Assessment of competence and Performance لیلا پاداش - عضو هیئت علمی مرکز مطالعات وتوسعه آموزش پزشکی دانشگاه علوم پزشکی گلستان 92/4/2 1

Dr. Shahram Yazdani2 Miller - Van der Vleuten learning assessment pyramid Tests of Knowledge: Clinical Based Tests: Does Shows How Knows How Knows Competence Assessment: Performance Assessment: Real patients, Videos, Logs, Undercover SPs Observations, OSCEs, SPs PMP, Practicals, Essays, Orals MCQ,T-F EMI, SAQ

Competence vs. Performance Competency-based assessments measures what students/doctors can do in controlled representations of professional practice Performance-based assessments measures what students/doctors do in actual professional practice Dr. Shahram Yazdani3

Components of performance 1. Clinical expertise ◦Patient diagnostic skills ◦Patient management skills 2. Communication ◦With patients ◦With colleagues 3. Collaboration ◦Teamwork ◦Peer communication 4. Management ◦Personal management ◦Systems management ◦Clinical governance ◦Resource utilization 5. Personal development ◦Engaging in life long learning ◦Developing insight into own limits 6. Education ◦Teaching students and junior doctors ◦Helping patients understand their own health ◦Research ◦Critical appraisal 7. Professional attributes ◦Honesty ◦Integrity ◦Probity ◦Respect for patients ◦Respect for colleagues ◦Ethical practice 8. Personal health and self care Self care 4

Dr. Shahram Yazdani5 Competence Assessment Methods Observations OSCE SP

Performance Assessment Methods Direct observation in practice Video observation of practice Covert simulated patients Surveys Interviews Record and data analyses Practice Portfolios Log Book Dr. Shahram Yazdani6

assessment 7 The importance of assessment attributes according to the purpose of the assessment