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Using Learning Analytics to Examine Differences in Assessment Forms From Continuous Versus Episodic Supervisors of
Ann S O Lee1, Christopher Donoff2, Shelley Ross3
1is Assistant Professor, Department of Family Medicine, University of Alberta, Edmonton, Alberta, Canada.
Continuous supervision in graduate medical education (GME) impacts assessment behaviors. Continuous supervisors focus on clinical management, while episodic supervisors emphasize communication and learning, affecting competency assessment.
Area of Science:
- Medical Education
- Graduate Medical Education
- Competency-Based Education
Background:
- Continuity of supervision is assumed crucial in competency-based medical education (CBME).
- Evidence supporting this assumption primarily stems from undergraduate, not graduate medical education (GME).
- Addressing this evidence gap is vital for justifying GME program redesigns focused on supervisory continuity.
Purpose of the Study:
- To investigate differences in assessment behaviors between continuous supervisors (CS) and episodic supervisors (ES).
- Utilized completed formative assessment forms, FieldNotes, as a proxy measure for assessment behaviors.
Main Methods:
- Analyzed FieldNotes data from 186 family medicine residents across 3 sites over 3 academic years (2015-2018).
- Employed 2-sample proportion z-tests to compare CS and ES entries on Sentinel Habit (SH), Clinical Domain (CD), and Progress Level (PL).
Main Results:
- Higher proportions of CS-entered FieldNotes focused on SH3 (best practices), CD2 (adult care), CD3 (elderly care), and PL3 (mastery).
- Higher proportions of ES-entered FieldNotes highlighted SH7 (communication), SH8 (teaching), CD1 (ethics), CD9 (not applicable), and PL2 (in progress).
Conclusions:
- The supervisory relationship significantly influences assessment content and focus.
- Variability exists in the competencies, contexts, and progress levels emphasized by different supervisory relationships.
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