Abstract
In the context of where the nature of the learning environment allows only minimum feedback, and less participation in learning, a uniform national examination seems to be a feasible way to standardize quality in health professions education. However, this kind of high-stakes national examination may represent the social hierarchy indicated in this edited volume. Despite many external benefits, a high-stakes national exam, such as computer-based tests and objective-clinical-skills-examination/OSCE, will drive a society further away from the more dialogical observation-based assessment to approach the individual learning progress. This chapter will discuss the dilemma between the ‘assessment of learning’ and ‘assessment for learning’ in the context of hierarchical and collectivistic culture towards student-centered learning.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
Change history
22 February 2022
Correction to: M. Claramita et al. (eds.), Challenges and Opportunities in Health Professions Education, https://doi.org/10.1007/978-981-16-7232-3.
References
Ainin DQ (2017) Instrument evaluation development based on the ‘programmatic assessment’—student self assessment. Thesis, Universitas Gadjah Mada. http://etd.repository.ugm.ac.id/home/detail_pencarian/164087
Ajjawi R, Boud D (2017) Researching feedback dialogue: an interactional analysis approach. Assess Eval High Educ 42(2):252–265. https://doi.org/10.1080/02602938.2015.1102863
Ajjawi R, Boud D (2018) Examining the nature and effects of feedback dialogue. Assess Eval High Educ 43(7):1106–1119. https://doi.org/10.1080/02602938.2018.1434128
Archer J, Lynn N, Coombes L et al (2016) The impact of large scale licensing examinations in highly developed countries: a systematic review. BMC Med Educ 16(1):212
Attard A, Di Lorio E, Geven K et al (2010) Student-centred learning: toolkit for students, staff and higher education institutions. European Students’ Union (NJ1):82. http://www.aic.lv/bolona/2010/Reports/SCL_toolkit_ESU_EI.pdf
Ayyala MS, Rios R, Wright SM (2019) Perceived bullying among internal medicine residents. JAMA 322(6):576–578. https://doi.org/10.1001/jama.2019.8616
Burch VC (2019) The changing landscape of workplace-based assessment. J Appl Test Technol 20:3–10. https://doi.org/10.4324/9781315749112-2
CAN-MED (2010) Future of medical Education in Canada: a collective vision. https://cou.ca/wp-content/uploads/2010/01/COU-Future-of-Medical-Education-in-Canada-A-Collective-Vision.pdf
Cate O (2018) A primer on entrustable professional activities. Korean J Med Educ 30(1):1–10. https://doi.org/10.3946/kjme.2018.76
Chung JCC, Chow SMK (2004) Promoting student learning through a student-centred problem-based learning subject curriculum. Innov Educ Teach Int 41(2):157–168. https://doi.org/10.1080/1470329042000208684
Cilliers FJ (2015) Is assessment good for learning or learning good for assessment? A. Both? B. Neither? C. It depends?. Perspect Med Educ 4(6):280–281. https://doi.org/10.1007/s40037-015-0229-1
Claramita M, Nugraheny M, van Dalen J et al (2013) Doctor-patient communication in Southeast Asia: a different culture? Adv Health Sci Educ 18(1):15–31. https://doi.org/10.1007/s10459-012-9352-5
Claramita M, Nurrohmanti N, Shitarukmi S (2020) Report on ‘the 21st century learning skills’. Grantee of Basic Research Competition from Directorate of Higher Education, Min. of Education, Rep Indonesia
Dhaliwal U, Gupta P, Singh T (2015) Entrustable professional activities: teaching and assessing clinical competence. Indian Pediatr J 52(4):591–597. https://doi.org/10.1007/s13312-015-0681-3
Driessen E, Scheele F (2013) What is wrong with assessment in postgraduate training? Lessons from clinical practice and educational research. Med Teach 35(7):569–574. https://doi.org/10.3109/0142159X.2013.798403
