The DOI matches its Crossref record; 43 of the 43 references it cites were found in a registry or an index.
Performance-Based Assessment: Lessons from the Health Professions
Abstract
Performance-based assessment methods have been used in the health professions for centuries, and dozens of studies of their psychometric characteristics have been reported over the past several decades. During that period, the health professions have seen a variety of performance-based assessment methods come and go, and some hard lessons have been learned from the many studies and frequent missteps. This article shares some of those lessons, using four performance-based assessment methods as examples: written clinical simulations (more commonly termed patient management problems), computer-based clinical simulations, oral examinations, and standardized patients (“live” simulations).
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Cites
(2020) · Journal of Medical Education · doi:10.5812/jme · Cited by 3,490
Assessment of clinical competence using objective structured examination.
Harden, R. M., Stevenson, M., Downie, W. W., & Wilson, G. M. (1975) · BMJ · doi:10.1136/bmj.1.5955.447 · Cited by 1,687
Medical Education in the United States and Canada.
(1911) · Archives of Internal Medicine · doi:10.1001/archinte.1911.00060010141008 · Cited by 1,625
Medical Problem Solving: An Analysis of Clinical Reasoning
Elstein, A. S., Shulman, L. S., & Sprafka, S. A. (1978) · doi:10.4159/harvard.9780674189089 · Cited by 1,377
The interplay of evidence and consequences in the validation of performance assessments
Messick, S. (1994) · Educational Researcher · doi:10.3102/0013189x023002013 · Cited by 1,315
Schmidt, H. G., Norman, G. R., & Boshuizen, H. P. (1990) · Academic Medicine · doi:10.1097/00001888-199010000-00001 · Cited by 1,109
Self-citationComplex, Performance-Based Assessment: Expectations and Validation Criteria
Linn, R. L., Baker, E. L., & Dunbar, S. B. (1991) · Educational Researcher · doi:10.2307/1176232 · Cited by 926
Self-citationMedical Education in the United States and Canada
Flexner, A. (1910) · Science · doi:10.1126/science.32.810.41 · Cited by 824
A True Test: Toward More Authentic and Equitable Assessment
Wiggins, G. (2011) · Phi Delta Kappan · doi:10.1177/003172171109200721 · Cited by 820
A Systems Approach to Educational Testing
Frederiksen, J. R., & Collins, A. (1989) · Educational Researcher · doi:10.2307/1176716 · Cited by 648
Cited by
Assessing professional competence: from methods to programmes
Van Der Vleuten, C. P. M., & Schuwirth, L. W. T. (2005) · Medical Education · doi:10.1111/j.1365-2929.2005.02094.x · Cited by 1,268
The assessment of professional competence: Developments, research and practical implications
Van Der Vleuten, C. P. M. (1996) · Advances in Health Sciences Education · doi:10.1007/bf00596229 · Cited by 1,247
Workplace-based assessment as an educational tool: AMEE Guide No. 31
Norcini, J., & Burch, V. (2007) · Medical Teacher · doi:10.1080/01421590701775453 · Cited by 984
What every teacher needs to know about clinical reasoning
Eva, K. W. (2005) · Medical Education · doi:10.1111/j.1365-2929.2004.01972.x · Cited by 930
Khan, K. Z., Ramachandran, S., Gaunt, K., & Pushkar, P. (2013) · Medical Teacher · doi:10.3109/0142159x.2013.818634 · Cited by 490
Metadata
- Authors
- Swanson, D. B., Norman, G. R., & Linn, R. L.
- Venue
- Educational Researcher
- Published
- 1995-06
- Volume
- 24
- Issue
- 5
- Pages
- 5
- ISSN
- 0013-189X (ISSN-L)
- OpenAlex
- W2065026656
- Cited by
- 290
- References
- 43
- FWCI
- 14.06
- Type
- journal article
- Language
- en
- Open access
- closed
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
