Abstract:
OBJECTIVES:Competency-based medical education (CBME) requires that educators structure assessment of clinical competence using outcome frameworks. Although these frameworks may serve some outcomes well (e.g. represent eventual practice), translating these into workplace-based assessment plans may undermine validity and, therefore, trustworthiness of assessment decisions due to a number of competing factors that may not always be visible or their impact knowable. Explored here is the translation process from outcome framework to formative and summative assessment plans in postgraduate medical education (PGME) in three Canadian universities. METHODS:We conducted a qualitative study involving in-depth semi-structured interviews with leaders of PGME programmes involved in assessment and/or CBME implementation, with a focus on their assessment-based translational activities and evaluation strategies. Interviews were informed by Callon's theory of translation. Our analytical strategy involved directed content analysis, allowing us to be guided by Kane's validity framework, whilst still participating in open coding and analytical memo taking. We then engaged in axial coding to systematically explore themes across the dataset, various situations and our conceptual framework. RESULTS:Twenty-four interviews were conducted involving 15 specialties across three universities. Our results suggest: (i) using outcomes frameworks for assessment is necessary for good assessment but are also viewed as incomplete constructs; (ii) there are a number of social and practical negotiations with competing factors that displace validity as a core influencer in assessment planning, including implementation, accreditation and technology; and (iii) validity exists as threatened, uncertain and assumed due to a number of unchecked assumptions and reliance on surrogates. CONCLUSIONS:Translational processes in CBME involve negotiating with numerous influencing actors and institutions that, from an assessment perspective, provide challenges for assessment scientists, institutions and educators to contend with. These processes are challenging validity as a core element of assessment designs. Educators must reconcile these influences when preparing for or structuring validity arguments.
journal_name
Med Educjournal_title
Medical educationauthors
Tavares W,Rowland P,Dagnone D,McEwen LA,Billett S,Sibbald Mdoi
10.1111/medu.14287subject
Has Abstractpub_date
2020-10-01 00:00:00pages
932-942issue
10eissn
0308-0110issn
1365-2923journal_volume
54pub_type
杂志文章abstract:OBJECTIVE:To compare the teaching value of one session of computer-guided solo instruction in exposure therapy for phobias with that of one face-to-face small-group tutorial. DESIGN:Non-blind, randomized, controlled study. SETTING:King's College Hospital Medical School, London. PARTICIPANTS:Thirty-seven third-year m...
journal_title:Medical education
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1046/j.1365-2923.2002.01210.x
更新日期:2002-05-01 00:00:00
abstract:BACKGROUND:Educational approaches are thought to have facilitative or hindering effects on students' critical thinking development. The aim of this study was to compare the effects of problem-based learning (PBL) and lecturing approaches on the development of students' critical thinking. METHODS:All 79 Year 1 undergra...
journal_title:Medical education
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1111/j.1365-2929.2006.02481.x
更新日期:2006-06-01 00:00:00
abstract:OBJECTIVES:Although peer-assisted learning (PAL) is widely employed throughout medical education, its effectiveness for training in technical procedures in skills laboratories has been subject to little systematic investigation. We conducted a prospective, randomised trial to evaluate the hypotheses that PAL is effecti...
journal_title:Medical education
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.1365-2923.2008.03252.x
更新日期:2009-02-01 00:00:00
abstract::The view, background and motivation of providers of medical education was studied using a structured questionnaire which was sent to all those who organized courses for the Postgraduate Education Allowance in the West of Scotland. Two hundred and twenty-five replies were received from 254 course providers, giving an 8...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1993.tb00300.x
更新日期:1993-09-01 00:00:00
abstract:CONTEXT:At the Katholieke Universiteit Leuven, Belgium, final year medical students participate in 70 problem-solving clinical seminars over a period of 2 months, concentrating on clinical reasoning for formulating differential diagnoses. The clinical seminars end in an examination consisting of 200 extended-matching q...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2006.02627.x
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVE:To describe a pilot course in personal and professional development, entitled 'Becoming a doctor: the first step' and our suggestions for what might be incorporated into future courses. SETTING AND CONTEXT:Leeds Medical School begins a new curriculum in September 1999 with a proportion of the first 3 years b...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.00575.x
更新日期:2000-02-01 00:00:00
abstract:BACKGROUND:Patients in inner-city areas come from increasingly diverse language and cultural backgrounds. Neither communications training modelled on local English speakers nor the provision of interpreters offer adequate solutions. AIM:To identify how patients with limited English and culturally different communicati...
