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.
Extract |
Full Text |
PDF
N Engl J Med 2007;
356:2108-2110, May 17, 2007.
Correspondence
This article has been cited by other articles:
Shah, N.
(2010). Teaching, Learning, and Assessment in Geriatric Dentistry: Researching Models of Practice. J Dent Educ
74: 20-28
[Abstract][Full Text]
Donoff, M. G.
(2009). Field notes: Assisting achievement and documenting competence. cfp
55: 1260-1262
[Full Text]
Donoff, M. G.
(2009). Feuilles de route: Soutenir l'accomplissement et documenter la competence. cfp
55: e100-e102
[Full Text]
Kogan, J. R., Holmboe, E. S., Hauer, K. E.
(2009). Tools for Direct Observation and Assessment of Clinical Skills of Medical Trainees: A Systematic Review. JAMA
302: 1316-1326
[Abstract][Full Text]
Hecker, K., Violato, C.
(2009). Validity, Reliability, and Defensibility of Assessments in Veterinary Education. jvme
36: 271-275
[Abstract][Full Text]
Weng, H.-C.
(2009). A Multisource and Repeated Measure Approach to Assessing Patient--Physician Relationship and Patient Satisfaction. Eval Health Prof
32: 128-143
[Abstract]
Collichio, F. A., Kayoumi, K. M., Hande, K. R., Hawkins, R. E., Hawley, J. L., Adelstein, D. J., D'Angelo, J. M., Stewart, J. A.
(2009). Developing an In-Training Examination for Fellows: The Experience of the American Society of Clinical Oncology. JCO
27: 1706-1711
[Abstract][Full Text]
Davis, L. E., King, M. K., Skipper, B. J.
(2009). Education Research: Assessment of neurology resident clinical competencies in the neurology clinic. Neurology
72: e1-e3
[Abstract][Full Text]
Sudak, D. M.
(2009). Training in Cognitive Behavioral Therapy in Psychiatry Residency: An Overview for Educators. Behav Modif
33: 124-137
[Abstract]
Leslie, L. K.
(2009). What Can Data Tell Us About the Quality and Relevance of Current Pediatric Residency Education?. Pediatrics
123: S50-S55
[Abstract][Full Text]
Albino, J. E.N., Young, S. K., Neumann, L. M., Kramer, G. A., Andrieu, S. C., Henson, L., Horn, B., Hendricson, W. D.
(2008). Assessing Dental Students' Competence: Best Practice Recommendations in the Performance Assessment Literature and Investigation of Current Practices in Predoctoral Dental Education. J Dent Educ
72: 1405-1435
[Abstract][Full Text]
Spector, M., Holmes, D. C., Doering, J. V.
(2008). Correlation of Quantity of Dental Students' Clinical Experiences with Faculty Evaluation of Overall Clinical Competence: A Twenty-Two-Year Retrospective Investigation. J Dent Educ
72: 1465-1471
[Abstract][Full Text]
Pereira, J, Palacios, M, Collin, T, Wedel, R, Galloway, L, Murray, A, Violato, C, Lockyer, J
(2008). The impact of a hybrid online and classroom-based course on palliative care competencies of family medicine residents. Palliat Med
22: 929-937
[Abstract]
Hardie, E. M.
(2008). Current Methods in Use for Assessing Clinical Competencies: What Works?. jvme
35: 359-368
[Abstract][Full Text]
Driessen, E.
(2008). Are learning portfolios worth the effort? Yes. BMJ
337: a513-a513
[Full Text]
Zimmer, K. P., Solomon, B. S., Siberry, G. K., Serwint, J. R.
(2008). Continuity-Structured Clinical Observations: Assessing the Multiple-Observer Evaluation in a Pediatric Resident Continuity Clinic. Pediatrics
121: e1633-e1645
[Abstract][Full Text]
Bourgeois, J. A., Ton, H., Onate, J., McCarthy, T., Stevenson, F. T., Servis, M. E., Wilkes, M. S.
(2008). The Doctoring Curriculum at the University of California, Davis School of Medicine: Leadership and Participant Roles for Psychiatry Faculty. Acad. Psychiatry
32: 249-254
[Abstract][Full Text]
Stern, B. J., Lowenstein, D. H., Schuh, L. A.
(2008). Invited article: Neurology education research. Neurology
70: 876-883
[Abstract][Full Text]
Wilkinson, T. J, Wade, W. B
(2007). Problems with using a supervisor's report as a form of summative assessment. Postgrad. Med. J.
83: 504-506
[Full Text]
Parakh, K., de Galan, B. E., van Gurp, P. J., Stuyt, P. M., Buttery, C. M., Cassel, C. K., Epstein, R., Klass, D.
(2007). Assessment in Medical Education. NEJM
356: 2108-2110
[Full Text]
Klass, D.
(2007). Assessing Doctors at Work -- Progress and Challenges. NEJM
356: 414-415
[Full Text]
Previous
Supplementary Video
