Student perception of workplace-based assessment
Alexander Nesbitt1, Freya Baird, Benjamin Canning
1University College London Medical School, UK.
The Clinical Teacher
|November 14, 2013
Summary
Workplace-based assessment (WPBA) in medical education is valued for feedback, but students find grading subjective. Redesigning forms did not significantly alter perceptions of this assessment method.
Area of Science:
- Medical Education
- Assessment in Healthcare
- Clinical Skills Evaluation
Background:
- Workplace-based assessment (WPBA) is integral to medical education for in-setting trainee evaluation and feedback.
- Introduced at University College London Medical School (UCLMS) in 2008-2009, WPBA faced student concerns regarding grading standardization.
- Modified WPBA forms with added white space aimed to enhance assessor feedback and its developmental impact.
Purpose of the Study:
- To evaluate student perceptions of WPBA at UCLMS.
- To determine if redesigning WPBA forms influenced student perceptions.
- To identify areas for improving WPBA in undergraduate medical training.
Main Methods:
- Online surveys administered to two consecutive cohorts of fourth-year medical students (2009-2010 and 2010-2011).
- Students rated agreement with 12 statements and provided free-text comments on their WPBA experience.
- Quantitative analysis used unpaired two-tailed Student's t-test; qualitative analysis employed thematic analysis with QSR NVivo.
Main Results:
- No statistically significant difference in overall student perception of WPBA was observed between the two cohorts.
- Thematic analysis of free-text comments revealed key themes impacting the educational value of WPBA.
- Student feedback indicated WPBA's utility in identifying improvement areas and providing personalized feedback.
Conclusions:
- Students perceive WPBA as beneficial for identifying areas for improvement and receiving personalized feedback.
- Subjectivity in WPBA grading and assessor attitudes are identified as factors potentially diminishing its educational value.
- Recommendations are proposed to enhance the effectiveness of WPBA in undergraduate medical education.
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