Composite Reliability of Workplace Based Assessment of International Medical Graduates

Introduction All developed countries depend on International Medical Graduates (IMGs) to complement their workforce. However, the assessment of their fitness to practice and acculturation into the new system can be challenging. To improve this, we introduced Workplace Based Assessment (WBA), usin...

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Main Authors: Balakrishnan Nair, Joyce M. W. Moonen – van Loon, Mulavana Parvathy, Cees P. M. van der Vleuten
Format: Article
Language:English
Published: F1000 Research Ltd 2021-04-01
Series:MedEdPublish
Subjects:
Online Access:https://www.mededpublish.org/Manuscripts/4055
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author Balakrishnan Nair
Joyce M. W. Moonen – van Loon
Mulavana Parvathy
Cees P. M. van der Vleuten
author_facet Balakrishnan Nair
Joyce M. W. Moonen – van Loon
Mulavana Parvathy
Cees P. M. van der Vleuten
author_sort Balakrishnan Nair
collection DOAJ
description Introduction All developed countries depend on International Medical Graduates (IMGs) to complement their workforce. However, the assessment of their fitness to practice and acculturation into the new system can be challenging. To improve this, we introduced Workplace Based Assessment (WBA), using a programmatic philosophy. This paper reports the reliability of this new approach. Method Over the past 10 years, we have assessed over 250 IMGs, each cohort assessed over a 6-month period. We used Mini-Cex, Case Based Discussions (CBD) and Multi-Source Feedback (MSF) to assess them. We analysed the reliability of each tool and the composite reliability of 12 Mini-Cex, 5 CBDs and 12 MSF assessments in the tool kit. Results A reliability coefficient of 0.78 with a SEM of 0.19 was obtained for the sample of 236 IMGs. We found the MSF to be the most reliable tool. By adding one more MSF to the assessment on two occasions, we can reach a reliability of 0.8 and SEM of 0.18. Conclusions The current assessment methodology has acceptable reliability. By increasing the MSF, we can improve the reliability. The lessons from this study are generalisable to IMG assessment and other medical education programs.
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spelling doaj.art-2da6f8959b35480f8f1f78e9380e0ab82022-12-21T23:36:34ZengF1000 Research LtdMedEdPublish2312-79962021-04-01101Composite Reliability of Workplace Based Assessment of International Medical GraduatesBalakrishnan Nair0Joyce M. W. Moonen – van Loon1Mulavana Parvathy2Cees P. M. van der Vleuten3University of Newcastle, Centre for Medical Professional DevelopmentFaculty of Health, Medicine and Life Sciences, Maastricht UniversityCentre for Medical Professional Development, HNE Health, NewcastleFaculty of Health, Medicine and Life Sciences, Maastricht UniversityIntroduction All developed countries depend on International Medical Graduates (IMGs) to complement their workforce. However, the assessment of their fitness to practice and acculturation into the new system can be challenging. To improve this, we introduced Workplace Based Assessment (WBA), using a programmatic philosophy. This paper reports the reliability of this new approach. Method Over the past 10 years, we have assessed over 250 IMGs, each cohort assessed over a 6-month period. We used Mini-Cex, Case Based Discussions (CBD) and Multi-Source Feedback (MSF) to assess them. We analysed the reliability of each tool and the composite reliability of 12 Mini-Cex, 5 CBDs and 12 MSF assessments in the tool kit. Results A reliability coefficient of 0.78 with a SEM of 0.19 was obtained for the sample of 236 IMGs. We found the MSF to be the most reliable tool. By adding one more MSF to the assessment on two occasions, we can reach a reliability of 0.8 and SEM of 0.18. Conclusions The current assessment methodology has acceptable reliability. By increasing the MSF, we can improve the reliability. The lessons from this study are generalisable to IMG assessment and other medical education programs.https://www.mededpublish.org/Manuscripts/4055Composite reliabilityreliabilityprogrammatic assessmentInternational medical graduatesperformance assessmentWorkplace Based Assessment
spellingShingle Balakrishnan Nair
Joyce M. W. Moonen – van Loon
Mulavana Parvathy
Cees P. M. van der Vleuten
Composite Reliability of Workplace Based Assessment of International Medical Graduates
MedEdPublish
Composite reliability
reliability
programmatic assessment
International medical graduates
performance assessment
Workplace Based Assessment
title Composite Reliability of Workplace Based Assessment of International Medical Graduates
title_full Composite Reliability of Workplace Based Assessment of International Medical Graduates
title_fullStr Composite Reliability of Workplace Based Assessment of International Medical Graduates
title_full_unstemmed Composite Reliability of Workplace Based Assessment of International Medical Graduates
title_short Composite Reliability of Workplace Based Assessment of International Medical Graduates
title_sort composite reliability of workplace based assessment of international medical graduates
topic Composite reliability
reliability
programmatic assessment
International medical graduates
performance assessment
Workplace Based Assessment
url https://www.mededpublish.org/Manuscripts/4055
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AT mulavanaparvathy compositereliabilityofworkplacebasedassessmentofinternationalmedicalgraduates
AT ceespmvandervleuten compositereliabilityofworkplacebasedassessmentofinternationalmedicalgraduates