Current perspectives in assessment: the assessment of performance at work
- 5 May 2005
- journal article
- Published by Wiley in Medical Education
- Vol. 39 (9), 880-889
- https://doi.org/10.1111/j.1365-2929.2005.02182.x
Abstract
Background Traditional assessment has improved significantly over the past 50 years. A number of new testing methods are now in place, the computer is improving both the fidelity and efficiency of examinations, and the psychometric principles on which assessment rests are more sophisticated than ever. Aim There is growing interest in quality improvement and there are increasing demands for public accountability. This has shifted the focus of testing from education to work. The purpose of this paper is to describe the assessment of work. Discussion In contrast to traditional assessment, there are no ‘methods’ for the evaluation of work because the content and difficulty of the examination are not controlled in any fashion. Instead it is a matter of identifying the basis for the judgements (outcomes, process, or volume), deciding how the data will be gathered (practice records, administrative databases, diaries/logs, or observation), and avoiding threats to validity and reliability (patient mix, patient complexity, attribution, and numbers of patients). Future directions Overall, the assessment of doctors' performance at work is in its infancy and much research and development is needed. Nonetheless, it is being used increasingly in programmes of continuous quality improvement and accountability. It is critical that refinements occur quickly to ensure that patients receive the highest quality of care and that doctors are treated fairly and provided with the information they need to guide their professional development.Keywords
This publication has 43 references indexed in Scilit:
- Changing education, changing assessment, changing research?Medical Education, 2004
- Development of a dedicated risk-adjustment scoring system for colorectal surgery (colorectal POSSUM)British Journal of Surgery, 2004
- Early failures of total hip replacement: Effect of surgeon volumeArthritis & Rheumatism, 2004
- General practice-specific care categories: a method to examine the impact of morbidity on general practice workloadFamily Practice, 2002
- Accomplishments and challenges of surgical simulationSurgical Endoscopy, 2001
- Quality of Care Information Makes a DifferenceMedical Care, 1998
- Adapting a clinical comorbidity index for use with ICD-9-CM administrative data: A responseJournal of Clinical Epidemiology, 1993
- Concordance of Self-reported Data and Medical Record Audit for Six Cancer Screening ProceduresJNCI Journal of the National Cancer Institute, 1993
- The assessment of clinical skills/competence/performanceAcademic Medicine, 1990
- The case for using industrial quality management science in health care organizationsPublished by American Medical Association (AMA) ,1989