journal_title:Medical education
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2929.2005.02121.x
更新日期:2005-05-01 00:00:00
abstract:BACKGROUND:We developed a 1-hour teaching seminar for medical students on anti-smoking health promotion for adolescents. We report the development of the programme and a performance-based evaluation. AIM:To develop a seminar for medical students with the objective of improving medical student inquiry into smoking and ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01560.x
更新日期:2003-08-01 00:00:00
abstract:INTRODUCTION:Most medical schools in the UK have been engaged in major curriculum reform based on their premises of what might improve undergraduate medical education. In 1994 the course at the medical school of the University of Manchester changed to an integrated course using problem-based learning throughout and wit...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01105.x
更新日期:2002-01-01 00:00:00
abstract::In Finland primary health care has a long historical background. The local communities, the state and the church have at various times and places been responsible for primary health care during the last few centuries. In 1972, a major reform took place when a new Primary Health Care Act came into force. In the same ye...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1987.tb00392.x
更新日期:1987-09-01 00:00:00
abstract:CONTEXT:Clinical context may act as both an aid to decision making and a source of bias contributing to medical error. The effect of clinical history, a form of clinical context, on the diagnostic accuracy of the physical examination is unknown. METHODS:We randomised internal medicine residents to receive either no hi...
journal_title:Medical education
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.1365-2923.2010.03896.x
更新日期:2011-04-01 00:00:00
abstract:CONTEXT:A challenge for medical educators is to better understand the personal factors that lead to individual success in medical school and beyond. Recently, educational researchers in fields outside medicine have acknowledged the importance of motivation and emotion in students' learning and performance. These affect...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2010.03712.x
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:There is inconclusive debate within the literature as to whether the best problem-based learning (PBL) tutors are subject experts or not. The debate hinges on whether knowledgeable tutors are tempted to intervene too often in PBL discussions compared to non-expert tutors, and whether the latter may not be ab...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01406.x
更新日期:2003-01-01 00:00:00
abstract:CONTEXT:The supervision of specialty registrars during on-call shifts is essential to ensure the quality of both health care and medical education, but has been identified as a major novelty and stressor for new consultants in the transition from specialty training. There is a paucity of research on how consultants dea...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12129
更新日期:2013-04-01 00:00:00
abstract::The academic performance of 104 fourth-year medical students was assessed in relation to their sleep habits reported in a questionary and their scores on the Minnesota Multiphasic Personality Inventory. Poorer academic performance was related significantly to later times of waking up in the morning, particularly at we...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1976.tb00432.x
更新日期:1976-05-01 00:00:00
abstract:OBJECTIVE:To examine how patient-centredness is understood and enacted in an American (US) and an Italian group of health care professionals. METHODS:An action research methodology was used. Two interprofessional groups of US (n = 4) and Italian (n = 5) health care professionals independently wrote a patient-centred d...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2008.03038.x
更新日期:2008-07-01 00:00:00
abstract::An elective modules programme in the behavioural sciences was designed for the undergraduate medical curriculum at The Ohio State University College of Medicine. The programme provides a mechanism by which a broad range of behavioural science content can be introduced into the curriculum without increased allocation o...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1984.tb01469.x
更新日期:1984-01-01 00:00:00
abstract::A postal questionnaire was distributed to all students who had discontinued, for any reason, their studies at Aberdeen Medical School. Opinions were sought about their experiences while there, as well as their reactions to the discontinuation therefrom. Claiming that learning to cope with stress was an essential aspe...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1980.tb02607.x
