pinilla; Alexandra Kyrou; Stefan Klöppel; Werner Strik; Christoph Nissen; Sören Huwendiek Journal: BMC Med Educ Date: 2021-04-21 Impact factor: 2.463
Authors: Alison Fielding; Benjamin Eric Mundy; Amanda Tapley; Linda Klein; Sarah Gani; Michael Bentley; Rachael Boland; Lina Zbaidi; Mieke L van Driel; Elizabeth Holliday; Parker Magin Journal: BMJ Open Date: 2021-04-09 Impact factor: 2.692