Assessment practices in undergraduate clinical medicine training: What do we do and how we can improve?

African Journal of Primary Health Care & Family Medicine

 
 
Field Value
 
Title Assessment practices in undergraduate clinical medicine training: What do we do and how we can improve?
 
Creator Brits, Hanneke Bezuidenhout, Johan van der Merwe, Lynette J. Joubert, Gina
 
Subject — assessment practices; clinical competence; improvement; undergraduate; South Africa
Description Background: Assessment should form an integral part of curriculum design in higher education and should be robust enough to ensure clinical competence.Aim: This article reports on current assessment practices and makes recommendations to improve clinical assessment in the undergraduate medical programme at the University of the Free State.Methods: A descriptive cross-sectional study design was used. Qualitative and quantitative data were gathered by means of open- and closed-ended questions in a self-administered questionnaire, which was completed by teaching and learning coordinators in 13 disciplines.Results: All disciplines in the undergraduate medical programme are represented. They used different assessment methods to assess the competencies required of entry-level healthcare professionals. Workplace-based assessment was performed by 30.1% of disciplines, while multiple-choice questions (MCQs) (76.9%) and objective structured clinical examinations (OSCEs) (53.6%) were the main methods used during formative assessment. Not all assessors were well prepared for assessment, with 38.5% never having received any formal training on assessment. Few disciplines (15.4%) made use of post-assessment moderation as a standard practice, and few disciplines always gave feedback after assessments.Conclusion: The current assessment practices for clinical students in the undergraduate medical programme at the University of the Free State cover the spectrum that is necessary to assess all the different competencies required. Multiple-choice questions and OSCEs, which are valid and reliable assessment methods, are used frequently. Poor feedback and moderation practices should be addressed. More formative assessments, and less emphasis on summative assessment, should be considered. Workplace-based and continuous assessments may be good ways to assess clinical competence.
 
Publisher AOSIS
 
Contributor
Date 2020-07-06
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/phcfm.v12i1.2341
 
Source African Journal of Primary Health Care & Family Medicine; Vol 12, No 1 (2020); 7 pages 2071-2936 2071-2928
 
Language eng
 
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The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://phcfm.org/index.php/phcfm/article/view/2341/4012 https://phcfm.org/index.php/phcfm/article/view/2341/4011 https://phcfm.org/index.php/phcfm/article/view/2341/4013 https://phcfm.org/index.php/phcfm/article/view/2341/4010
 
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Rights Copyright (c) 2020 Hanneke Brits, Johan Bezuidenhout, Lynette J. van der Merwe, Gina Joubert https://creativecommons.org/licenses/by/4.0
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