Barriers to the uptake and use of feedback in the context of summative assessment

被引:86
作者
Harrison, Christopher J. [1 ]
Konings, Karen D. [2 ]
Schuwirth, Lambert [3 ]
Wass, Valerie [1 ]
van der Vleuten, Cees [2 ]
机构
[1] Keele Univ, Sch Med, Keele ST5 5BG, Staffs, England
[2] Maastricht Univ, Fac Hlth Med & Life Sci, Dept Educ Dev & Res, NL-6200 MD Maastricht, Netherlands
[3] Flinders Univ S Australia, Sch Med, Adelaide, SA 5001, Australia
关键词
Assessment for learning; Feedback; OSCE; Summative assessment; Undergraduate medical education; PROGRAMMATIC ASSESSMENT; SEEKING BEHAVIOR; FORMATIVE FEEDBACK; MEDICAL-STUDENTS; PERFORMANCE; COMPETENCE; PERSPECTIVE; ENVIRONMENT; MANAGEMENT; EDUCATION;
D O I
10.1007/s10459-014-9524-6
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Despite calls for feedback to be incorporated in all assessments, a dichotomy exists between formative and summative assessments. When feedback is provided in a summative context, it is not always used effectively by learners. In this study we explored the reasons for this. We conducted individual interviews with 17 students who had recently received web based feedback following a summative assessment. Constant comparative analysis was conducted for recurring themes. The summative assessment culture, with a focus on avoiding failure, was a dominant and negative influence on the use of feedback. Strong emotions were prevalent throughout the period of assessment and feedback, which reinforced the focus on the need to pass, rather than excel. These affective factors were heightened by interactions with others. The influence of prior learning experiences affected expectations about achievement and the need to use feedback. The summative assessment and subsequent feedback appeared disconnected from future clinical workplace learning. Socio-cultural influences and barriers to feedback need to be understood before attempting to provide feedback after all assessments. A move away from the summative assessment culture may be needed in order to maximise the learning potential of assessments.
引用
收藏
页码:229 / 245
页数:17
相关论文
共 40 条
  • [1] Student perspectives on assessment: Experience in a competency-based portfolio system
    Altahawi, Faysal
    Sisk, Bryan
    Poloskey, Stacey
    Hicks, Caitlin
    Dannefer, Elaine F.
    [J]. MEDICAL TEACHER, 2012, 34 (03) : 221 - 225
  • [2] [Anonymous], 2002, Qualitative Research and Evaluation Methods
  • [3] State of the science in health professional education: effective feedback
    Archer, Julian C.
    [J]. MEDICAL EDUCATION, 2010, 44 (01) : 101 - 108
  • [4] FEEDBACK AS AN INDIVIDUAL RESOURCE - PERSONAL STRATEGIES OF CREATING INFORMATION
    ASHFORD, SJ
    CUMMINGS, LL
    [J]. ORGANIZATIONAL BEHAVIOR AND HUMAN PERFORMANCE, 1983, 32 (03): : 370 - 398
  • [5] Social cognitive theory: An agentic perspective
    Bandura, A
    [J]. ANNUAL REVIEW OF PSYCHOLOGY, 2001, 52 : 1 - 26
  • [6] Clarifying students' feedback-seeking behaviour in clinical clerkships
    Bok, Harold G. J.
    Teunissen, Pim W.
    Spruijt, Annemarie
    Fokkema, Joanne P. I.
    van Beukelen, Peter
    Jaarsma, Debbie A. D. C.
    van der Vleuten, Cees P. M.
    [J]. MEDICAL EDUCATION, 2013, 47 (03) : 282 - 291
  • [7] A model of the pre-assessment learning effects of assessment is operational in an undergraduate clinical context
    Cilliers, Francois J.
    Schuwirth, Lambert W. T.
    van der Vleuten, Cees P. M.
    [J]. BMC MEDICAL EDUCATION, 2012, 12
  • [8] The mechanism of impact of summative assessment on medical students' learning
    Cilliers, Francois J.
    Schuwirth, Lambert W.
    Adendorff, Hanelie J.
    Herman, Nicoline
    van der Vleuten, Cees P.
    [J]. ADVANCES IN HEALTH SCIENCES EDUCATION, 2010, 15 (05) : 695 - 715
  • [9] Understanding and encouraging feedback-seeking behaviour: a literature review
    Crommelinck, Michiel
    Anseel, Frederik
    [J]. MEDICAL EDUCATION, 2013, 47 (03) : 232 - 241
  • [10] The portfolio approach to competency-based assessment at the Cleveland Clinic Lerner College of Medicine
    Dannefer, Elaine F.
    Henson, Lindsey C.
    [J]. ACADEMIC MEDICINE, 2007, 82 (05) : 493 - 502