Driessen EW, van Tartwijk J, Govaerts M et al (2012) The use of ‘programmatic assessment’ in the clinical workplace: a Maastricht case report. Med Teach 34(3):226–231. https://doi.org/10.3109/0142159X.2012.652242
Driessen E, van Tartwijk J (2013) Portfolios in personal and professional development. In: Swanwick T (ed) Understanding medical education: evidence, theory and practice. Wiley-Blackwell, Oxford, pp 193–200
Duijn CCMA, Dijk EJ, Mandoki M et al (2019) Assessment tools for feedback and entrustment decisions in the clinical workplace: a systematic review. J Vet Med Educ 46(3):340–352. https://doi.org/10.3138/jvme.0917-123r
Friedman BDM, Davis MH, Harden RM et al (2001) AMEE medical education guide no. 24: portfolios as a method of student assessment. Med Teach 23(6):535–551. https://doi.org/10.1080/01421590120090952
GMC-UK (2014) National licensing examination. https://www.gmc-uk.org/-/media/documents/06_National_Licensing_Examination.pdf_57876215.pdf
Govaerts M, van der Vleuten CPM (2013) The cross-cutting edge validity in work-based assessment: expanding our horizons 47(12):1164–1174. https://doi.org/10.1111/medu.12289
Govaerts M (2015) Workplace-based assessment and assessment for learning: threats to validity. J Grad Med Educ 7(2):265–267. https://doi.org/10.4300/JGME-D-15-00101.1
Harden RM (2009) Five myths and the case against a European or national licensing examination. Med Teach 31(3):217–220
Harden RM, Laidlaw JM (2012) Essential skills for a medical teacher. Churchill Livingstone, Elsevier
Harrison CJ, Könings KD, Schuwirth L et al (2015) Barriers to the uptake and use of feedback in the context of summative assessment. Adv in Health Sci Educ 20:229–245. https://doi.org/10.1007/s10459-014-9524-6
Harrison CJ (2017) Feedback: the need for meaningful conversations. J Grad Med Educ 9(2):171–172. https://doi.org/10.4300/JGME-D-17-00040.1
Harrison C, Könings KD, Schuwirth LWT et al (2017) Changing the culture of assessment: the dominance of the summative assessment paradigm. BMC Med Educ 17(1):1–14. https://doi.org/10.1186/s12909-017-0912-5
Hauer KE, Hodgson CS, Kerr KM et al (2005) A national study of medical student clinical skills assessment. Acad Med 80(10):S25–29
Hauer KE, Teherani A, Kerr KM et al (2006) Impact of the United States medical licensing examination step 2 clinical skills exam on medical school clinical skills assessment. Acad Med 81(10):S13–16
Hecker K, Violato C (2008) How much do differences in medical schools influence student performance? A longitudinal study employing hierarchical linear modeling. Teach Learn Med 20(2):104–113
Heeneman S, Oudkerk Pool A, Schuwirth LW et al (2015) The impact of ‘programmatic assessment’ on student learning: theory versus practice. Med Educ 49(5):487–498. https://doi.org/10.1111/medu.12645
Hidayah RN (2018) Impact of the national medical licensing examination in Indonesia: perspectives from students, teachers, and medical schools. Dissertation, University of Leeds
Hofstede G (2010) Culture consequenses. In: Thompson JB (ed) Comparing values, behaviors, institutions, and organizations across nations, 2nd ed. Sage Publication, Thousand Oaks, California
Holmboe ES, Davis MH, Carraccio C (2008) Portfolios. In: Holmboe ES, Hawkins RE (eds) Practical guide to the evaluation of clinical competence, 1st ed. Mosby Elsevier, Philadelphia, pp 86–101
de Jong LH, Favier RP, van der Vleuten CPM et al (2017) Students’ motivation toward feedback-seeking in the clinical workplace. Med Teach 39(9):954–958. https://doi.org/10.1080/0142159X.2017.1324948
Lee YS (2008) OSCE for the medical licensing examination in Korea. Kaohsiung J Med Sci 24(12):646–650. https://doi.org/10.1016/S1607-551X(09)70030-0
Lin CW, Tsai TC, Sun CK et al (2013) Power of the policy: how the announcement of high-stakes clinical examination altered OSCE implementation at institutional level. BMC Med Educ 13:8
Mboi N, Surbakti IM, Trihandini I et al (2018) On the road to Universal Health Care in Indonesia, 1990–2016: a systematic analysis for the global burden of disease study. Lancet 392(10147):581–591
