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Evidence within a portfolio-based assessment program: what do medical students select to document their performance?
Elaine F Dannefer1, S Beth Bierer, Sophia P Gladding
1Cleveland Clinic Learner College of Medicine, Case Western Reserve University, Cleveland, OH, USA. dannefe@ccf.org
Medical students select assessment evidence for portfolios based on availability. When programs offer diverse assessments, students choose a variety; otherwise, they use self-generated evidence for performance evaluation.
Area of Science:
- Medical Education
- Assessment and Evaluation
Background:
- Performance assessment requires evaluating the quality of diverse evidence to determine overall trainee performance.
- Medical education programs utilize assessment portfolios for promotion decisions.
Purpose of the Study:
- To examine the types and sources of assessment evidence selected by first-year medical students for their portfolios.
- To understand how students choose evidence for promotion decisions based on available assessment data.
Main Methods:
- Review of student portfolios (n=32) to analyze the number, type, and source of assessments documented across seven core competencies.
- Rating of the quality of selected assessment data by promotion committee members (n=14).
Main Results:
- Students utilized multiple types and sources of assessments available within the program.
- Highest quality evidence ratings were observed for competencies with a broad range of program-provided assessments.
- Students predominantly used self-generated evidence when program-provided assessment options were limited.
Conclusions:
- Student-selected portfolios, as part of a larger assessment system, reflect the quantity and variety of available assessment opportunities.
- The selection of evidence in student portfolios is influenced by the program's provision of assessment data.
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