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Cost-Effectiveness Analysis in Performance Assessments: A Case Study of the Objective Structured Clinical

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Area of Science:

  • Medical Education
  • Health Professions Education Research
  • Assessment Science

Background:

  • Traditional medical education assessments are insufficient for complex competencies.
  • Emerging performance assessments offer better evaluation but are resource-intensive.
  • A need exists for methods to analyze the cost-effectiveness of these new assessments.

Purpose of the Study:

  • To introduce and illustrate the Program Effectiveness and Cost Generalization flow within an assessment context (PRECOG-A).
  • To explore financial cost drivers of medical education assessments.
  • To provide a framework for cost-effectiveness analysis in performance assessments.

Main Methods:

  • Application of the PRECOG-A framework to a medical education assessment case.
  • Cost-effectiveness analysis integrating assessment effectiveness and psychometric properties.
  • Evaluation of two-sided outcomes for decision-making.

Main Results:

  • Identification of key financial cost drivers in performance assessment implementation.
  • Demonstration of bridging assessment effectiveness with psychometric properties through cost-effectiveness analysis.
  • Outlined instructional guidelines for conducting cost-effectiveness analysis in performance assessments.

Conclusions:

  • The PRECOG-A framework offers a structured approach to evaluating the financial implications of performance assessments.
  • Cost-effectiveness analysis is crucial for optimizing resource allocation in medical education assessment.
  • This study provides a valuable reference for researchers designing and implementing performance assessments.