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Profiling postgraduate workplace-based assessment implementation in Ireland: a retrospective cohort study

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dc.contributor.author Barrett, Aileen
dc.contributor.author Galvin, Rose
dc.contributor.author Steinert, Yvonne
dc.contributor.author Scherpbier, Albert
dc.contributor.author O'Shaughnessy, Ann
dc.contributor.author Walsh, Gillian
dc.contributor.author Horgan, Mary
dc.date.accessioned 2016-03-31T14:27:03Z
dc.date.available 2016-03-31T14:27:03Z
dc.date.issued 2016
dc.identifier.citation Barrett, A.,Galvin, R.,Steinert, Y.,Scherpbier, A.,O'Shaughnessy, A.,Walsh, G.,Horgan, M. (2016) 'Profiling postgraduate workplace-based assessment implementation in Ireland: a retrospective cohort study'. Springerplus, 5 . en_US
dc.identifier.uri http://hdl.handle.net/10344/4995
dc.description peer-reviewed en_US
dc.description.abstract In 2010, workplace-based assessment (WBA) was formally integrated as a method of formative trainee assessment into 29 basic and higher specialist medical training (BST/HST) programmes in six postgraduate training bodies in Ireland. The aim of this study is to explore how WBA is being implemented and to examine if WBA is being used formatively as originally intended. A retrospective cohort study was conducted and approved by the institution's Research Ethics Committee. A profile of WBA requirements was obtained from 29 training programme curricula. A data extraction tool was developed to extract anonymous data, including written feedback and timing of assessments, from Year 1 and 2 trainee ePortfolios in 2012-2013. Data were independently quality assessed and compared to the reference standard number of assessments mandated annually where relevant. All 29 training programmes mandated the inclusion of at least one case-based discussion (max = 5; range 1-5). All except two non-clinical programmes (93 %) required at least two mini-Clinical Evaluation Exercise assessments per year and Direct Observation of Procedural Skills assessments were mandated in 27 training programmes over the course of the programme. WBA data were extracted from 50 % of randomly selected BST ePortfolios in four programmes (n = 142) and 70 % of HST ePortfolios (n = 115) in 21 programmes registered for 2012-2013. Four programmes did not have an eligible trainee for that academic year. In total, 1142 WBAs were analysed. A total of 164 trainees (63.8 %) had completed at least one WBA. The average number of WBAs completed by HST trainees was 7.75 (SD 5.8; 95 % CI 6.5-8.9; range 1-34). BST trainees completed an average of 6.1 assessments (SD 9.3; 95 % CI 4.01-8.19; range 1-76). Feedback-of varied length and quality-was provided on 44.9 % of assessments. The majority of WBAs were completed in the second half of the year. There is significant heterogeneity with respect to the frequency and quality of feedback provided during WBAs. The completion of WBAs later in the year may limit available time for feedback, performance improvement and re-evaluation. This study sets the scene for further work to explore the value of formative assessment in postgraduate medical education.In 2010, workplace-based assessment (WBA) was formally integrated as a method of formative trainee assessment into 29 basic and higher specialist medical training (BST/HST) programmes in six postgraduate training bodies in Ireland. The aim of this study is to explore how WBA is being implemented and to examine if WBA is being used formatively as originally intended. A retrospective cohort study was conducted and approved by the institution's Research Ethics Committee. A profile of WBA requirements was obtained from 29 training programme curricula. A data extraction tool was developed to extract anonymous data, including written feedback and timing of assessments, from Year 1 and 2 trainee ePortfolios in 2012-2013. Data were independently quality assessed and compared to the reference standard number of assessments mandated annually where relevant. All 29 training programmes mandated the inclusion of at least one case-based discussion (max = 5; range 1-5). All except two non-clinical programmes (93 %) required at least two mini-Clinical Evaluation Exercise assessments per year and Direct Observation of Procedural Skills assessments were mandated in 27 training programmes over the course of the programme. WBA data were extracted from 50 % of randomly selected BST ePortfolios in four programmes (n = 142) and 70 % of HST ePortfolios (n = 115) in 21 programmes registered for 2012-2013. Four programmes did not have an eligible trainee for that academic year. In total, 1142 WBAs were analysed. A total of 164 trainees (63.8 %) had completed at least one WBA. The average number of WBAs completed by HST trainees was 7.75 (SD 5.8; 95 % CI 6.5-8.9; range 1-34). BST trainees completed an average of 6.1 assessments (SD 9.3; 95 % CI 4.01-8.19; range 1-76). Feedback-of varied length and quality-was provided on 44.9 % of assessments. The majority of WBAs were completed in the second half of the year. There is significant heterogeneity with respect to the frequency and quality of feedback provided during WBAs. The completion of WBAs later in the year may limit available time for feedback, performance improvement and re-evaluation. This study sets the scene for further work to explore the value of formative assessment in postgraduate medical education. en_US
dc.language.iso eng en_US
dc.publisher SpringerOpen en_US
dc.relation.ispartofseries SpringerPlus;5, 133
dc.relation.uri http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4761346/pdf/40064_2016_Article_1748.pdfhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4761346/pdf/40064_2016_Article_1748.pdf
dc.relation.uri http://springerplus.springeropen.com/articles/10.1186/s40064-016-1748-x
dc.subject postgraduate medical education en_US
dc.subject retrospective cohort study en_US
dc.subject worklace-based assessment en_US
dc.title Profiling postgraduate workplace-based assessment implementation in Ireland: a retrospective cohort study en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.date.updated 2016-03-31T14:16:40Z
dc.description.version PUBLISHED
dc.identifier.doi 10.1186/s40064-016-1748-x
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 1631877
dc.internal.copyrightchecked Yes
dc.description.status peer-reviewed


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