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IIME Assessment Tools Workshop Chengdu, February, 2003 OBSERVATIONAL ASSESSMENT

IIME Assessment Tools Workshop Chengdu, February, 2003 OBSERVATIONAL ASSESSMENT. Raja C. Bandaranayake Arabian Gulf University Bahrain. OBSERVATION OF BEHAVIOUR for assessment of 1. SKILLS 2. ATTITUDES. OBSERVATION SIGN. Should be: A behaviour indicative of some trait

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IIME Assessment Tools Workshop Chengdu, February, 2003 OBSERVATIONAL ASSESSMENT

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  1. IIME Assessment Tools WorkshopChengdu, February, 2003OBSERVATIONAL ASSESSMENT Raja C. Bandaranayake Arabian Gulf University Bahrain

  2. OBSERVATION OF BEHAVIOURfor assessment of 1. SKILLS2. ATTITUDES

  3. OBSERVATION SIGN Should be: • A behaviour indicative of some trait • In the present tense • A positive occurrence • Singular in number

  4. For a realistic system of recording behaviours:1. Confine observations to those areas that cannot be assessed by other means2. Limit observations to a few types of behaviour

  5. TOOLS FOR SYSTEMATIC OBSERVATION • Checklists • Rating scales • Anecdotal records

  6. PRINCIPLES OF EFFECTIVE RATING • Significant learning outcome should be identified • Behaviour should be observable • Use between 3 and 7 rating points • Anchor points should be clearly defined • Combine ratings from several observers • Rate independently (always) and anonymously (when possible) • Omit items unqualified to judge

  7. ERRORS OF RATING • Error of leniency • Error of central tendency • Halo effect • Logical error • Proximity error • Contrast error

  8. 1. PROFESSIONAL VALUES etc.B. EmpathyPoorExcellent

  9. 1. PROFESSIONAL VALUES etc.B. EmpathyPoorFairGoodVery GoodExcellent

  10. 1. PROFESSIONAL VALUES etc.B. Empathy v • Poor Good Excellent • Does notconsider Partly considers Fully considers • patient’s economic patient’s economic patient’s economic • situation situation situation • Does notconsider Partly considers Fully considers • patient’s family patient’s family patient’s family • Does not make Asks patient Takes steps to • make patient if he/she is make patient • comfortable comfortable comfortable

  11. CLINICAL CLERKSHIPS: RESEARCH FINDINGS[van der Vleuten et el., 2000] • Clinical clerks differ substantially in the activities they perform • Nature and quality of supervision show great variability • Clinical clerks have educational contacts more with fellow students, house officers and registrars or residents than with consultants • Clinical clerks are rarely observed during patient contacts

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