Publications by authors named "Jessica V Rich"

Background: Competency frameworks outline the perceived knowledge, skills, attitudes, and other attributes required for professional practice. These frameworks have gained in popularity, in part for their ability to inform health professions education, assessment, professional mobility, and other activities. Previous research has highlighted inadequate reporting related to their development which may then jeopardize their defensibility and utility.

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Problem: Assessing the development and achievement of competence requires multiple formative and summative assessment strategies and the coordinated efforts of trainees and faculty (who often serve in multiple roles, such as academic advisors, program directors, and competency committee members). Operationalizing programmatic assessment (PA) in competency-based medical education (CBME) requires comprehensive practice guidelines, written in accessible language with descriptions of stakeholder activities, to move assessment theory into practice and to help guide the trainees and faculty who enact PA.

Approach: Informed by the Appraisal of Guidelines for Research and Evaluation II (AGREE II) framework, the authors used a multiphase, multimethod approach to develop the CBME Programmatic Assessment Practice Guidelines (PA Guidelines).

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Article Synopsis
  • - The study explores programmatic assessment as a system-oriented approach in Competency-Based Medical Education (CBME), aiming to identify its practical applications and challenges within a Canadian residency program.
  • - Using an interpretive case study, qualitative data were gathered from residents, faculty, and program leadership to analyze the operationalization of programmatic assessment nine months after CBME implementation.
  • - Findings reveal that Academic Advisors play a key intermediary role in managing assessment data between communities, but challenges persist regarding performance documentation, formative assessments informing high-stakes evaluations, and effective feedback mechanisms.
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Primarily grounded in Zimmerman's social cognitive model of self-regulation, graduate medical education is guided by principles that self-regulated learning takes place within social context and influence, and that the social context and physical environment reciprocally influence persons and their cognition, behavior, and development. However, contemporary perspectives on self-regulation are moving beyond Zimmerman's triadic reciprocal orientation to models that consider social transactions as the central core of regulated learning. Such co-regulated learning models emphasize shared control of learning and the role more advanced others play in scaffolding novices' metacognitive engagement.

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