Practical Guide to the Evaluation of Clinical Competence / Edition 2

by Eric S. Holmboe MD, MACP, FRCP, Steven James Durning MD, PhD, MACP, Richard E. Hawkins MD, FACP

Overview

Designed to help medical educators implement better assessment methods, tools, and models directly into training programs, Practical Guide to the Evaluation of Clinical Competence, 2nd Edition, by Drs. Eric S. Holmboe, Steven J. Durning, and Richard E. Hawkins, is a hands-on, authoritative guide to outcomes-based assessment in clinical education. National and international experts present an organized, multifaceted approach and a diverse combination of methods to help you perform effective assessments. This thoroughly revised edition is a valuable resource for developing, implementing, and sustaining effective systems for evaluating clinical competence in medical school, residency, and fellowship programs.

• Each chapter provides practical suggestions and assessment models that can be implemented directly into training programs, tools that can be used to measure clinical performance, overviews of key educational theories, and strengths and weaknesses of every method.
• Guidelines that apply across the medical education spectrum allow you to implement the book’s methods in any educational situation.
• Expert Consult™ eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, videos, and references from the book on a variety of devices.

• New chapters on high-quality assessment of clinical reasoning and assessment of procedural competence, as well as a new chapter on practical approaches to feedback.
• Reorganized for ease of use, with expanded coverage of Milestones/Entrustable Professional Assessments (EPAs), cognitive assessment techniques, work-based procedural assessments, and frameworks.
• The expert editorial team, renowned leaders in assessment, is joined by global leader in medical education and clinical reasoning, Dr. Steven Durning.
• New Expert Consult material includes videos of medical interviewing scenarios and downloadable assessment tools.

Product Details

ISBN-13:	9780323447348
Publisher:	Elsevier Health Sciences
Publication date:	05/04/2017
Pages:	360
Product dimensions:	8.50(w) x 10.90(h) x 0.80(d)

About the Author

As Chief, Research, Milestone Development and Evaluation Officer of the ACGME (Accreditation Council for Graduate Medical Education) and Senior Vice President for Quality Research and Academic Affairs at the American Board of Internal Medicine and American Board of Internal Medicine Foundation, he is on the cutting edge of assessment and evaluation requirements present and future. He is also Professor Adjunct of Medicine at Yale University. Prior to joining the ABIM in 2004, he was the was Associate Program Director, Yale Primary Care Internal Medicine Residency Program, Director of Student Clinical Assessment, Yale School of Medicine, Director of Faculty Development, Department of Medicine, and Assistant Director for the Yale Robert Wood Johnson Clinical Scholars Program. Prior to joining Yale in 2000, he served as division chief of General Internal Medicine at the National Naval Medical Center. His research interests include interventions to improve quality of care and methods in the evaluation of clinical competence. Dr. Holmobe also teaches a 2-3 day course at various hubs around the country which includes a comprehensive syllabus around practical assessment techniques. The first edition of the book was based on this successful intensive faculty development course, which itself was rigorously studied in randomized controlled trials, and now includes a copy of the text as part of the tuition.

A Professor of Medicine and Pathology; Director, Graduate Programs in Health Professions Education (HPE); Director, Introduction to Clinical Reasoning Course at the Uniformed Services University of the Health Sciences, and Deputy Editor for Research for Academic Medicine, Dr. Durning is devoted to improving medical and health professions education and is considered a global leader in clinical reasoning. He is a prolific researcher and writer and is currently working on another book with Elsevier (recently Transmitted to Production) on how to carry out survey-based research in clinical education.

Table of Contents

Ch. 1 Assessment Challenges in the Era of Outcomes-Based Education

Ch. 2 Issues of Validity and Reliability for Assessments in Medical Education

Ch. 3 Evaluation Frameworks, Forms, and Global Rating Scales

Ch. 4 Direct Observation

Ch. 5 Direct Observation: Standardized Patients

Ch. 6 Using Written Exams to Assess Medical Knowledge and Its Application

Ch. 7 Assessing Clinical Reasoning in the Workplace

Ch. 8 Workplace-Based Assessment of Procedural Skills

Ch. 9 Evaluating Evidence-Based Practice

Ch. 10 Clinical Practice Review

Ch. 11 Multisource Feedback

Ch. 12 Simulation-Based Assessment

Ch. 13 Feedback and Coaching in Clinical Teaching and Learning

Ch. 14 Portfolios

Ch. 15 The Learner with a Problem or the Problem Learner? Working with Dyscompetent Learners