McGill DA, van der Vleuten CPM, Clarke MJ (2011) Supervisor assessment of clinical and professional competence of medical trainees: a reliability study using workplace data and a focused analytical literature review. Adv Health Sci Educ 16(3):405–425. https://doi.org/10.1007/s10459-011-9296-1
Meeuwesen L, van den Brink-Muinen A, Hofstede G (2009) Can dimensions of national culture predict cross-national differences in medical communication? Patient Education and Counseling Elsevier Ireland Ltd 75(1):58–66. https://doi.org/10.1016/j.pec.2008.09.015
Miller A, Archer J (2010) Impact of workplace based assessment on doctors’ education and performance: a systematic review. BMJ 341(7775):710. https://doi.org/10.1136/bmj.c5064
Miller BJ, Sexson S, Shevitz S et al (2014) US medical licensing exam scores and performance on the psychiatry resident in-training examination. Acad Psychiatry 38(5):627–631
Miller GE (1990) The assessment of clinical skills/competence/performance. Acad Med 65(9 Suppl):S63–S67. https://doi.org/10.1097/00001888-199009000-00045
Møller JE, Malling BV (2019) Workplace-based communication skills training in clinical departments: examining the role of collegial relations through positioning theory. Med Teach 41(3):309–317. https://doi.org/10.1080/0142159X.2018.1464647
Moonen-van Loon JM, Overeem K, Donkers HH, van der Vleuten CP, Driessen EW (2013) Composite reliability of a workplace-based assessment toolbox for postgraduate medical education. Adv Health Sci Educ Theory Pract 18(5):1087–102. https://doi.org/10.1007/s10459-013-9450
Nugraheny E, Claramita M, Rahayu GR et al (2016) Feedback in the nonshifting context of the midwifery clinical education in Indonesia: a mixed methods study. Iran J Nurs Midwifery Res 21(6):628–634. https://doi.org/10.4103/1735-9066.197671
Norcini J, Burch V (2007) Workplace-based assessment as an educational tool: AMEE Guide No. 31. Med Teach 29(9–10):855–871. https://doi.org/10.1080/01421590701775453
Park HK (2012) The impact of introducing the Korean medical licensing examination clinical skills assessment on medical education. J Korean Med Assoc 55(2):116. https://doi.org/10.5124/jkma.2012.55.2.116
Pellegrino JW, Hilton ML (2013) Education for life and work: developing transferable knowledge and skills in the 21st century. https://doi.org/10.17226/13398
Peters H, Holzhausen Y, Boscardin C et al (2017) Twelve tips for the implementation of EPAs for assessment and entrustment decisions. Med Teach 39(8):802–807. https://doi.org/10.1080/0142159X.2017.1331031
Ramani S, Leinster S (2008) AMEE guide no. 34: teaching in the clinical environment. Med Teach 30(4):347–364. https://doi.org/10.1080/01421590802061613
Ramani S, Post SE, Könings K et al (2017) “It’s just not the culture”: a qualitative study exploring residents’ perceptions of the impact of institutional culture on feedback. Teach Learn Med 29(2):153–161. https://doi.org/10.1080/10401334.2016.1244014
Ramani S, Konings KD, Ginsburg S et al (2019a) Meaningful feedback through a sociocultural lens.pdf. Med Teach 41(12):1342–1352. https://doi.org/10.1080/0142159X.2019.1656804
Ramani S, Kd, Koning, Ginsburg S et al (2019b) Twelve tips to promote a feedback culture with a growth mind-set: swinging the feedback pendulum from recipes to relationships. Med Teach 41(6):625–631. https://doi.org/10.1080/0142159X.2018.1432850
Schut S, Maggio LA, Heeneman S et al (2020) Where the rubber meets the road—an integrative review of programmatic assessment in health care professions education. Perspecti Med Educ 10:6–13
Schuwirth LWT, van der Vleuten CPM (2011) Programmatic assessment’: from assessment of learning to assessment for learning. Med Teach 33(6):478–485. https://doi.org/10.3109/0142159X.2011.565828
Sudarso S, Rahayu GR, Suhoyo Y (2016) How does feedback in mini-CEX affect students’ learning response? Int J Med Educ 7:407–413. https://doi.org/10.5116/ijme.580b.363d
