ASSESSMENT IN GP/FM - PowerPoint PPT Presentation

1 / 26
About This Presentation
Title:

ASSESSMENT IN GP/FM

Description:

A certification of competence public responsibility (licence) ... PMP Patient Management Problem. Oral, viva. Traditional practical ... – PowerPoint PPT presentation

Number of Views:32
Avg rating:3.0/5.0
Slides: 27
Provided by: kor136
Category:

less

Transcript and Presenter's Notes

Title: ASSESSMENT IN GP/FM


1
ASSESSMENT IN GP/FM
  • Mladenka Vrcic-Keglevic, MD, PhD
  • Head of Family Medicine Department, Medical
    School, Univerity of Zagreb
  • mvrcic_at_snz.hr

2
Content of the session
  • Definition of the terms
  • How to use assessment (summative, formative)
  • Assessment methods (AM)
  • What can be assessed by different AM
  • Metrics characteristics of AM
  • ..
  • Interactive session

3
Definition of the terms
  • Evaluation A process that attempts to
    systematically determine the relevance,
    effectiveness, and impact of activities in light
    of their objectives. Can be related to structure,
    process or outcome of (programme, person).
  • Assessment A system of evaluation of
    professional accomplishments in light of
    educational objectives, using defined criteria
    and usually including an attempt at measurement
    either by grading on a rough scale or by
    assigning numerical values.


  • AMEE Glosary of Medical Education
    Terms

4
Well defined educational objectives - prerequsite
for assessment
  • Example for this session
  • At the end of this session participants will be
    able
  • To named at list three differences between
    summative and formative assessment
  • To make a list of at least three written AM
  • To name the most effective AM to assess clinical
    skills
  • To describe the most effective AM to assess
    attitudes

5
How to use assessment?
  • Summative This is usually undertaken at the end
    of a training programme or teaching course and
    determines whether the educational objectives
    have been successfully achieved. With summative
    assessment the students usually receives a grade
    or a mark. Exam
  • Formative This is testing that is part of
    developmental or ongoing teaching / learning
    process. It should emanate from a wish to foster
    learning and understanding. It should include
    delivery of feedback to the student.

6
Summative - Examination
  • What the exams are?
  • For students A difficult and unpleasent
    steeplechase to run on a way for diploma
  • For teachers A less desirable teaching activity
  • For public An important protection from
    un-competent doctors

7
Summative assessment
  • The reasons
  • A statement of achievement - university degree
    (diploma)
  • An entrance requirement to an educational
    institution
  • A guide as to the wisdom of continuing with
    further study
  • A certification of competence public
    responsibility (licence)
  • A determinant of programme effectiveness

8
Assessment methods (AM)
  • Written
  • MCQ - Multiple Choice Questions
  • Un-Q An-cued Questions
  • Essay
  • MEQ Modified Essay Questions
  • EMI - extended matching items
  • PMP Patient Management Problem
  • Oral, viva
  • Traditional practical
  • OSCE Objective Structured Clinical Examination
  • SP - Standardised Patient
  • Portfolio
  • ACC Assessment of Clinical Competence

9
What can be assessed by different AM
  • Factual knowledge
  • Interpretations
  • Problem-solving skills
  • Ethical
  • Clinical skills
  • Emotional reactions
  • Communication

10
What can be assessed?
Fact Inter P-S Ethi Skill Emo Com
Oral /- - - - -
Practic. - - -
MCQ - - - - - - - - - -
Un-Q - - - - - - - - - -
MEQ - - - - - - -
Essay - - - - - - - -
OSCE - - - -
PMP - - - - - - - -
ACC
11
Metric characteristics of AM
  • Validity - the degree to which a measurement
    instrument truly measures what it is intended to
    measure
  • Reliability it is an expression of the
    precision, consistency and reproducibility.
    Ideally, measurements should be the same when
    repeated by the same student or made by the
    different assessors.
  • Relevance it is a degree to which the
    assessment questions and educational objectives
    are in concordance
  • Objectivity it is a level of agreement among
    independent assessors (experts) about the right
    answer to certain question

12
Metrics characteristics?
Validity Reliability Relevent Objectivity
Oral - - - - - - - -
Practic. - - -
MCQ
Un-Q
MEQ
Essay - - -
OSCE
PMP/SP
ACC - - -
13
Practicality?
  • Preparation resources (time, human)
  • Easy to perform, aplay
  • NC number of candidates
  • NC/teacher number of candidates per one teacher

14
Practicality
Preparation Ease to applay NC- No of candidates NC / teacher
Oral - - - - - -
Practic. - - - -
MCQ
Un-Q
MEQ - -
Essay - -
OSCE
PMP/SP -
ACC - - - -
15
MCQ Multiple Choice Questions
  • Difficulty index
  • Discrimination index
  • Minimum pass level

16
Indeks of difficulty
  • QD (G P)/N
  • QD questions difficulty
  • G number of right answers in good group
  • P number of right answers in poor group
  • N number of students in both groups

a b c d e 0 U
1
2
3
17
Difficulty Index
  • 0,3 0,5 0,6
    0,7
  • ------/---------------(------------)----------/--
    -------

  • recommended
  • ------------------------------------
    --------------------------

  • acceptable
  • too difficult
    too difficult

18
Discrimination Index
  • DI 2 (G-P)/N
  • DI discrimination Index
  • G number of right answer in good group
  • P number of right answer in poor group
  • N number of students in both group

a b c d e 0 U
1
2
3
19
Diskrimination Index
  • 0.15 0.25 0.35
  • ----------/----------/----------/---------
    -
  • throw off to check good
    excelent

20
What AM to use in reality?
  • There is no perfect AM
  • A choice depends of what is to be measured
    educational objectives (knowledge, skills,
    competences, attitudes)
  • Careful preparation, trained assessors
  • Multiple methods better then one

21
Specialistic exam in GP in Croatia
  • Should be submeted in advance
  • Portfolio
  • 8 essays
  • Questionary of professional competence signed
    by trainer
  • Trainers report about trainees achievements
  • Trainees report How to organise my practice,
    what to invent?
  • Medical records (videos) of 3 patients / family

22
Specialistic exam in GP in Croatia
  • MCQ test 150 questions
  • OSCE 20-25 stations
  • Oral jury (3 members) 1 academic GP 1 well
    recognised GP (publication) 1 trainer

23
Formative assessment
  • The reasons
  • Information for the student about his/her
    achievement of educational objectives
  • Repetitive progress measurement
  • Discover week pointsteachers support
  • Help to a teacher to correct programme
  • The results should not be used in summative
    assessment

24
Formative assesssment -which AM?
  • The same as for summative progress test
  • Protocols for observing clinical work
    (consultation, communication, p-s abilities,
    professional competences)
  • Checklists
  • Diaries what has been done
  • Appraising projects, audit
  • Portfolio
  • Self and peer assessment

25
Formative assesssment
  • Feedback
  • Feedback
  • Feedback
  • Feedback
  • Feedback

26
Educational objectives in this session achieved?
  • At the end of this session participants will be
    able to
  • name at least three differences between summative
    and formative assessment
  • make a list of at least three written AM
  • name the most effective AM to assess clinical
    skills
  • describe the most effective AM to assess
    attitudes
Write a Comment
User Comments (0)
About PowerShow.com