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Future Perspectives in assessment in vocational training

Future Perspectives in assessment in vocational training. Dr Justin Allen. Do we know where we are going?. Mark Twain. MMC UPDATE. “I’m all for progress, it’s change I can’t cope with”. Is this a problem?. Poor data MCQ, essay and / or oral Examination based on curriculum

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Future Perspectives in assessment in vocational training

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  1. Future Perspectives in assessment in vocational training Dr Justin Allen

  2. Do we know where we are going?

  3. Mark Twain MMC UPDATE “I’m all for progress, it’s change I can’t cope with”

  4. Is this a problem? • Poor data • MCQ, essay and / or oral • Examination based on curriculum • Examination set by GPs • GP examiners

  5. Is this a problem? • Poor data • MCQ, essay and / or oral • Examination based on curriculum • Examination set by GPs • GP examiners

  6. Domains to be assessed • Knowledge • Skills • Attitudes • Competence • Performance

  7. Performance Shows how Competence Knows how Knows Does

  8. Performance = Competence + Attributes (Fabb)

  9. DOES – performance – workplace assessment SHOWS HOW – competence – video, simulated patient encounters, skills lab. KNOWS HOW – applies knowledge – extended MCQ, essays, oral examination KNOWS – knowledge tests – MCQ, essays

  10. Traditional Assessment Methods • MCQ • MEQ • Essay • Orals

  11. Performance Shows how Competence Knows how MCQ, MEQ, essay, orals Knows MCQ, MEQ, essay, orals Does

  12. Assessment methods (1) • Evaluation by tutor • Report by tutor • Discussion with work-based teacher • Tutor assessment over time • Observation of consultation • Observation of a simulated consultation

  13. Assessment methods (2) • Assessment in a group • Peer assessment • Patient feedback • Reflective portfolio

  14. Teacher role • Work based • Longitudinal continuity • Observe real performance • Feedback • Judge • Need training

  15. New developments - Foundation • Multi-source feedback • Mini-CEX (Clinical evaluation exercise) • Case based discussion (CBD) • Direct observation of procedural skills (DOPS)

  16. New developments – Foundation (2) • Learner driven • Continuous • Formative and summative (feedback) • Contribute to learning portfolio

  17. New developments – specialty training • MRCGP examination • Knowledge test • Clinical skills assessment • Work-based assessment

  18. Useful websites www.mmc.nhs.uk www.rcgp.org.uk

  19. Future issues • Reliability and validity of patients’ viewpoints • Incorporating patient views into assessment procedures • Feedback and assessment • Society’s expectations of professionals • Critical evaluation • Methods and constructs. • Outcome data • Appraisal of systems

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