Fairness in human judgement in assessment: a hermeneutic literature review and conceptual framework

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Fairness in human judgement in assessment: a hermeneutic literature review and conceptual framework Nyoli Valentine1   · Steven Durning2 · Ernst Michael Shanahan1 · Lambert Schuwirth1 Received: 13 May 2020 / Accepted: 19 October 2020 © Springer Nature B.V. 2020

Abstract Human judgement is widely used in workplace-based assessment despite criticism that it does not meet standards of objectivity. There is an ongoing push within the literature to better embrace subjective human judgement in assessment  not as a ‘problem’ to be corrected psychometrically but as legitimate perceptions of performance. Taking a step back and changing perspectives to focus on the fundamental underlying value of fairness in assessment may help re-set the traditional objective approach and provide a more relevant way to determine the appropriateness of subjective human judgements. Changing focus to look at what is ‘fair’  human judgement in assessment, rather than what is ‘objective’ human judgement in assessment allows for the embracing of many different perspectives, and the legitimising of human judgement in assessment. However, this requires addressing the question: what makes human judgements fair in health professions assessment? This is not a straightforward question with a single unambiguously ‘correct’ answer. In this hermeneutic literature review we aimed to produce a scholarly knowledge synthesis and understanding of the factors, definitions and key questions associated with fairness in human judgement in assessment and a resulting conceptual framework, with a view to informing ongoing further research. The complex construct of fair human judgement could be conceptualised through values (credibility, fitness for purpose, transparency and defensibility) which are upheld at an individual level by characteristics of fair human judgement (narrative, boundaries, expertise, agility and evidence) and at a systems level by procedures (procedural fairness, documentation, multiple opportunities, multiple assessors, validity evidence) which help translate fairness in human judgement from concepts into practical components. Keywords  Assessment · Fairness · Health professions education · Judgement · Subjective

* Nyoli Valentine [email protected] 1

Prideaux Health Professions Education, Flinders University, Bedford Park 5042, SA, Australia

2

Center for Health Professions Education, Uniformed Services University of the Health Sciences, Bethesda, MD, USA



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N. Valentine et al.

Introduction Fairness is a fundamental quality of health professions assessment and is commonly accepted as a student’s right (Robinson 2002). Traditionally, objectivity has been seen as the predominant way to ensure fairness in assessment and for much of the twentieth century health professions education research and development focussed on construct validity and reliability in assessment (Valentine and Schuwirth 2019; van der Vleuten et al. 1991; ten Cate and Regehr 2019). Over the last few decades, evolving ideas about learning, s