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Rethinking programme evaluation in health professions education: beyond 'did it work?'.
Faizal Haji1, Marie-Paule Morin, Kathryn Parker
1Wilson Centre, University of Toronto, Toronto, Ontario, Canada. faizal.a.haji@gmail.com
Outcome-based models in health professions education are limited. A historical review reveals a paradigm shift in broader program evaluation, offering insights for a more holistic approach to evaluating educational programs. This guides evaluators beyond simple success metrics.
Area of Science:
- Health Professions Education
- Program Evaluation
- Curriculum Development
Background:
- Outcome-based models have dominated health professions education evaluation for decades.
- These models are increasingly recognized as insufficient for complex health professions contexts.
- A paradigm shift in broader program evaluation offers valuable insights for this field.
Observation:
- This discussion paper traces the historical evolution of program evaluation as a discipline.
- Parallels are drawn between the historical development of program evaluation and its current state in health professions education.
- Contemporary paradigms aim to judge merit and worth, and generate adaptive information for curriculum designers and researchers.
Findings:
- Seven essential elements for evaluating educational programs were distilled from this evolution.
- A holistic 'programme of evaluation' involves multiple stakeholders, diverse methods, and spans the program's lifecycle.
- This approach moves beyond 'if' a program worked to 'how,' 'why,' and 'what else' happened.
Implications:
- The identified elements provide a roadmap for a comprehensive program evaluation process.
- Evaluators can gain a deeper understanding of program-context-outcome relationships.
- This facilitates more adaptive and effective educational program development and refinement.
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