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Fairness in Assessment: Identifying a Complex Adaptive System.

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Fair judgment in health professions education assessment is complex and adaptive, influenced by interactions across environmental, system, and individual levels. Understanding these interactions is key to designing effective assessment strategies.

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Area of Science:

  • Health Professions Education
  • Assessment Design
  • Educational Psychology

Background:

  • Assessment design in health professions education is evolving.
  • There is a growing emphasis on incorporating human judgment into assessments.
  • Understanding the characteristics of fair judgment is crucial.

Purpose of the Study:

  • To explore how assessment leaders conceptualize the characteristics of fair judgment in health professions education.
  • To build upon existing literature regarding fairness in assessment.

Main Methods:

  • Online focus groups were conducted with 16 assessment leaders from 15 medical schools in Australia and New Zealand.
  • Data collection and analysis were performed concurrently and iteratively using the constant comparison method.
  • An existing conceptual model of fair judgment was used as a foundation.

Main Results:

  • Fairness in assessment is a multi-dimensional construct operating at environmental, system, and individual levels.
  • Key components include articulated learning outcomes, supportive culture, stakeholder agency, evidence interpretation, procedural strategies, and assessor expertise.
  • Fair judgment exhibits fractal patterns, suggesting it functions as a complex adaptive system.

Conclusions:

  • Fair judgment in assessment should be viewed as a complex adaptive system, emphasizing interactions between components rather than isolated elements.
  • This perspective has significant implications for designing assessment programs and utilizing human judgment.
  • Rethinking assessment fairness through a complexity lens is essential for future practices.