Karena Hanley, Edward McSwiney, Brian O Malley, Aileen Barrett, Brian McEllistrem
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This paper describes how the Irish College of GPs (ICGP) designed and implemented a new, national, workplace-based assessment (WBA) system for GP training as part of an ongoing evolution towards Programmatic Assessment, with a focus on assessment-for-learning [1].</p><p><strong>Methods: </strong>Six overlapping workstreams over five years led to success: iterative consultation and design, entrustable professional activities, software design, stepwise implementation, separation of mentor/assessor roles and WBA training embedded in feedback literacy and growth mindset learning.</p><p><strong>Results: </strong>Our design focused on collecting longitudinal, low stakes assessments organised into core competences in a manner to support learners. 18 entrustable professional activities were developed and implemented, along with a software platform designed to enter and display accumulated data. Competence committees assess both qualitative and quantitative data periodically on the learner's journey to oversee progression and make high stakes decisions. We describe the development of the system along with aids and barriers to its adoption.</p><p><strong>Discussion: </strong>Structured continuous consultation with the training community and constant reference to the educational literature were both important for success. Novel features of our system are the distancing of mentor and assessor roles, the avoidance of recommended minimum numbers of WBA entries, and consideration of the validity and reliability of the system as a whole rather than of the tools.</p>","PeriodicalId":48532,"journal":{"name":"Perspectives on Medical Education","volume":"14 1","pages":"411-422"},"PeriodicalIF":3.9000,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12292051/pdf/","citationCount":"0","resultStr":"{\"title\":\"How We Built Workplace Based Assessment-for-Learning in Irish GP Training.\",\"authors\":\"Karena Hanley, Edward McSwiney, Brian O Malley, Aileen Barrett, Brian McEllistrem\",\"doi\":\"10.5334/pme.1428\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Programmatic Assessment displays the comprehensive picture of a learner's competence through selection of assessment methods and design of organisational systems [1]. This paper describes how the Irish College of GPs (ICGP) designed and implemented a new, national, workplace-based assessment (WBA) system for GP training as part of an ongoing evolution towards Programmatic Assessment, with a focus on assessment-for-learning [1].</p><p><strong>Methods: </strong>Six overlapping workstreams over five years led to success: iterative consultation and design, entrustable professional activities, software design, stepwise implementation, separation of mentor/assessor roles and WBA training embedded in feedback literacy and growth mindset learning.</p><p><strong>Results: </strong>Our design focused on collecting longitudinal, low stakes assessments organised into core competences in a manner to support learners. 18 entrustable professional activities were developed and implemented, along with a software platform designed to enter and display accumulated data. Competence committees assess both qualitative and quantitative data periodically on the learner's journey to oversee progression and make high stakes decisions. We describe the development of the system along with aids and barriers to its adoption.</p><p><strong>Discussion: </strong>Structured continuous consultation with the training community and constant reference to the educational literature were both important for success. Novel features of our system are the distancing of mentor and assessor roles, the avoidance of recommended minimum numbers of WBA entries, and consideration of the validity and reliability of the system as a whole rather than of the tools.</p>\",\"PeriodicalId\":48532,\"journal\":{\"name\":\"Perspectives on Medical Education\",\"volume\":\"14 1\",\"pages\":\"411-422\"},\"PeriodicalIF\":3.9000,\"publicationDate\":\"2025-07-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12292051/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Perspectives on Medical Education\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.5334/pme.1428\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q1\",\"JCRName\":\"EDUCATION, SCIENTIFIC DISCIPLINES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Perspectives on Medical Education","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.5334/pme.1428","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}
How We Built Workplace Based Assessment-for-Learning in Irish GP Training.
Introduction: Programmatic Assessment displays the comprehensive picture of a learner's competence through selection of assessment methods and design of organisational systems [1]. This paper describes how the Irish College of GPs (ICGP) designed and implemented a new, national, workplace-based assessment (WBA) system for GP training as part of an ongoing evolution towards Programmatic Assessment, with a focus on assessment-for-learning [1].
Methods: Six overlapping workstreams over five years led to success: iterative consultation and design, entrustable professional activities, software design, stepwise implementation, separation of mentor/assessor roles and WBA training embedded in feedback literacy and growth mindset learning.
Results: Our design focused on collecting longitudinal, low stakes assessments organised into core competences in a manner to support learners. 18 entrustable professional activities were developed and implemented, along with a software platform designed to enter and display accumulated data. Competence committees assess both qualitative and quantitative data periodically on the learner's journey to oversee progression and make high stakes decisions. We describe the development of the system along with aids and barriers to its adoption.
