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      Assessment in the post-psychometric era: learning to love the subjective and collective.

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      Medical teacher

      Informa UK Limited

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          Abstract

          Since the 1970s, assessment of competence in the health professions has been dominated by a discourse of psychometrics that emphasizes the conversion of human behaviors to numbers and prioritizes high-stakes, point-in-time sampling, and standardization. There are many advantages to this approach, including increased fairness to test takers; however, some limitations of overemphasis on this paradigm are evident. Further, two shifts are underway that have significant consequences for assessment. First, as clinical practice becomes more interprofessional and team-based, the locus of competence is shifting from individuals to teams. Second, expensive, high-stakes final examinations are not well suited for longitudinal assessment in workplaces. The result is a need to consider assessment methods that are subjective and collective.

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          Author and article information

          Journal
          Med Teach
          Medical teacher
          Informa UK Limited
          1466-187X
          0142-159X
          Jul 2013
          : 35
          : 7
          Affiliations
          [1 ] Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. brian.hodges@uhn.ca
          Article
          10.3109/0142159X.2013.789134
          23631408
          375a2e4a-607b-49a1-a53f-dc2445cc203e

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