The assessment of professional competence: building blocks for theory development

被引:219
作者
van der Vleuten, C. P. M. [1 ]
Schuwirth, L. W. T. [1 ]
Scheele, F. [2 ]
Driessen, E. W. [1 ]
Hodges, B. [3 ]
机构
[1] Maastricht Univ, Dept Educ Dev & Res, Fac Hlth Med & Life Sci, NL-6200 MD Maastricht, Netherlands
[2] St Lucas Andreas Hosp, Dept Obstet & Gynaecol, NL-1016 AE Amsterdam, Netherlands
[3] Wilson Ctr Res Educ, Toronto, ON M5G 2C4, Canada
关键词
assessment; professional competence; assessment of clinical performance; principles of assessment (programmes); SELF-ASSESSMENT; MULTISOURCE FEEDBACK; MEDICAL-EDUCATION; CLINICAL SKILLS; UNPROFESSIONAL BEHAVIOR; GENERAL-PRACTITIONERS; STUDENTS PERCEPTIONS; PORTFOLIO ASSESSMENT; DISCIPLINARY ACTION; EVALUATION EXERCISE;
D O I
10.1016/j.bpobgyn.2010.04.001
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
This article presents lessons learnt from experiences with assessment of professional competence. Based on Miller's pyramid, a distinction is made between established assessment technology for assessing 'knows', 'knowing how' and 'showing how' and more recent developments in the assessment of (clinical) performance at the 'does' level. Some general lessons are derived from research of and experiences with the established assessment technology. Here, many paradoxes are revealed and empirical outcomes are often counterintuitive. Instruments for assessing the 'does' level are classified and described, and additional general lessons for this area of performance assessment are derived. These lessons can also be read as general principles of assessment (programmes) and may provide theoretical building blocks to underpin appropriate and state-of-the-art assessment practices. (C) 2010 Elsevier Ltd. All rights reserved.
引用
收藏
页码:703 / 719
页数:17
相关论文
共 112 条
[71]   Disciplinary action by medical boards and prior behavior in medical school [J].
Papadakis, MA ;
Teherani, A ;
Banach, MA ;
Knettler, TR ;
Rattner, SL ;
Stern, DT ;
Veloski, JJ ;
Hodgson, CS .
NEW ENGLAND JOURNAL OF MEDICINE, 2005, 353 (25) :2673-2682
[72]  
PELGRIM EAM, TRAINING ASSES UNPUB
[73]  
Pendleton D., 2003, The consultation: an approach to learning and teaching
[74]  
Petrusa E.R., 2002, INT HDB RES MED ED, P673
[75]  
Plous S., 1993, The psychology of judgment and decision making
[76]  
Ram P, 1999, MED EDUC, V33, P447
[77]   Comparing the psychometric properties of checklists and global rating scales for assessing performance on an OSCE-format examination [J].
Regehr, G ;
MacRae, H ;
Reznick, RK ;
Szalay, D .
ACADEMIC MEDICINE, 1998, 73 (09) :993-997
[78]   Issues in cognitive psychology: Implications for professional education [J].
Regehr, G ;
Norman, GR .
ACADEMIC MEDICINE, 1996, 71 (09) :988-1001
[79]  
Rothman AI, 1996, ADV HEALTH SCI EDUC, V1, P215, DOI [10.1023/A:1018367530259, 10.1007/BF00162918]
[80]   Understanding the influence of emotions and reflection upon multi-source feedback acceptance and use [J].
Sargeant, Joan ;
Mann, Karen ;
Sinclair, Douglas ;
Van der Vleuten, Cees ;
Metsemakers, Job .
ADVANCES IN HEALTH SCIENCES EDUCATION, 2008, 13 (03) :275-288