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Understanding Workplace-Based Assessment: A Comprehensive Guide

Workplace-based assessment (WBA) is vital for evaluating a student's competency through various methods such as mini-CEX, CEC, DOPS, and multi-source feedback. This guide explores the assessment process, its types, and the differences between formative and summative assessments. It emphasizes the importance of structured feedback in achieving desired competency levels. Additionally, it addresses challenges related to assessment effectiveness and the need for continuous improvement. This resource caters to faculty and students engaged in competency-based learning.

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Understanding Workplace-Based Assessment: A Comprehensive Guide

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  1. Workplace-based Assessment Trevor Gibbs

  2. Workplace-based Assessment Assessment is : “ The process of gathering and judging evidence in order to decide whether a person has achieved a standard or objective ” Competency is : “ A measure which tells you that a student has achieved the required level of skill and ability. ”

  3. Workplace-based Assessment Q: What do you do if someone has not reached the level of competency required ? A: Fail / re-sit / Fail / re-sit / Pass --- Linear process Summative Assessment OR A: Fail / re-train / observe & feedback / learn / observe & feedback / Pass --- Cyclical process Formative Assessment

  4. Workplace-based Assessment • Q: • Which one is better ? • for the student / for the faculty • Which one gives a real / true picture? • How much assessment gives a true picture ? • Should we have different types ? • Where should assessment take place ?

  5. Workplace-based Assessment • Types of workplace-based assessments: • Mini- CEX– mini clinical assessment exercises • Clinical encounter cards ( CEC ) • Clinical work sampling ( CWS ) • Blinded patient encounters • Direct observation of procedures ( DOPS) • Case-based discussion ( CbD ) • Multi-source feedback (MSF)

  6. Workplace-based Assessment • Mini-CEX—mini clinical assessment exercise. • Short focused clinical task / activity • Less than 30 minutes • Purposeful and focused • Variety of settings • Scored and then effective, structured feedback • Comparative validity • Checklists & global rating

  7. Workplace-based Assessment • Clinical encounter cards ( CEC ). • Written mini-CEX • Student personal reflection • Supervisor observations

  8. Workplace-based Assessment • Clinical work sampling ( CWS ). • Tests specific skills separately • ( communication, diagnostic, investigative, health promoting ) • Number & type of team members can assess • Blinded patient encounters • Unknown patients • On the spot assessment

  9. Workplace-based Assessment • Direct observation of procedural skills ( DOPS ) • Real, workplace setting, not OSCE • Iterative, number of assessors, number of times • Log book / portfolios of learning/ feedback

  10. Workplace-based Assessment • Case-based discussion ( CbD ). • “ Live notes ” • Record keeping • Clinical reasoning

  11. Workplace-based Assessment • Multi-source feedback ( MSF )( 360 degree). • “ information provided by a co-worker on the aspects of performing and understanding ” • Multiple sampling • ( Selected) Team approach • Written / anonymous • Patients included

  12. Workplace-based Assessment • How effective are these forms of assessment ? • Research validity / reliability / correlation • feedback / fair • “ They are only as good as the records • that are kept ” • What stops them from being introduced ?

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