Using mobile technology in assessment of entrustable professional activities in undergraduate medical education
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Perspect Med Educ https://doi.org/10.1007/s40037-020-00618-9
Using mobile technology in assessment of entrustable professional activities in undergraduate medical education Norah Duggan · Vernon R. Curran · Nicholas A. Fairbridge · Diana Deacon · Heidi Coombs · Katherine Stringer · Stephen Pennell
© The Author(s) 2020
Abstract Background The adoption of competency-based medical education requires objective assessments of a learner’s capability to carry out clinical tasks within workplace-based learning settings. This study involved an evaluation of the use of mobile technology to record entrustable professional activity assessments in an undergraduate clerkship curriculum. Approach A paper-based form was adapted to a mobile platform called eClinic Card. Students documented workplace-based assessments throughout core clerkship and preceptors confirmed accuracy via mobile phones. Assessment scores for the 2017–2018 academic year were collated and analyzed for all core rotations, and preceptors and students were surveyed regarding the mobile assessment experience. Evaluation The mobile system enabled 80 students and 624 preceptors to document 6850 assessment submissions across 47 clinical sites over a 48week core clerkship curriculum. Students’ scores demonstrated progressive improvement across all entrustable professional activities with stage-appropriate levels of independence reported by end of core clerkship. Preceptors and students were satisfied with ease of use and dependability of the mobile assessment platform; however, students felt quality of formative coaching feedback could be improved.
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s40037-020-00618-9) contains supplementary material, which is available to authorized users. N. Duggan · V. R. Curran () · N. A. Fairbridge · D. Deacon · H. Coombs · K. Stringer · S. Pennell Faculty of Medicine, Memorial University, St. John’s, Newfoundland, Canada [email protected]
Reflection Our preliminary evaluation suggests the use of mobile technology to assess entrustable professional activity achievement across a core clerkship curriculum is a feasible and acceptable modality for workplace-based assessment. The use of mobile technology supported a programmatic assessment approach. However, meaningful coaching feedback, as well as faculty development and support, emerged as key factors influencing successful adoption and usage of entrustable professional activities within an undergraduate medical curriculum. Keywords Mobile apps · Workplace assessment · Entrustable professional activities · Undergraduate medical education
Background and need for innovation Direct observation of clinical skills is a key component of medical education. However, there is growing realization that effective use of workplace-based assessments in the medical workplace varies significantly when put into practice. Accreditation standards require documentation that students receive regular, timely, formative feedback [1]; yet preceptor compliance
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