Student perceptions of workplace-based assessment

Workplace-based assessments (WBAs) have become integrated into postgraduate medical training, although there is much negativity from trainees. The objective of this study was to examine medical student understanding and perceptions towards WBAs.

A questionnaire was administered to final-year medical students at a single institution, examining experience, understanding and perceptions towards WBAs. Rating-scale responses were analysed by calculating positivity estimate values, and categorising data for subgroup comparison. Negativity was the most prevalent overall position of students towards participating in WBAs RESULTS: One hundred and fifteen of 162 (71%) students completed the questionnaire. Almost half the students had experience of WBAs and the majority (90%) reported benefiting from them; however, those with experience did not report more positive perceptions towards WBAs. In contrast, those students who seemed to demonstrate a good understanding of WBAs reported strongly positive perceptions. Interestingly, understanding and experience were not correlated. Negativity was the most prevalent overall position of students towards participating in WBAs as future trainees, with similar concerns reported by trainees, such as availability of time, trainer engagement and a feeling that they are simply 'tick-box' exercises.

Medical students appear to possess negative perceptions towards WBAs. Although having experience of undertaking WBAs had little impact on their position, possessing an understanding of WBAs seemed to influence perceptions. This suggests that the manner in which medical students are exposed to WBAs should be carefully considered to ensure that it fosters the development of enthusiasm and positivity that can be carried by the students into their professional careers.