Suhoyo Y, Schönrock-Adema J, Emilia O et al (2018) Clinical workplace learning: perceived learning value of individual and group feedback in a collectivistic culture. BMC Med Educ 18(1):1–6. https://doi.org/10.1186/s12909-018-1188-0
Tan J, Tengah C, Chong VH et al (2015) Workplace based assessment in an Asian context: trainees’ and trainers’ perception of validity, reliability, feasibility, acceptability, and educational impact. J Biomed Educ 1–8. https://doi.org/10.1155/2015/615169
Tandon A, Indonesia Health Financing System Assessment (2016) Spend more—spend right—spend better. Ministry of Health Republic of Indonesia, Ministry of Finance Republic of Indonesia, World Bank, Australia Government DFAT, Canada, European Union, Swiss Confederation, and The Vaccine Alliance Federation. http://documents1.worldbank.org/curated/en/453091479269158106/pdf/110298-REVISED-PUBLIC-HFSA-Nov17-LowRes.pdf
Tekian A, Hodges BD, Roberts TE et al (2015) Assessing competencies using milestones along the way. Med Teach 37(4):399–402. https://doi.org/10.3109/0142159X.2014.993954
Tamblyn R, Abrahamowicz M, Dauphinee D et al (2007) Physician scores on a national clinical skills examination as predictors of complaints to medical regulatory authorities. JAMA 298(9):993–1001
Tamblyn R, Abrahamowicz M, Dauphinee WD et al (2002) Association between licensure examination scores and practice in primary care. JAMA 288(23):3019–3026
Thundiyil JG, Modica RF, Silvestri S et al (2010) Do United States Medical Licensing Examination (USMLE) scores predict in-training test performance for emergency medicine residents? J Emerg Med 38(1):65–69
van der Vleuten CPM, Schuwirth LW, Scheele F et al (2010) The assessment of professional competence: Building blocks for theory development. Best Pract Res Clin Obstet Gynaecol 24(6):703–719. https://doi.org/10.1016/j.bpobgyn.2010.04.001
van der Vleuten CPM, Schuwirth LW, Driessen EW et al (2012) A model for programmatic assessment’ fit for purpose. Med Teach 34(3):205–214. https://doi.org/10.3109/0142159X.2012.652239
van der Vleuten C, Lindemann I, Schmidt L (2018) Programmatic assessment’: the process, rationale and evidence for modern evaluation approaches in medical education. Med J Aust 209(9):386–388. https://doi.org/10.5694/mja17.00926
Van der Zwet J, Zwietering PJ, Teunissen PW et al (2011) Workplace learning from a socio-cultural perspective: creating developmental space during the general practice clerkship. Adv Health Sci Educ 16(3):359–373. https://doi.org/10.1007/s10459-010-9268-x
Weller JM, Misur M, Nicolson S et al (2014) Can I leave the theatre? A key to more reliable workplace-based assessment. Br J Anaesth 112(6):1083–1091. https://doi.org/10.1093/bja/aeu052
Wijnen-Meijer M, Burdick W, Alofs L et al (2013) Stages and transitions in medical education around the world: clarifying structures and terminology. Med Teach 35(4):301–307. https://doi.org/10.3109/0142159X.2012.746449
Wilbur K, Driessen EW, Scheele F et al (2019) Workplace-based assessment in cross-border health professional education. Teach Learn Med 32(1):91–103. https://doi.org/10.1080/10401334.2019.1637742
Wong AK (2011) Culture in medical education: comparing a Thai and a Canadian residency programme. Med Educ 45(12):1209–1219. https://doi.org/10.1111/j.1365-2923.2011.040
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Claramita, M. et al. (2022). The Discourse and Attempt of Student-Centered Assessment in the Context of Cultural Diversity. In: Claramita, M., Findyartini, A., Samarasekera, D.D., Nishigori, H. (eds) Challenges and Opportunities in Health Professions Education. Springer, Singapore. https://doi.org/10.1007/978-981-16-7232-3_6
Download citation
DOI: https://doi.org/10.1007/978-981-16-7232-3_6
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-16-7231-6
Online ISBN: 978-981-16-7232-3
eBook Packages: MedicineMedicine (R0)