Workplace-based Assessment

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Presentation transcript:

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 achieved the required level of skill and ability. ”

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

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 ?

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)

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

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

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

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

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

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

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 ?