Workplace based assessment

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Workplace based assessment

• Dr Nav Chana

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Assessment is not simple

• Medical competence is content and case specific
• Constructs are not stable and independent
• Attribution is a problem

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Lessons learned

• Need to build up a whole picture
• No single method is a panacea
• Content important, format less so
• Less structure, more sampling
• Focus on a programme of assessment, not
  individual methods

Van der Vleuten C Schuwirth L Assessing
professional competence from methods to
programmes. Medical Education 2005. 39 309-317
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Millers pyramid of competence
Does
Shows how
Knows how
Knows
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Workplace assessment

• Workplace assessment the assessment of actual
  working practices undertaken in the working
  environment

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Utility

• Validity
• Reliability
• Educational impact
• Acceptability
• Cost effectiveness

Van der Vleuten C. The assessment of professional
competence. Adv Health Sci Educ 19961 41-47
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Validity

• The extent to which a test measures what it was
  designed to measure

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Validity

• Indirect
• Direct

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Reliability

• The accuracy with which the test measures the
  skill or attainment it is designed to measure

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Why workplace assessment?

• High validity
• Authenticity
• Reconnects assessment with learning
• High educational impact

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Key features

• Competency-based
• Developmental
• Evidential
• Locally assessed
• Triangulated

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Evidence needed !

• Notion of multiple sampling
• From multiple perspectives
• Tool-box of approved methods

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Needs pulling together

• Thats the role for the educational supervisor!
• Triangulation of evidence from other sources

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The medical record