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Equitable Grading Practices in Physical Therapist Education: A Case Report.

Shannon Richardson1, Monica Dial1, Janet Kneiss1

  • 1Doctor of Physical Therapy Program, College of Saint Mary, Omaha, Nebraska, USA.

Physical Therapy
|July 8, 2024
PubMed
Summary

Equitable grading in physical therapist education, using strategies like no-zero policies and formative assessments, improved outcomes for struggling learners. This approach supports diverse students and enhances overall academic success in physical therapy programs.

Keywords:
AssessmentDiversityEquityGrading practices

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Area of Science:

  • Medical Education
  • Physical Therapy
  • Educational Assessment

Background:

  • Traditional grading in physical therapist education often hinders mastery and accurate competency assessment.
  • Existing grading practices can create inequities for learners from diverse backgrounds.
  • Optimizing learning requires acknowledging and supporting learners' unique starting points.

Purpose of the Study:

  • To provide guidance and recommendations for implementing equitable grading practices in academic physical therapist programs.
  • To explore the impact of equitable grading on learner outcomes and academic success.
  • To address inequities in assessment within professional education.

Main Methods:

  • A 2-year implementation of five equitable grading strategies in a Doctor of Physical Therapy program.
  • Strategies included eliminating zero grades, allowing late submissions, using low-stakes formative assessments, weighting end-of-course assessments heavily, and offering a preparatory anatomy course.
  • Focus on mastery of skill and content, with summative assessments for final grades and actionable feedback.

Main Results:

  • Varied learner responses, with some experiencing increased stress and others reduced anxiety.
  • Faculty reported increased workloads but recognized benefits for learners.
  • Median final grades showed minimal overall change, but struggling learners demonstrated significantly improved outcomes and retention.
  • Equitable grading practices were found to level the playing field for diverse learners.

Conclusions:

  • Implementation of equitable grading in a Doctor of Physical Therapy program offers valuable insights for other institutions.
  • Equitable assessment practices are crucial for enabling learners from diverse backgrounds to succeed.
  • Increased diversity in physical therapy, supported by equitable practices, can help reduce health disparities.