Ch. 16 Programmatic Evaluation

What People are Saying About This

From the Publisher

Assess clinical competence accurately and immediately with this up-to-date, practical guide

Editorial Reviews

Reviewer: Klara K Papp, PhD (Case Western Reserve University School of Medicine)
Description: This is a comprehensive practical guide to the assessment of competence of health professionals across the continuum of medical education and practice. The authors affirm the importance of using high-quality assessment methods and systems for the good of society in order to fulfill a primary obligation to the public and patients. The first edition was published close to a decade ago.
Purpose: The primary purpose is to provide a practical guide to developing assessment programs using a systems lens. Assessment of clinical competence is complex and multiple methods are needed. The authors organized the book around various assessment methods and instruments, and individuals with responsibilities for assessment are invited to apply these methods and instruments to their own settings. The authors' objectives are achieved well. The book describes practical methods to assess competence and cites extensive educational literature that provides evidence for the use of these methods.
Audience: The audience is those who have a role in the education of health professionals. Assessment is one step in the curriculum design process and an integral part of it [1]. The book is essential reading for medical educators involved in any phase of curriculum design and implementation. As stated by authors, "the curriculum guides what faculty teach and the assessments guide what trainees learn: 'the assessment tail wags the curriculum dog'." The authors are recognized experts and thought leaders in the field of assessment.
Features: The book includes a comprehensive and practical guide to the issues and methods to consider in designing an outcomes-based assessment system for any of the health professions (although the book cites literature primarily from medical education).
Assessment: The book provides a state-of-the-art guide to competency-based outcomes assessment programs in the health professions. If followed, this guide will help any medical educator in the health professions identify better ways to implement assessment methods and measurement tools. What is also important about this book is that it provides conceptual models and popular approaches to assessment. The authors are practitioners who themselves have clearly struggled with improving and implementing effective measures of performance in the health professions and offer the best evidence from the literature as well as from their experience, resulting in this authoritative, excellent, practical guide to a compendium of assessment methods. A little handy toolbox was published almost two decades ago that described assessment methods that could be used for evaluating resident physicians as part of the ACGME Outcomes Project [2]. It included a brief description of each method, information pertaining to its use, psychometric qualities, and feasibility/practicality. Since that time, the literature has expanded exponentially (if not exploded) and the view of developing assessment programs using a systems lens across the continuum of health professions education has transformed the design and implementation of assessment systems in important ways. This is an essential resource in the library of every school and residency program intent on improving its assessment system. Those interested in a book that is more conceptual and provides an overview of the pros and cons of competency-based education, its origins, and development, would do well to consider also reading Brian Hodges's book on this topic [3]. ———————————————
[1] Thomas PA, Kern DE, Hughes MT, Chen BY. Curriculum Development for Medical Education: A Six-Step Approach. 3rd Ed. Baltimore: Johns Hopkins University Press, [2016].
[2] Toolbox of Assessment Methods. ACGME and ABMS. A product of the joint initiative of the ACGME Outcome Project of the Accreditation Council for Graduate Medical Education (ACGME), and the American Board of Medical Specialties (ABMS). Version 1.1, September 2000.
[3] Hodges BD, Lingard L. Ed. The Question of Competence: Reconsidering Medical Education in the 21st Century. Ithaca, NY: Cornell University Press. 2012.

Doody's Review Service

"The book provides a state-of-the-art guide to competency-based outcomes assessment programs in the health professions. If followed, this guide will help any medical educator in the health professions identify better ways to implement assessment methods and measurement tools. What is also important about this book is that it provides conceptual models and popular approaches to assessment. The authors are practitioners who themselves have clearly struggled with improving and implementing effective measures of performance in the health professions and offer the best evidence from the literature as well as from their experience, resulting in this authoritative, excellent, practical guide to a compendium of assessment methods." Reviewed by Klara K Papp, PhD (Case Western Reserve University School of Medicine) Doody's Score: 93, 4 Stars!

From the Publisher