The role of assessment in competency-based medical education

被引:591
作者
Holmboe, Eric S. [1 ]
Sherbino, Jonathan [2 ]
Long, Donlin M. [3 ]
Swing, Susan R.
Frank, Jason R. [4 ,5 ]
机构
[1] Amer Board Internal Med, Philadelphia, PA 19106 USA
[2] McMaster Univ, Hamilton, ON, Canada
[3] Johns Hopkins Univ, Baltimore, MD USA
[4] Royal Coll Phys & Surg Canada, Ottawa, ON, Canada
[5] Univ Ottawa, Ottawa, ON K1N 6N5, Canada
关键词
INTERNAL-MEDICINE; CLINICAL-PERFORMANCE; SELF-ASSESSMENT; HEALTH-CARE; FACULTY; SKILLS; FEEDBACK; STUDENTS; QUALITY; WELL;
D O I
10.3109/0142159X.2010.500704
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Competency-based medical education (CBME), by definition, necessitates a robust and multifaceted assessment system. Assessment and the judgments or evaluations that arise from it are important at the level of the trainee, the program, and the public. When designing an assessment system for CBME, medical education leaders must attend to the context of the multiple settings where clinical training occurs. CBME further requires assessment processes that are more continuous and frequent, criterion-based, developmental, work-based where possible, use assessment methods and tools that meet minimum requirements for quality, use both quantitative and qualitative measures and methods, and involve the wisdom of group process in making judgments about trainee progress. Like all changes in medical education, CBME is a work in progress. Given the importance of assessment and evaluation for CBME, the medical education community will need more collaborative research to address several major challenges in assessment, including "best practices'' in the context of systems and institutional culture and how to best to train faculty to be better evaluators. Finally, we must remember that expertise, not competence, is the ultimate goal. CBME does not end with graduation from a training program, but should represent a career that includes ongoing assessment.
引用
收藏
页码:676 / 682
页数:7
相关论文
共 55 条
[1]  
[Anonymous], 2007, CLIN MICROSYSTEMS AP
[2]   Use of Simulation-Based Mastery Learning to Improve the Quality of Central Venous Catheter Placement in a Medical Intensive Care Unit [J].
Barsuk, Jeffrey H. ;
McGaghie, William C. ;
Cohen, Elaine R. ;
Balachandran, Jayshankar S. ;
Wayne, Diane B. .
JOURNAL OF HOSPITAL MEDICINE, 2009, 4 (07) :397-403
[3]   Global descriptive evaluations are more responsive than global numeric ratings in detecting students' progress during the inpatient portion of an internal medicine clerkship [J].
Battistone, MJ ;
Pendleton, B ;
Milne, C ;
Battistone, ML ;
Sande, MA ;
Hemmer, PA ;
Shomaker, TS .
ACADEMIC MEDICINE, 2001, 76 (10) :S105-S107
[4]   Why Medical Educators May Be Failing at Feedback [J].
Bing-You, Robert G. ;
Trowbridge, Robert L. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2009, 302 (12) :1330-1331
[5]   Changing habits of practice - Transforming internal medicine residency education in ambulatory settings [J].
Bowen, JL ;
Salerno, SM ;
Chamberlain, JK ;
Eckstrom, E ;
Chen, HL ;
Brandenburg, S .
JOURNAL OF GENERAL INTERNAL MEDICINE, 2005, 20 (12) :1181-1187
[6]   Designing and evaluating complex interventions to improve health care [J].
Campbell, Neil C. ;
Murray, Elizabeth ;
Darbyshire, Janet ;
Emery, Jon ;
Farmer, Andrew ;
Griffiths, Frances ;
Guthrie, Bruce ;
Lester, Helen ;
Wilson, Phil ;
Kinmonth, Ann Louise .
BMJ-BRITISH MEDICAL JOURNAL, 2007, 334 (7591) :455-459
[7]   Shifting paradigms: From Flexner to competencies [J].
Carraccio, C ;
Wolfsthal, SD ;
Englander, R ;
Ferentz, K ;
Martin, C .
ACADEMIC MEDICINE, 2002, 77 (05) :361-367
[8]   The Purpose and Limits to Professional Self-regulation [J].
Chantler, Cyril ;
Ashton, Rebecca .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2009, 302 (18) :2032-2033
[9]   Systematic review: The relationship between clinical experience and quality of health care [J].
Choudhry, NK ;
Fletcher, RH ;
Soumerai, SB .
ANNALS OF INTERNAL MEDICINE, 2005, 142 (04) :260-273
[10]   The use of simulated patients in medical education: AMEE Guide No 42 [J].
Cleland, Jennifer A. ;
Abe, Keiko ;
Rethans, Jan-Joost .
MEDICAL TEACHER, 2009, 31 (06) :477-486