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Learner Assessment

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

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  1. Learner Assessment Win May

  2. What is Assessment? Process of gathering and discussing information from multiple sources to gain deep understanding of what learners know, understand and can do

  3. Purpose of Assessment Subsequent learning improve Assessment Results

  4. 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?

  5. 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

  6. 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

  7. Assessment of Competence • Insight into actual performance • Capacity to • adapt to change • find and generate new knowledge • improve overall performance Fraser & Greenhalgh, 2001

  8. Pyramid of Competence

  9. Goals of Assessment • Optimize capacities through self-directed learning • Identify incompetent physicians • Provide basis for selecting applicants for advanced training

  10. Types of Assessment • Formative • Guide future learning • Promote reflection • Motivate • Shape values • Summative • Certify • Promote

  11. Which is the best method? • Valid • Reliable • Appropriate to the objective • Feasible • Acceptable to faculty and learners • Cost-effective • Impacts future learning and practice

  12. 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

  13. 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

  14. Some methods to assess cognitive skills

  15. Table of Specifications

  16. Multi-method Assessment • Each method has limitations • Essential to use multiple methods • Allows inclusion of wider content areas • Multiple points of view

  17. 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

  18. 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

  19. 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

  20. Doctor as professional • Role of doctor within health care system • Aptitude for professional development and transferable skills

  21. 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

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