The Next Era of Assessment Within Medical Education: Exploring Intersections of Context and Implementation.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Additional Information
    • Source:
      Publisher: Ubiquity Press Country of Publication: Netherlands NLM ID: 101590643 Publication Model: eCollection Cited Medium: Internet ISSN: 2212-277X (Electronic) Linking ISSN: 22122761 NLM ISO Abbreviation: Perspect Med Educ Subsets: MEDLINE
    • Publication Information:
      Publication: 2023- : [London] : Ubiquity Press
      Original Publication: [Houten] : Bohn Stafleu van Loghum
    • Subject Terms:
      Education, Medical*/methods ; Clinical Competence*/standards ; Competency-Based Education*/methods; Humans ; Educational Measurement/methods
    • Abstract:
      In competency-based medical education (CBME), which is being embraced globally, the patient-learner-educator encounter occurs in a highly complex context which contributes to a wide range of assessment outcomes. Current and historical barriers to considering context in assessment include the existing post-positivist epistemological stance that values objectivity and validity evidence over the variability introduced by context. This is most evident in standardized testing. While always critical to medical education the impact of context on assessment is becoming more pronounced as many aspects of training diversify. This diversity includes an expanding interest beyond individual trainee competence to include the interdependency and collective nature of clinical competence and the growing awareness that medical education needs to be co-produced among a wider group of stakeholders. In this Eye Opener, we wish to consider: 1) How might we best account for the influence of context in the clinical competence assessment of individuals in medical education? and by doing so, 2) How could we usher in the next era of assessment that improves our ability to meet the dynamic needs of society and all its stakeholders? The purpose of this Eye Opener is thus two-fold. First, we conceptualize - from a variety of viewpoints, how we might address context in assessment of competence at the level of the individual learner. Second, we present recommendations that address how to approach implementation of a more contextualized competence assessment.
      Competing Interests: The authors have no competing interests to declare.
      (Copyright: © 2024 The Author(s).)
    • References:
      Med Educ. 2018 Apr 19;:. (PMID: 29676054)
      Med Teach. 2021 Jul;43(7):751-757. (PMID: 34410891)
      Implement Sci. 2016 Jul 08;11(1):91. (PMID: 27391959)
      Acad Med. 2019 May;94(5):671-677. (PMID: 30720528)
      Acad Med. 2020 May;95(5):786-793. (PMID: 31625995)
      Perspect Med Educ. 2023 May 17;12(1):149-159. (PMID: 37215538)
      Med Educ. 2019 Jan;53(1):15-24. (PMID: 30345527)
      Implement Sci. 2022 Jan 22;17(1):7. (PMID: 35065675)
      Med Teach. 2021 Jul;43(7):734-736. (PMID: 34097832)
      Med Teach. 2011;33(3):188-99. (PMID: 21345059)
      Acad Med. 2018 Mar;93(3):399-405. (PMID: 28678103)
      GMS J Med Educ. 2017 Nov 15;34(5):Doc58. (PMID: 29226226)
      Perspect Med Educ. 2021 Dec;10(6):362-368. (PMID: 34757538)
      Acad Med. 2020 Jul;95(7):1006-1013. (PMID: 31876565)
      Med Teach. 2021 Jul;43(7):788-793. (PMID: 34038673)
      Acad Med. 2020 Jan;95(1):9-10. (PMID: 31860619)
      BMJ. 2013 Jan 28;346:f167. (PMID: 23358487)
      J Surg Educ. 2021 May-Jun;78(3):813-819. (PMID: 32978093)
      Perspect Med Educ. 2017 Oct;6(5):286-305. (PMID: 28956293)
      Acad Med. 2010 May;85(5):844-51. (PMID: 20520038)
      BMJ Open. 2022 Jan 7;12(1):e050038. (PMID: 34996785)
      Med Educ. 2011 Sep;45(9):927-38. (PMID: 21848721)
      Med Teach. 2018 Aug;40(8):855-861. (PMID: 29117744)
      Implement Sci. 2022 Oct 29;17(1):75. (PMID: 36309746)
      Med Educ. 2016 Aug;50(8):807-16. (PMID: 27402041)
      Perspect Med Educ. 2024 Jan 22;13(1):12-23. (PMID: 38274558)
      Implement Sci. 2009 Aug 07;4:50. (PMID: 19664226)
      Acad Med. 2023 Mar 1;98(3):367-375. (PMID: 36351056)
      Med Teach. 2021 Jul;43(7):817-823. (PMID: 34043931)
      Acad Med. 2019 Jul;94(7):1002-1009. (PMID: 30973365)
      J Grad Med Educ. 2022 Oct;14(5):583-592. (PMID: 36274774)
      J Eval Clin Pract. 2020 Aug;26(4):1105-1113. (PMID: 31851772)
      Med Educ. 2020 Aug;54(8):738-747. (PMID: 32119151)
      Healthc Q. 2009;12 Spec No Patient:e171-6. (PMID: 19667765)
      Acad Med. 2021 Nov 1;96(11S):S164-S174. (PMID: 34406132)
      Med Educ. 2021 Sep;55(9):1100-1109. (PMID: 33630305)
      BMC Med. 2018 Jun 20;16(1):95. (PMID: 29921272)
    • Publication Date:
      Date Created: 20241014 Date Completed: 20241014 Latest Revision: 20241015
    • Publication Date:
      20241015
    • Accession Number:
      PMC11469546
    • Accession Number:
      10.5334/pme.1128
    • Accession Number:
      39399409