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Clerkship assessment assessed
C P M Van Der Vleuten1, A J J A Scherpbier, D H J M Dolmans
1University of Maastricht, The Netherlands.
Medical Teacher
|February 1, 2011
Summary
Improving medical education requires better clinical competence assessment during clerkships. Research shows optimizing assessment enhances learning in unstructured clinical settings.
Area of Science:
- Medical Education
- Clinical Competence Assessment
Background:
- Undergraduate medical training includes clerkship phases.
- Clinical clerkships offer an unstructured educational framework.
Purpose of the Study:
- To review research on clinical competence assessment during medical training.
- To provide suggestions for improving assessment in clinical clerkships.
Main Methods:
- Review of consistent research findings on assessment reliability, validity, educational impact, and costs.
- Discussion of clinical clerkships as learning environments.
- Addressing fundamental questions (why, what, when, how, who) to guide assessment improvement.
Main Results:
- Assessment of clinical competence faces challenges in reliability, validity, and educational impact.
- Clinical attachments provide an unstructured learning environment.
- Good assessment balances feasibility with ideal educational effects.
Conclusions:
- Educational effects are crucial in clinical competence assessment, especially in unstructured settings.
- Maximizing educational effects can improve overall assessment quality.
- Specific strategies can enhance assessment in clinical clerkships.
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