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Enhanced Requirements for Assessment in a Competency-Based, Time-Variable Medical Education System
Larry D Gruppen1, Olle Ten Cate, Lorelei A Lingard
1L.D. Gruppen is professor, Department of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, Michigan. O. ten Cate is professor of medical education, Center for Research and Development of Education, University Medical Center Utrecht, Utrecht, the Netherlands. L.A. Lingard is professor, Department of Medicine, and director, Centre for Education Research & Innovation, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada. P.W. Teunissen is professor, School of Health Professions Education, Maastricht University, Maastricht, the Netherlands, and maternal fetal medicine specialist, VU University Medical Center, Amsterdam, the Netherlands. J.R. Kogan is professor of medicine, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Competency-based medical education (CBME) varies learning time, demanding new assessment strategies. This shift presents challenges in data management and decision-making but fosters innovation in medical education.
Area of Science:
- Medical Education
- Assessment Science
Background:
- Competency-based medical education (CBME) is reshaping medical training.
- CBME acknowledges individual variations in learning duration, foundation, and goals.
Purpose of the Study:
- Identify challenges in assessment data collection and decision-making within time-variable medical education systems.
- Explore the complexities of assessment in real-world, interconnected educational settings.
Main Methods:
- Literature review and conceptual analysis of assessment practices in CBME.
- Identification of key challenges in managing and utilizing assessment data.
Main Results:
- Significant challenges exist in managing assessment data for time-variable learning.
- Defining valid assessment decisions and innovating assessment methods are critical hurdles.
- Modeling the complexity of assessment in dynamic educational environments is difficult.
Conclusions:
- The transition to CBME necessitates innovative assessment approaches.
- Addressing data management and decision-making challenges is crucial for successful CBME implementation.
- Despite controversies, CBME offers opportunities for originality and innovation in medical assessment.
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