Clinical Assessment: at the heart of healthcare education Trevor Gibbs

. “ The rules of clinical assessment are the same for whatever Doctor or Healthcare Professional you are producing….

. ……however the world has moved on !! …… society and healthcare has changed

…… and the unexpected can always happen

. …… and new advances are just around the corner

. real, relevant and objective valid and reliable …… and clinical assessment has to be

. What do we want students to achieve in clinical assessment ? Understand and demonstrate well the fundamentals of clinical practice and apply to previous learning Show they can perform to a required level of competence in real or simulated practice Adapt their practice to real life situations and normal / expected variations

. Knows Shows how Knows how Does Knows Factual tests: MCQ, essay type, oral….. Shows how Performance assessment in vitro: OSCE, SP-based test….. Does Performance assessment in vivo: Masked SPs, Video, Audits….. Knows how (Clinical) Context based tests: MCQ, EMI, essay type, oral….. …. we want to see students climbing the pyramid mastery

. Moved away from : Long cases Short cases Oral / viva voce To: OSCE – OSVE, OSPE, ISCE etc Written formative – portfolios, reflective diaries, log books etc Web-based Case based Workplace-based Combining teaching with assessment

. Standardisation Objectivity rather than subjectivity Validity Reliability Real-life situations with complexity Safety Multiple biopsy technique