更新日期:1980-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The training of caring physicians represents an important goal of medical education. Little is known however, on whether medical faculty constitute good role models for teaching humanistic skills to medical students. In this study, we examined to what extent medical students at innovative and ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2000.00543.x
更新日期:2000-08-01 00:00:00
abstract:CONTEXT:A recent study has suggested that assessors judge performance comparatively rather than against fixed standards. Ratings assigned to borderline trainees were found to be biased by previously seen candidates' performances. We extended that programme of investigation by examining these effects across a range of p...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12254
更新日期:2013-09-01 00:00:00
abstract::Musculoskeletal disease in the community is common, and much of it responds to early diagnosis and preventive care. At the same time, modern orthopaedics, like so many specialist subjects, has increased significantly in depth and detail pari passu with its advances. It therefore becomes all the more important in desig...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1979.tb00914.x
更新日期:1979-01-01 00:00:00
abstract:BACKGROUND:The purpose of incorporating humanities teaching into medical education is to encourage students to develop into more sensitive and caring doctors who communicate well with their patients and colleagues. CONTENT:A unique 4th year student elective at the Medical College of Wisconsin incorporates reflective a...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01538.x
更新日期:2003-06-01 00:00:00
abstract:OBJECTIVES:To compare 2 educational programmes for teaching evidence-based medicine (EBM). DESIGN:Prospective randomised controlled trial accompanied by a qualitative evaluation. SETTING:University of Oslo, Norway, 2002-03. PARTICIPANTS:A total of 175 students entered the study. All tenth semester medical students f...
journal_title:Medical education
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1111/j.1365-2929.2005.02268.x
更新日期:2005-10-01 00:00:00
abstract:BACKGROUND:In 1993 the General Medical Council published its recommendations on undergraduate medical education. AIM:To study the implementation of these recommendations in UK medical schools by means of informal visitations. METHODS:Teams consisting of 3-5 members visited the 25 UK medical schools in a 3-year period...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01152.x
更新日期:2002-03-01 00:00:00
abstract:CONTEXT:An important part of a doctor's identity is the social position he or she adopts relative to patients. Dialogic theory predicts that medical school discourses influence the positions students incorporate into their professional identities. As this may affect how students later exercise power in doctor-patient r...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14074
更新日期:2020-07-01 00:00:00
abstract:CONTEXT:Progress tests, in which learners are repeatedly assessed on equivalent content at different times in their training and provided with feedback, would seem to lend themselves well to a competency-based framework, which requires more frequent formative assessments. The objective structured clinical examination (...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12942
更新日期:2016-03-01 00:00:00
abstract:CONTEXT:High-income country (HIC) trainees are undertaking global health experiences in low- and middle-income country (LMIC) host communities in increasing numbers. Although the benefits for HIC trainees are well described, the benefits and drawbacks for LMIC host communities are not well captured. OBJECTIVES:This st...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13106
更新日期:2016-11-01 00:00:00
abstract::A 63-item questionnaire on attitudes to psychosocial issues in medicine was administered to final-year students in the Faculties of Medicine (n = 104), Pharmacy (n = 57) and Arts and Social Sciences (n = 75) of the University of Benin. The responses given were analysed by the summation and Cornell scalogram techniques...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1995.tb02848.x
更新日期:1995-07-01 00:00:00
abstract:INTRODUCTION:The state of cognitive flow, colloquially known as being 'in the zone', has been linked with enhanced performance, happiness, career satisfaction and decreased burnout. However, the concept has not been adopted strongly in health care training, continuing professional development, or daily practice. A syst...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14435
更新日期:2020-12-12 00:00:00
abstract:INTRODUCTION:Reflective ability is an important skill for enhancing professionalism and developing communication skills. To improve reflective ability, medical educators encourage use of written reflective journals, for which feedback is important. It is difficult for educators to anticipate how their feedback will be ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14406
更新日期:2020-11-03 00:00:00