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Learner Assessment. Win May. What is Assessment?. Process of gathering and discussing information from multiple sources to gain deep understanding of what learners know , understand and can do. Purpose of Assessment. Subsequent learning improve Assessment Results.
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Learner Assessment Win May
What is Assessment? Process of gathering and discussing information from multiple sources to gain deep understanding of what learners know, understand and can do
Purpose of Assessment Subsequent learning improve Assessment Results
Learner-Centered Assessment • What is it that my learners need to know and be able to do during their professional lives? • What skills and knowledge will stand the test of time, given the rapidly evolving nature of knowledge?
Characteristics of Learner-Centered Assessment • Promotes high expectations • Respects diverse talents and learning styles • Promotes coherence in learning • Integrates education & experience • Actively involves learners • Provides prompt feedback • Fosters collaboration Huba & Freed, 2000
Competence in Medical Education Habitual and judicious use of • Communication • Knowledge • Technical skills • Clinical reasoning • Emotions • Values • Reflection in daily practice for the benefit of individuals & communities being served. Epstein & Hundert, 2002
Assessment of Competence • Insight into actual performance • Capacity to • adapt to change • find and generate new knowledge • improve overall performance Fraser & Greenhalgh, 2001
Goals of Assessment • Optimize capacities through self-directed learning • Identify incompetent physicians • Provide basis for selecting applicants for advanced training
Types of Assessment • Formative • Guide future learning • Promote reflection • Motivate • Shape values • Summative • Certify • Promote
Which is the best method? • Valid • Reliable • Appropriate to the objective • Feasible • Acceptable to faculty and learners • Cost-effective • Impacts future learning and practice
Types of Learner Assessment • Written exercises • Case-based module • Multiple choice questions • Short-answer questions • Structured essays • Key feature and script-concordance questions • Paper/Thesis/Project • Assessments by supervisors • Chart-stimulated recall • Product review • Standardized oral examination • Global ratings • Structured direct observation
Types of Learner Assessment • Clinical simulations • Standardized patients • Multi-station examinations • Unannounced standardized patients • High-tech simulators • Multi-source assessments • Portfolio • Peer assessment • Patient assessment • Self-assessment
Multi-method Assessment • Each method has limitations • Essential to use multiple methods • Allows inclusion of wider content areas • Multiple points of view
Outcomes - Based Education 3 circles of outcomes Inner circle • What the doctor is able to do Middle circle • How the doctors approach their practice Outer circle • Doctor as a professional
What the doctor is able to do • Apply skills of history and PE • Communication skills • Health promotion & disease prevention • Procedural skills • Investigative skills • Management skills
How doctors approach their practice • Apply basic sciences to clinical practice • Use critical thinking, problem solving, clinical reasoning • Incorporate appropriate attitudes, ethics and understanding legal issues • Information retrieval and handling skills
Doctor as professional • Role of doctor within health care system • Aptitude for professional development and transferable skills
Summary • Assess competence in an integrated, coherent, and longitudinal fashion • Know limitations of each method • Use multiple methods • Implement longitudinally • Provide frequent and constructive feedback
