clinical assessment: at the heart of healthcare education
Post on 21-Dec-2015
215 views
TRANSCRIPT
.
“ The rules of clinical assessment are the
same for
whatever
Doctor you
are
producing….
.
…… the world has moved on !!
.. society has changed
…… society expects more from its Doctors
…….. we should respond to that need
.
What do we want students to achieve in the clinical assessment of our students ?
• Show they have achieved a previously overall defined level of competence
• Understand very well the fundamentals of clinical practice and apply their previous learning
• Show they can perform to a required and accepted level of competence in real or simulated real practice in specified areas
• Adapt their practice to real life situations and normal / expected variations
.
Knows
Shows how
Knows how
Does
Knows Factual tests: MCQ, essay type, oral…..
Shows howPerformance assessment in vitro:OSCE, SP-based test…..
DoesPerformance assessment in vivo: Masked SPs, Video, Audits…..
Knows how(Clinical) Context based tests:MCQ, EMI, essay type, oral…..
…. we want to see students climbing the pyramid
.
Most schools have moved away from :
Long cases
Short cases
Oral / viva voce
Why:
Often irrelevant to real life
Specialty specific, not integrated
Non-standardised / comparable
Highly subjective
One opportunity to become a star
.
To:
OSCE – OSVE, OSPE, ISCE etc
Written formative – portfolios, reflective
diaries, log books etc
Web-based
Case-based
Workplace-based
360 degree, multi-professional
Competency- based
.
But, if we use these methods, we must address the issues of:
• Standardisation
• Objectivity
• Validity
• Reliability
• Real-life situations with complexity
• Safety
• Multiple biopsy technique