Miller Van der Vleuten learning assessment pyramid Does

Miller - Van der Vleuten learning assessment pyramid Does Performance Assessment: Real patients, Videos, Logs, Undercover SPs Shows How Knows Competence Assessment: Observations, OSCEs, SPs Clinical Based Tests: PMP, Practicals, Essays, Orals Tests of Knowledge: Dr. Shahram Yazdani MCQ, T-F EMI, SAQ 2

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 Dr. Shahram Yazdani 3

Components of performance 1. 2. 3. 4. 5. 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 6. 7. 8. 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 4

Competence Assessment Methods Observations OSCE SP Dr. Shahram Yazdani 5

Performance Assessment Methods Direct observation in practice Video observation of practice Covert simulated patients Surveys Interviews Record and data analyses Practice Portfolios Log Book Dr. Shahram Yazdani 6

The importance of assessment attributes according to the purpose of the assessment Dr. Shahram Yazdani 7