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Specialist training: workplace-based assessments impact on teaching, learning and feedback to support
Sandika O Baboolal1,2, Veena S Singaram3
1School of Clinical Medicine, College of Health Sciences, University of KwaZulu Natal, Durban, South Africa. sandikababoolal@gmail.com.
Workplace-based assessments (WBAs) positively impact medical specialist training in South Africa by improving feedback and supervision, despite resource challenges. Addressing contextual issues and focusing on trainee-centered approaches can further enhance effectiveness.
Area of Science:
- Medical Education
- Competency-Based Training
- Health Professions Education
Background:
- Workplace-based assessments (WBAs) are integral to competency-based medical training.
- Limited research exists on WBA impact and challenges in resource-constrained settings.
- This study addresses the WBA literature gap in South African medical specialist training.
Purpose of the Study:
- To examine the utilization and impact of WBAs in South African medical specialist training.
- To identify educational challenges and propose solutions from trainee and trainer perspectives.
- To evaluate the role of WBAs in a competency-based curriculum within a specific national context.
Main Methods:
- A national mixed-methods electronic survey was administered to specialist trainees and trainers across 8 institutions and 16 specialities.
- Voluntary and anonymous responses were collected over seven months until data saturation.
- Quantitative data were analyzed using SPSS v.27, and qualitative data using NVivo v.12.
Main Results:
- 45% of respondents utilized WBAs, reporting positive impacts on feedback and supervision quality.
- WBA users showed significantly higher ratings for trainee supervision, feedback quality, and overall training program effectiveness.
- WBAs positively correlated with trainee competency assessment across professional, scholar, communicator, collaborator, and leader domains.
- Challenges such as racism, sexism, and favoritism were identified as negatively impacting training.
Conclusions:
- Workplace-based assessments (WBAs) significantly enhance teaching, learning, and feedback in specialist training programs.
- Addressing contextual challenges and promoting trainee-centered, inclusive teaching approaches are crucial for maximizing WBA effectiveness.
- Improved training on roles and responsibilities for both trainees and trainers is recommended to foster a supportive learning environment.
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