Formative assessment on documentation of pediatric history taking skills by undergraduate medical students
Abstract
Introduction: Documenting pediatric history taking is an important competency required of a medical undergraduate student. Feedback is a powerful tool if provided while students are in the process of learning to document history taking. There is insufficient data in medical education to analyze the areas of concern in pediatric history taking. This study was conducted to identify and analyze the areas of concern in Pediatric case sheet writing and to assess the effect of formative assessment on case sheet writing skills.
Methodology: The study was conducted as a comparative study among sixth semester undergraduate students who underwent Pediatric clinical posting for one month. By the end of first 15 days students were made to interview a standardized patient and document history taking in the case sheet and marks awarded based on a checklist. Their views were collected through a questionnaire. Feedback was provided before the start of next session. The same teaching learning schedule was repeated during the second half of posting and results were analyzed.
Results: The areas of concern were growth and development (mean 2.76), immunization (mean2.87), nutrition and personal history (mean 2.92). Analysis of test scores established that formative assessment had a statistically significant positive effect on Pediatric case sheet writing skills (p<0.001). Perception of the students regarding their understanding of various components in history taking assessed through questionnaire is significant following feedback (p<0.001).
Conclusion: Formative assessment done at periodic interval helps the instructor to assess the students’ achievement skills and to identify and correct the concern areas. Structured formative assessment as an educational tool significantly enhances the undergraduate medical students’ pediatric history documentation skills.
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References
2. Rafique S, Rafique H.Students feedback on teaching and assessment at Nishtar Medical College, Multan. J Pak Med Assoc 2013 Sep; 63 (9):1205-9.
3. Burge SM, Lancaster T. Assessment in undergraduate dermatology. Clinical and experimental dermatology. 2004 Jul 1; 29 (4):441-6.
4. Hill DA, Guinea AI, McCarthy WH. Formative assessment: a student perspective. Med Educ 1994 Sep; 28 (5):394-9. [PubMed]
5. Chur-Hansen A. Medical students' essay-writing skills: criteria-based self- and tutor-evaluation and the role of language background. Med Educ. 2000 Mar; 34 (3):194-8. [PubMed]
6. Henly DC. Use of Web-based formative assessment to support student learning in a metabolism/nutrition unit. Eur J Dent Educ. 2003 Aug; 7 (3):116-22.
7. Ker J, Mole L, Bradley P. Early introduction to interprofessional learning: a simulated ward environment. Med Educ. 2003 Mar; 37 (3):248-55. [PubMed]
8. Gipps CV.What is the role for ICT‐based assessment in universities? Studies in Higher Education.2005 Aug 20; 30 (2):171-80. [PubMed]
9. Rushton A. Formative assessment: a key to deep learning? Med Teach. 2005 Sep; 27 (6):509-13. [PubMed]
10. Wass V, Van der Vleuten C, Shatzer J, Jones R. Assessment of clinical competence. Lancet. 2001 Mar 24; 357 (9260):945-9. [PubMed]
11. Sharif SI, Ibrahim R. Improving and Assessing Writing Skills and Practices of Pharmacy Students. J Pharma Care Health Sys 2014:1(2): e105. doi: 10.4172/ jpchs.1000e105
12. Aronson L, Niehaus B, DeVries CD, Siegel JR, O'Sullivan PS. Do writing and storytelling skill influence assessment of reflective ability in medical students' written reflections? Acad Med. 2010 Oct; 85 (10 Suppl.):S29-32. doi: 10.1097/ACM.0b013e3181ed3aa7.
13. Gibbs G, Simpson C. Conditions under which assessment supports students’ learning. Learning and teaching in higher education. 2004(1):3-31.
14. Tabbish SA. Assessment Methods in Medical Education. Int J Health Sci (Qassim). 2008 Jul; 2(2): 3–7.
15. Irby DM, Wilkerson L. Educational Innovations in Academic Medicine and Environmental Trends. Journal of General Internal Medicine. 2003; 18 (5):370-376. doi:10.1046/j.1525-1497.2003.21049.x.
16. Shumway JM, Harden RM. AMEE Guide No. 25: The assessment of learning outcomes for the competent and reflective physician. Med Teach. 2003 Nov; 25 (6):569-84. doi: 10.1080/0142159032000151907. [PubMed]
17. Burch VC, Seggie JL, Gary NE. Formative assessment promotes learning in undergraduate clinical clerkships.S Afr Med J. 2006 May; 96 (5):430-3.
18. Asaduzzaman AKM, Nibedita Aich. Opinion of 3rd year medical students about assessment system in 1st professional MBBS examination in Bangladesh. Bangladesh Med J. 2015 May; 44 (2): 92-96. doi: 10.3329/bmj.v44i2.27250
19. Naik TB, Amruthkishan KU, Swaroop Rani NB, Wadekar MD, Mane V, Biradar A. Students perception on different formats of written assessment in Medical Education, J Educational Res & Med Teach 2015;3(1):8-12.
20. Jain V, Agrawal V, Biswas S. Use of formative assessment as an educational tool. Journal of Ayub Medical College Abbottabad. 2012 Dec 1; 24 (3-4):68-70. [PubMed]
21. Al-Wardy NM. Assessment methods in undergraduate medical education. Sultan Qaboos Univ Med J. 2010; 10 (2):203–9.
22. Liu Y. Preliminary study on application of formative assessment in college English writing class. Theory and Practice in Language Studies. 2013 Dec 1; 3 (12):2186-2195.
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