1. Workplace-based Assessment
Trevor Gibbs

2. 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. ”

3. 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

4. Workplace-based AssessmentQ:
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 ?

5. 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)

6. 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

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

8. 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

9. 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

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

11. 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

12. 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 ?