Marco Antônio de Carvalho Filho, MD, PhD

School of Medical Sciences – University of Campinas, Brazil


Workshop description

The presenters will explore the difficulties related to assessment in the Emergency Department, exploring two different realities: an emergency department in The Netherlands and another one in Brazil. The participants will be stimulated to share their local realities, difficulties, and solutions. The general clinical abilities that are necessary for a good performance in the emergency department require an assessment strategy extremely comprehensive with multi-source feedback. The different possibilities for workplace-based assessment will be briefly introduced, as their advantages and disadvantages. The practical obstacles to applying the initiatives will be discussed, and the solution implemented at the University of Campinas will be shared. In our Emergency Department, during the last five years, we have performed a 360o evaluation in the undergraduate medical course with different insights on the advantages of such approach. We use cognitive assessments, OSCEs, direct observation of clinical activities, assessment of attitudes and behaviors, patients’ assessment, peers’ assessment, and self-assessment. In the end, the participants will reflect on the workshop and share with each other the messages to take home.

Objectives

  • Reflect and identify the main obstacles to implement a comprehensive assessment strategy in the ED.
  • Identify the different strategies to evaluate the performance of students and residents in the real clinical environment.
  • Recognize the advantages and insights obtained from a 360o

References

  • Workplace-based assessment as an educational tool: AMEE Guide No. 31. John Norcini & Vanessa Burch (2007), Medical Teacher, 29:9-10, 855-871, DOI: 10.1080/01421590701775453
  • The Reliability, Validity, and Feasibility of Multisource Feedback Physician Assessment: A Systematic Review. Tyrone Donnon, PhD, Ahmed Al Ansari, MBBCh, MRCSI, PhD, Samah Al Alawi, MD, and Claudio Violato, PhD. Acad Med. 2014; 89:511–516.
  • Laurence Wood, Andrew Hassell, Andrew Whitehouse, Alison Bullock & Professor David Wall (2006) A literature review of multi-source feedback systems within and without health services, leading to 10 tips for their successful design, Medical Teacher, 28:7, e185-e191, DOI: 10.1080/01421590600834286.
  • The “Educational Alliance” as a Framework for Reconceptualizing Feedback in Medical Education
  • Summer Telio, MD, Rola Ajjawi, PhD, and Glenn Regehr, PhD. Acad Med. 2015;90:609–614.