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. 2020 Oct 23;20(1):383.
doi: 10.1186/s12909-020-02299-8.

Fostering teaching-learning through workplace based assessment in postgraduate chemical pathology residency program using virtual learning environment

Lena Jafri  1 , Imran Siddiqui  2 , Aysha Habib Khan  2 , Muhammed Tariq  3 , Muhammad Umer Naeem Effendi  2 , Azra Naseem  4 , Sibtain Ahmed  2 , Farooq Ghani  2 , Shahnila Alidina  5 , Nadir Shah  6 , Hafsa Majid  2
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Fostering teaching-learning through workplace based assessment in postgraduate chemical pathology residency program using virtual learning environment

Lena Jafri et al. BMC Med Educ. .

Abstract

Background: The principle of workplace based assessment (WBA) is to assess trainees at work with feedback integrated into the program simultaneously. A student driven WBA model was introduced and perception evaluation of this teaching method was done subsequently by taking feedback from the faculty as well as the postgraduate trainees (PGs) of a residency program.

Methods: Descriptive multimethod study was conducted. A WBA program was designed for PGs in Chemical Pathology on Moodle and forms utilized were case-based discussion (CBD), direct observation of practical skills (DOPS) and evaluation of clinical events (ECE). Consented assessors and PGs were trained on WBA through a workshop. Pretest and posttest to assess PGs knowledge before and after WBA were conducted. Every time a WBA form was filled, perception of PGs and assessors towards WBA, time taken to conduct single WBA and feedback were recorded. Faculty and PGs qualitative feedback on perception of WBA was taken via interviews. WBA tools data and qualitative feedback were used to evaluate the acceptability and feasibility of the new tools.

Results: Six eligible PGs and seventeen assessors participated in this study. A total of 79 CBDs (assessors n = 7 and PGs n = 6), 12 ECEs (assessors n = 6 and PGs n = 5), and 20 DOPS (assessors n = 6 and PGs n = 6) were documented. PGs average pretest score was 55.6%, which was improved to 96.4% in posttest; p value< 0.05. Scores of annual assessment before and after implementation of WBA also showed significant improvement, p value 0.039, Overall mean time taken to evaluate PG's was 12.6 ± 9.9 min and feedback time 9.2 ± 7.4 min. Mean WBA process satisfaction of assessors and PGs on Likert scale of 1 to 10 was 8 ± 1 and 8.3 ± 0.8 respectively.

Conclusion: Both assessors and fellows were satisfied with introduction and implementation of WBA. It gave the fellows opportunity to interact with assessors more often and learn from their rich experience. Gain in knowledge of PGs was identified from the statistically significant improvement in PGs' assessment scores after WBA implementation.

Keywords: Chemical pathology; Faculty training and engagement; Feedback; Formative assessment; Residency; Trainee development; Virtual learning environment.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Residents’ (a) Pre and Post-Test Results and (b) Annual exam Results before and after implementation of the Workplace based Assessment using paired sample t test. The red lines represent the minimum required scores for the respective year of residency
See this image and copyright information in PMC

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