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Considerations that will determine if competency-based assessment is a sustainable innovation
W Dale Dauphinee1,2,3, John R Boulet4, John J Norcini4
1Foundation for the Advancement of International Medical Education and Research, 3624 Market Street, Fourth Floor, Philadelphia, PA, 19104, USA. dale.dauphinee@mcgill.ca.
Summary
Competency-based assessment (CBA) in health professions education needs a coordinated approach to improve its measurement qualities and impact. This study offers roadmaps to guide the development and sustainable implementation of CBA for better clinical education outcomes.
Area of Science:
- Medical Education
- Health Professions Assessment
- Educational Measurement
Background:
- The health professions have adopted competency-based frameworks to enhance learning and skill development.
- Previous innovations in assessment highlight the need for careful piloting and impact analysis.
- A lack of coordinated efforts hinders the improvement of competency-based assessment (CBA) measurement qualities.
Purpose of the Study:
- To address the challenges in competency-based assessment (CBA) development and implementation.
- To provide roadmaps for refining CBA's measurement qualities and functionality.
- To advocate for a strategic approach to integrating CBA as a sustainable innovation in health professions education.
Main Methods:
- Literature review on educational assessment innovations.
- Analysis of assessment workshops and user interactions.
- Synthesis of 40 years of experience in assessment change implementation.
Main Results:
- Identified a need for a coordinated strategy to enhance CBA measurement and functionality.
- Proposed two roadmaps for CBA development: reframing it as a measurement opportunity and implementing it as a sustainable innovation.
- Outlined downstream opportunities for CBA implementation within educational and regulatory frameworks.
Conclusions:
- Reframing CBA as a measurement development opportunity is crucial.
- An integrated plan is needed for sustainable CBA innovation in health education.
- The medical assessment community must embrace CBA to improve clinical education and public health.
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