This post courtesy of Anne Taylor-Vaisey:
This article is from the September issue of Evaluation & the Health Professions. Sage Publications is offering its publications for free until the end of October.
Here is a link to the table of contents for this issue:
Howley LD. Performance assessment in medical education: where we've been and where we're going. Eval Health Prof 2004 Sep;27(3):285-303.
Abstract: The assessment of clinical competence is becoming increasingly complex, patient centered, and student driven. Traditionally, clinical evaluation methods consisted primarily of faculty observations, oral examinations, and multiple-choice tests. Increased faculty work load, discontent with traditional methods of clinical skill assessment, and developments in the fields of psychology and education have led to the formation of new modalities, namely performance assessments.
The literature pertaining to the performance assessment with standardized patients is reviewed. Based on this literature, several areas for the future direction of performance assessment are proposed, including (a) toward evidence-based locally developed assessments, (b) toward an understanding of ed! ucational outcomes and noncognitive assessment factors, and (c) toward more student-driven assessments.
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