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Workplace-Based Assessment: a true reflection of competency

Workplace-Based Assessment: a true reflection of competency. Trevor Gibbs. “ To obtain a valid and reliable measure of the student you have to assess him / her in the real environment they are training for.” in the “ workplace ” in real situations through multiple biopsies

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Workplace-Based Assessment: a true reflection of competency

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  1. Workplace-Based Assessment: a true reflection of competency . Trevor Gibbs

  2. “ To obtain a valid and reliable measure of the student you have to assess him / her in the real environment they are training for.” • in the “ workplace ” • in real situations • through multiple biopsies • spread over time • use in a summative way • use in a formative, two way process .

  3. 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) .

  4. Mini-CEX—mini clinical assessment exercise • Short -- less than 30 minutes • Purposeful and focused • Variety of settings • Measured parameters (interviewing skill, physical • examination, professionalism, clinical judgement, counselling, organization and efficiency, and overall competence • Scored ( 9point scale) • Structured feedback • Recorded electronically .

  5. Clinical encounter cards ( CEC ) • Written • Student personal reflection .

  6. 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 .

  7. Direct observation of procedural skills ( DOPS ) • Real, workplace setting, not OSCE • Iterative, number of assessors, number of times • Not simple log book but portfolios of learning .

  8. Case-based discussion ( CbD ). • “ Live notes ” • Record keeping • Clinical reasoning • Structured .

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

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