Assessment of competence and Performance

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

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Components of performance

• Clinical expertise
• Patient diagnostic skills
• Patient management skills
• Communication
• With patients
• With colleagues
• Collaboration
• Teamwork
• Peer communication
• Management
• Personal management
• Systems management
• Clinical governance
• Resource utilization
• Personal development
• Engaging in life long learning
• Developing insight into own limits

• Education
• Teaching students and junior doctors
• Helping patients understand their own health
• Research
• Critical appraisal
• Professional attributes
• Honesty
• Integrity
• Probity
• Respect for patients
• Respect for colleagues
• Ethical practice
• Personal health and self care Self care

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Competence Assessment Methods
Observations OSCE SP
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Performance Assessment Methods

• Direct observation in practice
• Video observation of practice
• Covert simulated patients
• Surveys
• Interviews
• Record and data analyses
• Practice Portfolios
• Log Book

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