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Workplace-based Assessment Trevor Gibbs

Workplace-based Assessment Trevor Gibbs. Workplace-based Assessment. Assessment is : “ The process of gathering and judging evidence in order to decide whether a person has achieved a standard or objective ” Competency is : “ A measure which tells you that a student has

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Workplace-based Assessment Trevor Gibbs

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  1. Workplace-based Assessment Trevor Gibbs

  2. Workplace-based Assessment Assessment is : “ The process of gathering and judging evidence in order to decide whether a person has achieved a standard or objective ” Competency is : “ A measure which tells you that a student has achieved the required level of skill and ability. ”

  3. Workplace-based Assessment Q: What do you do if someone has not reached the level of competency required ? A: Fail / re-sit / Fail / re-sit / Pass --- Linear process Summative Assessment OR A: Fail / re-train / observe & feedback / learn / observe & feedback / Pass --- Cyclical process Formative Assessment

  4. Workplace-based Assessment • Q: • Which one is better ? • for the student / for the faculty • Which one gives a real / true picture? • How much assessment gives a true picture ? • Should we have different types ? • Where should assessment take place ?

  5. Workplace-based Assessment • Types of workplace-based assessments: • Mini- CEX– mini clinical assessment exercises • Clinical encounter cards ( CEC ) • Clinical work sampling ( CWS ) • Blinded patient encounters • Direct observation of procedures ( DOPS) • Case-based discussion ( CbD ) • Multi-source feedback (MSF)

  6. Workplace-based Assessment • Mini-CEX—mini clinical assessment exercise. • Short focused clinical task / activity • Less than 30 minutes • Purposeful and focused • Variety of settings • Scored and then effective, structured feedback • Comparative validity • Checklists & global rating

  7. Workplace-based Assessment • Clinical encounter cards ( CEC ). • Written mini-CEX • Student personal reflection • Supervisor observations

  8. Workplace-based Assessment • Clinical work sampling ( CWS ). • Tests specific skills separately • ( communication, diagnostic, investigative, health promoting ) • Number & type of team members can assess • Blinded patient encounters • Unknown patients • On the spot assessment

  9. Workplace-based Assessment • Direct observation of procedural skills ( DOPS ) • Real, workplace setting, not OSCE • Iterative, number of assessors, number of times • Log book / portfolios of learning/ feedback

  10. Workplace-based Assessment • Case-based discussion ( CbD ). • “ Live notes ” • Record keeping • Clinical reasoning

  11. Workplace-based Assessment • Multi-source feedback ( MSF )( 360 degree). • “ information provided by a co-worker on the aspects of performing and understanding ” • Multiple sampling • ( Selected) Team approach • Written / anonymous • Patients included

  12. Workplace-based Assessment • How effective are these forms of assessment ? • Research validity / reliability / correlation • feedback / fair • “ They are only as good as the records • that are kept ” • What stops them from being introduced ?

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