For more info talk to Enda Griffin, David Cunningham and José Silva. They are at C24 to update you on recent developments in clinical skills assessments. Regards Dr Thomas Kropmans
2. MULTI-SITES, MULTI-EXAMINERS
GALWAY-SLIGO On Friday
Qpercom Ltd participated
successfully in the School of
Medicine’s consecutive multi-
site Year 4 OSCE. New to last
year’s OSCE was the opening
of the ‘fit for purpose’ Sligo
General Hospital Medical
Academy’s clinical skills suites.
With the 4 sites in Galway,
Obstetrics and Pediatrics in
UCHG, the Clinical Science
Institute and Comerford Centre,
a total of 60 OSCE stations
were rolled out across 6 sites in
Galway and Sligo. Local
technical support was provided
by the Qpercom technicians at
all sites.
OSCEs are very labour intense
during the preparation, exa-
mination and results analysis
phases. Due to the implemen-
tation of OMIS in December
2008, 70% of the administrative
cost could be saved and admin-
istrative errors reduced by 30%
compared to paper.
Since the implementation of
OMIS, Generalizability
Coefficients have improved over
time and average results and
their variations decreased to a
normal dispersion and improved
standard setting and Quality
Assurance procedures within
OMIS.
THE QPERC M NEWS
- Since 2008www.qpercom.ie GLOBAL LEADER IN CLINICAL ASSESSMENT SOLUTIONS
5. ENTRUSTABLE PR FESSI NALS
- Since 2008
WORLDWIDE Entrustable
Professional Activities (EPAs)
are gaining acceptance as
tools to demonstrate
acquisition of competencies
in a competency-based
curriculum.
The main advantage of En-
trustable Professional Acti-
vities are that they are obser-
vable activities (thus assess-
able), are related to day-to-
day functioning as a
healthcare provider (thus
relevant), and are awarded
once the learner can be
trusted to perform the activity
effectively and safely, without
supervision, and by
integrating across different
competency domains.
DUBLIN Qpercom secured
collaboration with the College
of Anesthetists of Ireland
(CAI) to develop an EPA web-
based framework. College
members are able to design,
review and store their EPAs
electronically. EPAs are map-
ped with the postgraduate
training program outcomes of
the CAI and mapped with the
outcomes of the Medical
Council in Ireland.
EPAs will be complementary
to competency assessment in
the workplace. Over the
years it has been proven that
competency based assess-
ment is very challenging.
www.qpercom.ie GLOBAL LEADER IN CLINICAL ASSESSMENT SOLUTIONS
9. COMPETENCY FRAMEW RKS
- Since 2008
GALWAY When Qpercom developed its unique OSCE
Management Information System, OMIS, in 2007, it very
much used a ‘bottom up’ procedure. This is analogous to
how module coordinators and exam administrators
developed their assessment stations according to the so
called ‘check list approach’, very much focused on ticking
the boxes of an item list similar to the lower technology
(paper) forms that were used in those days.
Currently Qpercom has added a ‘Competency
Management System’ that allows mapping the checklist
items prospectively or retrospectively to a competency
framework.
It just requires one click of a button and various
competency frameworks that are used nationally and
internationally (CanMeds2015, Tomorrow’s Doctor etc...)
can be selected.
Existing station assessment forms can be adjusted retro-
spectively. The mapping process can be reviewed by
peers before publishing it in OMIS for future use in OSCE
or MMIs. Results can be generated according to ‘station
results’ or cumulated results per ‘role’ or ‘competency’.
GLOBAL LEADER IN CLINICAL ASSESSMENT SOLUTIONSwww.qpercom.ie
15. STUDENT FEEDBACK T L
- Since 2008
FEEDBACK has a significant impact on learning and has
been described as "the most powerful single moderator
that enhances achievement" (Hattie, 1999). The main
objectives of feedback are to justify to students how their
mark or grade was derived. Furthermore, it serves to
identify and reward specific qualities in student work and
to guide students on what steps to take to improve. It
motivates them to act on their assessment and develop
their capability to monitor, evaluate and regulate their own
learning (Nicol, 2010).
To benefit student learning, feedback needs to be con-
structive as well as highlighting the strengths and weak-
nesses of a given piece of work. It should set out ways in
which the student can improve the work in a timely
manner.
OMIS allows the opportunity to provide instant feedback
while the assessed work is still fresh in a student's mind
and before the student moves on to subsequent tasks.
Feedback should be meaningful and it should target
individual needs, be linked to specific assessment
criteria, and be received by a student in time to benefit
subsequent work.
Feedback is valuable when it is received, understood and
acted on. How students analyse, discuss and act on
feedback is as important as the quality of the feedback
itself (Nicol, 2010). Through the interaction students have
with feedback, they come to understand how to develop
their learning.
Qpercom employs the opportunity to provide instant and
detailed feedback students immediate after the OSCE or
MMI is over.
www.qpercom.ie GLOBAL LEADER IN CLINICAL ASSESSMENT SOLUTIONS
17. - Since 2008www.qpercom.ie GLOBAL LEADER IN CLINICAL ASSESSMENT SOLUTIONS
BIG DATA RESEARCH USING MIS
GALWAY Qpercom seeks collaboration
with Insight Ireland. Together we are in a
unique position at the interface of
academia and higher education bodies.
With Insight Ireland, we can work with
the finest minds in academia to come up
with solutions to problems we all
encounter in clinical workplace-based
assessment.
As a small research institute, Qpercom
also conducts collaborative research in
exciting fields such as communication
skills, patient safety and human factors
and linked data, areas that have the pot-
ential to transform Medical Education
research.
WORLDWIDE OSCE data retrieved
from OMIS is changing our world in
Medical Education. The field of data
analytics in Qpercom is progressing at
a rate beyond anything we have ever
experienced as we work with so many
Universities and Professional bodies. It
is a whole new frontier which could
allow us to exchange shared decision
making on reliable and valid OSCE
stations and linked data.
We tap carefully into this new wealth of
information and decisions based on it.
We expect to transform the way clinical
skills assessment works. Data analy-
tics is a massive global research effort
aimed at taking the guesswork out of
decision making in Medical Education.