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How are formative assessment methods used in the clinical setting? A qualitative study
Pernille Andreassen1, Bente Malling1
1Centre for Health Sciences Education, Aarhus University, Denmark.
Junior doctors often resist formative assessment due to clinical context barriers and mixed experiences with mandatory methods. Addressing these factors is crucial for effective implementation in healthcare settings.
Area of Science:
- Medical Education
- Qualitative Research
- Healthcare Professional Development
Background:
- Formative assessment is key for junior doctor training.
- Understanding its use in diverse clinical settings is essential.
Purpose of the Study:
- To explore how second-year junior doctors use and perceive formative assessment.
- To identify barriers and influencing factors in clinical practice.
Main Methods:
- Focused ethnography involving observations and semi-structured interviews.
- Purposive sampling of ten junior doctors across specialties.
- Inductive content analysis using "everyday resistance" as a theoretical lens.
Main Results:
- Identified barriers including "everyday resistance" tactics like avoidance and deprioritization.
- Junior doctors strategically selected formative assessment opportunities.
- Ambiguous attitudes towards mandatory formative assessment and mixed views on educational impact.
Conclusions:
- Formative assessment in clinical settings is context-dependent, influenced by relationships, traditions, emotions, and resistance.
- Healthcare sector must address these factors for successful clinical implementation of formative assessment.
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