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Redesigned Entrustable Professional Activity (EPA) Assessments Reduce Grade Inflation in the Experiential Setting.

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American Journal of Pharmaceutical Education
|September 28, 2024
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Summary
This summary is machine-generated.

Redesigning an entrustable professional activities (EPA) assessment tool in pharmacy education reduced grade inflation and improved assessment accuracy. The revised tool better aligns preceptor evaluations with expected student achievement levels.

Keywords:
AssessmentEntrustable professional activitiesExperiential educationGrade inflationNarratives

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Area of Science:

  • Pharmacy Education
  • Medical Education Assessment
  • Entrustable Professional Activities (EPAs)

Background:

  • Accurate assessment of student performance is crucial in pharmacy education.
  • Traditional assessment tools may be susceptible to grade inflation.
  • Entrustable Professional Activities (EPAs) are a framework for competency-based assessment.

Purpose of the Study:

  • To evaluate the impact of a redesigned EPA assessment tool on the accuracy of student performance assessment.
  • To determine if changes in the EPA tool affect grade inflation in pharmacy education.

Main Methods:

  • Retrospective analysis of 3-year programmatic data for students on clinical rotations.
  • Comparison of preceptor-assigned entrustment levels with suggested levels using chi-squared tests.
  • Redesigned tool separated formative EPA feedback from final grade determination.

Main Results:

  • A 3% decrease in students scoring above suggested entrustment levels.
  • An increase in students scoring at or below suggested entrustment levels (+1% and +2%).
  • Observed decrease in grade inflation and increase in accurate assessments in clinical settings.

Conclusions:

  • The redesigned EPA assessment tool led to more accurate student performance evaluations.
  • Separating formative feedback from final grades and using holistic descriptors improved assessment alignment.
  • Pharmacy education may benefit from emphasizing formative feedback and holistic assessment in EPA evaluations.