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A novel workplace-based assessment for competency-based decisions and learner feedback.

Patricia J Hicks1, Melissa J Margolis2, Carol L Carraccio3

  • 1a Children's Hospital of Philadelphia and University of Pennsylvania , Philadelphia , PA , USA.

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A new milestone-based workplace assessment system demonstrated high participation and reliability in pediatrics residency programs. This competency-based approach offers practical, valid skill assessment for medical education.

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Area of Science:

  • Medical Education
  • Competency-Based Assessment
  • Workplace Learning

Background:

  • Growing emphasis on competency-based education necessitates effective workplace skill assessment.
  • Traditional methods often lack practicality and reliability for evaluating clinical competencies.

Purpose of the Study:

  • To evaluate a novel milestone-based workplace assessment system in pediatrics residency.
  • To determine the system's practicality, reliability, and validity.

Main Methods:

  • Implementation of a web-based system for multisource feedback (MSF) and structured clinical observation (SCO).
  • Provision of monthly feedback reports with competency scores and improvement recommendations.
  • Data collection from 292 interns across 15 pediatrics residency programs.

Main Results:

  • High participation rates and reliability (generalizability coefficients >0.80 with 6 MSF observations).
  • Efficient assessment completion times (4-8 minutes per instrument).
  • Perceived value added to existing assessment programs, with a noted burden from additional local assessments.

Conclusions:

  • The novel competency-based assessment system shows validity through high participation and reliability.
  • The developed assessment model is adaptable to other medical specialties.
  • This system provides a practical and reliable method for assessing workplace skills.