Twelve tips for improving the quality of assessor judgements in senior medical student clinical assessments

Malau-Aduli, Bunmi S., Hays, Richard B., D’Souza, Karen, Saad, Shannon L., Rienits, Helen, Celenza, Antonio, and Murphy, Rinki (2023) Twelve tips for improving the quality of assessor judgements in senior medical student clinical assessments. Medical Teacher, 45 (11). pp. 1228-1232.

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Abstract

Assessment of senior medical students is usually calibrated at the level of achieving expected learning outcomes for graduation. Recent research reveals that clinical assessors often balance two slightly different perspectives on this benchmark. The first is the formal learning outcomes at graduation, ideally as part of a systematic, program-wide assessment approach that measures learning achievement, while the second is consideration of the candidate’s contribution to safe care and readiness for practice as a junior doctor. The second is more intuitive to the workplace, based on experience working with junior doctors. This perspective may enhance authenticity in assessment decisions made in OSCEs and work-based assessments to better align judgements and feedback with professional expectations that will guide senior medical students and junior doctors’ future career development. Modern assessment practices should include consideration of qualitative as well as quantitative information, overtly including perspectives of patients, employers, and regulators. This article presents 12 tips for how medical education faculty might support clinical assessors by capturing workplace expectations of first year medical graduates and develop graduate assessments based on a shared heuristic of ‘work-readiness’. Peer-to-peer assessor interaction should be facilitated to achieve correct calibration that ‘merges’ the differing perspectives to produce a shared construct of an acceptable candidate.

Item ID: 78974
Item Type: Article (Research - C1)
ISSN: 1466-187X
Keywords: assessor judgement, Clinical assessment, clinical workplace system, objective structured clinical examination, senior medical student
Copyright Information: © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-ncnd/4.0/),
Date Deposited: 08 Nov 2023 03:23
FoR Codes: 39 EDUCATION > 3904 Specialist studies in education > 390402 Education assessment and evaluation @ 50%
42 HEALTH SCIENCES > 4299 Other health sciences > 429999 Other health sciences not elsewhere classified @ 50%
SEO Codes: 16 EDUCATION AND TRAINING > 1601 Learner and learning > 160102 Higher education @ 100%
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