As an attending physician working with a student for a week,you receive a form that asks you to evaluate the student's fundof knowledge, procedural skills, professionalism, interest inlearning, and "systems-based practice." You wonder which ofthese attributes you can reliably assess and how the data youprovide will be used to further the student's education. Youalso wonder whether other tests of knowledge and competencethat students must undergo before they enter practice are equallyproblematic.
In one way or another, most practicing physicians are involvedin assessing the competence of trainees, peers, and other healthprofessionals. . . . [Full Text of this Article]
Competence and Performance
Goals of Assessment
Assessment Methods
Written Examinations
Assessments by Supervising Clinicians
Direct Observation or Video Review
Clinical Simulations
Multisource ("360-Degree") Assessments
Portfolios
Challenges in Assessment
New Domains of Assessment
Multimethod and Longitudinal Assessment
Standardization of Assessment
Assessment and Learning
Assessment of Expertise
Assessment and Future Performance
Conclusions
Source Information
From the Departments of Family Medicine, Psychiatry, and Oncology and the Rochester Center to Improve Communication in Health Care, University of Rochester School of Medicine and Dentistry, Rochester, NY.
Address reprint requests to Dr. Epstein at 1381 South Ave., Rochester, NY 14620, or at ronald_epstein@urmc.rochester.edu.
Related Letters:
Assessment in Medical Education
Parakh K., de Galan B. E., van Gurp P. J., Stuyt P. M., Buttery C. M., Cassel C. K., Epstein R., Klass D.
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N Engl J Med 2007;
356:2108-2110, May 17, 2007.
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