Unpacking the impacts of programmatic approach to assessment system in a medical programme using critical realist perspectives

Dados Bibliográficos

ID21159697
AutoresPriya Khanna (0000-0002-8441-2322, UNSW Sydney, autor correspondente), Chris Roberts (0000-0002-8889-5616, University of Sheffield), Annette Burgess (0000-0001-9617-3819, The University of Sydney), Stuart Lane (The University of Sydney), Andrew Stuart Lane (0000-0001-8650-5509, The University of Sydney), Jane Bleasel (0000-0002-5897-0486, School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia)
Ano2023
Volume22
Fascículo5
Páginas840-858
Data de publicação2023-10-20
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoJournal of Critical Realism (JOURNAL)
Identificadores do periódicoISSN: 1476-7430 • E-ISSN: 1572-5138
EditoraInforma UK Limited (PUBLISHER • GB)
DOI10.1080/14767430.2023.2279805
OpenAlexW4388834533
IdiomaEN
Referências citadas34

Traditional, positivist assessment approaches generally fail to capture the nuances of learners’ clinical competence in medical programmes. This has led to the implementation of an alternate assessment approach known as ‘programmatic assessment’, which embraces subjectivity of human judgement in holistic decision making in clinical settings. Faculty and staff have found the introduction of programmatic assessment to be challenging because it is a major, complex change to the traditional way of carrying out assessment. Extending our previous work, where we used critical realism to explore students’ experiences of programmatic assessment, we here unpack the underlying conditions and mechanisms triggered by programmatic assessment’s implementation. We applied Bhaskar’s concept of ontological stratification, retroduction and Archer’s theoretical accounts of morphogenesis/stasis to theorize the interplay between the socio-cultural entities that constrain and enable desired changes in assessment practices, and those that condition students and staff to accept or reject the new ‘non-traditional’ assessment processes

Engineering ethics · Epistemology · Judgement · Realism · Sociology · Subjectivity · Clinical Reasoning and Diagnostic Skills · Critical Realism in Sociology · Innovations in Medical Education · Psychology · Social Psychology