Discussion: Structured continuous consultation with the training community and constant reference to the educational literature were both important for success. Novel features of our system are the distancing of mentor and assessor roles, the avoidance of recommended minimum numbers of WBA entries, and consideration of the validity and reliability of the system as a whole rather than of the tools.
期刊介绍：
Perspectives on Medical Education mission is support and enrich collaborative scholarship between education researchers and clinical educators, and to advance new knowledge regarding clinical education practices.
Official journal of the The Netherlands Association of Medical Education (NVMO).
Perspectives on Medical Education is a non-profit Open Access journal with no charges for authors to submit or publish an article, and the full text of all articles is freely available immediately upon publication, thanks to the sponsorship of The Netherlands Association for Medical Education.
Perspectives on Medical Education is highly visible thanks to its unrestricted online access policy.
Perspectives on Medical Education positions itself at the dynamic intersection of educational research and clinical education. While other journals in the health professional education domain orient predominantly to education researchers or to clinical educators, Perspectives positions itself at the collaborative interface between these perspectives. This unique positioning reflects the journal’s mission to support and enrich collaborative scholarship between education researchers and clinical educators, and to advance new knowledge regarding clinical education practices. Reflecting this mission, the journal both welcomes original research papers arising from scholarly collaborations among clinicians, teachers and researchers and papers providing resources to develop the community’s ability to conduct such collaborative research. The journal’s audience includes researchers and practitioners: researchers who wish to explore challenging questions of health professions education and clinical teachers who wish to both advance their practice and envision for themselves a collaborative role in scholarly educational innovation. This audience of researchers, clinicians and educators is both international and interdisciplinary.
The journal has a long history. In 1982, the journal was founded by the Dutch Association for Medical Education, as a Dutch language journal (Netherlands Journal of Medical Education). As a Dutch journal it fuelled educational research and innovation in the Netherlands. It is one of the factors for the Dutch success in medical education. In 2012, it widened its scope, transforming into an international English language journal. The journal swiftly became international in all aspects: the readers, authors, reviewers and editorial board members.
The editorial board members represent the different parental disciplines in the field of medical education, e.g. clinicians, social scientists, biomedical scientists, statisticians and linguists. Several of them are leading scholars. Three of the editors are in the top ten of most cited authors in the medical education field. Two editors were awarded the Karolinska Institute Prize for Research. Presently, Erik Driessen leads the journal as Editor in Chief.
Perspectives on Medical Education is highly visible thanks to its unrestricted online access policy. It is sponsored by theThe Netherlands Association of Medical Education and offers free manuscript submission.
Perspectives on Medical Education positions itself at the dynamic intersection of educational research and clinical education. While other journals in the health professional education domain orient predominantly to education researchers or to clinical educators, Perspectives positions itself at the collaborative interface between these perspectives. This unique positioning reflects the journal’s mission to support and enrich collaborative scholarship between education researchers and clinical educators, and to advance new knowledge regarding clinical education practices. Reflecting this mission, the journal both welcomes original research papers arising from scholarly collaborations among clinicians, teachers and researchers and papers providing resources to develop the community’s ability to conduct such collaborative research. The journal’s audience includes researchers and practitioners: researchers who wish to explore challenging questions of health professions education and clinical teachers who wish to both advance their practice and envision for themselves a collaborative role in scholarly educational innovation. This audience of researchers, clinicians and educators is both international and interdisciplinary.
The journal has a long history. In 1982, the journal was founded by the Dutch Association for Medical Education, as a Dutch language journal (Netherlands Journal of Medical Education). As a Dutch journal it fuelled educational research and innovation in the Netherlands. It is one of the factors for the Dutch success in medical education. In 2012, it widened its scope, transforming into an international English language journal. The journal swiftly became international in all aspects: the readers, authors, reviewers and editorial board members.
The editorial board members represent the different parental disciplines in the field of medical education, e.g. clinicians, social scientists, biomedical scientists, statisticians and linguists. Several of them are leading scholars. Three of the editors are in the top ten of most cited authors in the medical education field. Two editors were awarded the Karolinska Institute Prize for Research. Presently, Erik Driessen leads the journal as Editor in Chief.
Perspectives on Medical Education is highly visible thanks to its unrestricted online access policy. It is sponsored by theThe Netherlands Association of Medical Education and offers free manuscript submission.
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