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Evolving concepts of assessment in a competency-based world
Peter Harris1, Farhan Bhanji2,3, Maureen Topps4
1a Office of Medical Education , University of New South Wales , Sydney , Australia.
Medical Teacher
|June 10, 2017
Summary
Competency-based medical education (CBME) assessment focuses on direct observation and feedback for clinical expertise. Recent developments highlight seven key themes in CBME assessment, including frameworks, validity, and feedback across medical education.
Area of Science:
- Medical Education
- Assessment in Medicine
- Competency-Based Medical Education (CBME)
Background:
- Competency-based medical education (CBME) is a widely adopted educational model focusing on graduate competencies.
- Assessment in CBME relies on direct observation and feedback to ensure clinical expertise for entrusted tasks.
- There has been a significant increase in publications critiquing CBME implementation and assessment.
Purpose of the Study:
- To explore recent developments in Competency-based medical education (CBME) assessment since 2010.
- To describe seven key themes in CBME assessment identified at a 2013 summit.
- To inform medical educators about emerging concepts in CBME assessment.
Main Methods:
- Review of literature and publications on Competency-based medical education (CBME) assessment.
- Analysis of themes emerging from the second invitational summit on CBME (2013).
- Synthesis of seven identified assessment themes: competency frameworks, validity, qualitative methods, milestones, feedback, assessment processes, and continuum assessment.
Main Results:
- Seven critical themes in Competency-based medical education (CBME) assessment were identified.
- These themes include competency frameworks, reconceptualization of validity, qualitative methods, milestones, feedback, assessment processes, and assessment across the continuum.
- The developments reflect an evolution in understanding and implementing CBME assessment.
Conclusions:
- Medical educators should consider the implications of these emerging Competency-based medical education (CBME) assessment concepts for their practice.
- The review provides a contemporary perspective on assessment within CBME.
- Continuous evaluation and adaptation of assessment strategies are crucial in medical education.
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