When Assessment Data Are Words: Validity Evidence for Qualitative Educational Assessments

被引:93
作者
Cook, David A. [1 ,2 ,3 ]
Kuper, Ayelet [4 ,5 ,6 ]
Hatala, Rose [7 ,8 ]
Ginsburg, Shiphra [4 ,5 ,9 ]
机构
[1] Mayo Clin Online Learning, Med & Med Educ, Rochester, MN USA
[2] Mayo Clin Online Learning, Rochester, MN USA
[3] Mayo Clin, Div Gen Internal Med, Coll Med, Mayo 17-W,200 First St SW, Rochester, MN 55905 USA
[4] Univ Toronto, Dept Med, Fac Med, Toronto, ON, Canada
[5] Univ Toronto, Wilson Ctr Res Educ, Univ Hlth Network, Toronto, ON, Canada
[6] Univ Toronto, Sunnybrook Hlth Sci Ctr, Div Gen Internal Med, Toronto, ON, Canada
[7] Univ British Columbia, Med, Vancouver, BC, Canada
[8] Univ British Columbia, Clin Educator Fellowship, Vancouver, BC, Canada
[9] Mt Sinai Hosp, Toronto, ON, Canada
关键词
TECHNOLOGY-ENHANCED SIMULATION; MEDICAL-EDUCATION; PORTFOLIO ASSESSMENT; PROGRAMMATIC ASSESSMENT; HEALTH-PROFESSIONALS; COMPETENCE; STANDARDS; STUDENTS; PERSPECTIVES; PITFALLS;
D O I
10.1097/ACM.0000000000001175
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Quantitative scores fail to capture all important features of learner performance. This awareness has led to increased use of qualitative data when assessing health professionals. Yet the use of qualitative assessments is hampered by incomplete understanding of their role in forming judgments, and lack of consensus in how to appraise the rigor of judgments therein derived. The authors articulate the role of qualitative assessment as part of a comprehensive program of assessment, and translate the concept of validity to apply to judgments arising from qualitative assessments. They first identify standards for rigor in qualitative research, and then use two contemporary assessment validity frameworks to reorganize these standards for application to qualitative assessment. Standards for rigor in qualitative research include responsiveness, reflexivity, purposive sampling, thick description, triangulation, transparency, and transferability. These standards can be reframed using Messick's five sources of validity evidence (content, response process, internal structure, relationships with other variables, and consequences) and Kane's four inferences in validation (scoring, generalization, extrapolation, and implications). Evidence can be collected and evaluated for each evidence source or inference. The authors illustrate this approach using published research on learning portfolios. The authors advocate a "methodsneutral" approach to assessment, in which a clearly stated purpose determines the nature of and approach to data collection and analysis. Increased use of qualitative assessments will necessitate more rigorous judgments of the defensibility (validity) of inferences and decisions. Evidence should be strategically sought to inform a coherent validity argument.
引用
收藏
页码:1360 / 1370
页数:11
相关论文
共 71 条
[1]  
[Anonymous], 2006, AM J MED
[2]  
[Anonymous], 2014, Standards for Educational and Psychological Testing, P11
[3]   Moving the field forward: Going beyond quantitative-qualitative [J].
Bordage, Georges .
ACADEMIC MEDICINE, 2007, 82 (10) :S126-S128
[4]  
Bossuyt PM, 2015, BMJ-BRIT MED J, V351, DOI [10.1136/bmj.h5527, 10.1148/radiol.2015151516, 10.1373/clinchem.2015.246280]
[5]   The educational effects of portfolios on undergraduate student learning: A Best Evidence Medical Education (BEME) systematic review. BEME Guide No. 11 [J].
Buckley, Sharon ;
Coleman, Jamie ;
Davison, Ian ;
Khan, Khalid S. ;
Zamora, Javier ;
Malick, Sadia ;
Morley, David ;
Pollard, David ;
Ashcroft, Tamasine ;
Popovic, Celia ;
Sayers, Jayne .
MEDICAL TEACHER, 2009, 31 (04) :340-355
[6]  
Cameron WilliamBruce., 1963, Informal Sociology: A Casual Introduction to Sociological Thinking
[7]   Evaluating competence using a portfolio: A literature review and web-based application to the ACGME competencies [J].
Carraccio, C ;
Englander, R .
TEACHING AND LEARNING IN MEDICINE, 2004, 16 (04) :381-387
[8]  
Charmaz K., 2014, Constructing grounded theory: a practical guide through qualitative analysis, V2nd
[9]  
Cohen G.S., 1993, Teaching and Learning in Medicine, V5, P10, DOI [10.1080/10401339309539580, DOI 10.1080/10401339309539580]
[10]   Consequences Validity Evidence: Evaluating the Impact of Educational Assessments [J].
Cook, David A. ;
Lineberry, Matthew .
ACADEMIC MEDICINE, 2016, 91 (06) :785-795