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In the new curriculum, multiple assessment instruments are being used (Table 5) to assess progress of the residents on the competency levels for the organ systems modules and the EPAs.
The evaluation of what constitutes an adequate treatment response or remission is complicated and likely requires multiple assessment instruments in order to develop a complete understanding.
Using multiple assessment instruments, we measured student knowledge and understanding of key principles of natural selection before and after instruction on evolution (including the Avida-ED activity).
Multiple assessment instruments are necessary to draw reliable and valid conclusions [ 15].
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The Geoscience Concept Inventory is a multiple choice assessment instrument of geoscience understanding, which has been validated and is unbiased relative to demographic variables (Libarkin & Anderson, 2006, 2007).
12 The MERSQI framework provides a measure of trial size (single or multiple institutions), validity of assessment instruments used, and the Kirkpatrick level of outcome measures used (a taxonomy for classifying training programmes).
All commonly described clinical assessment instruments – 'A' type Multiple Choice Questions MCQss), Extending Matching Questions (EMQs), Key Feature Examinations, Objective Structured Clinical Examinations (OSCEs), Mini C-Ex [ 8], Direct Observation Clinical Encounter Examination (DOCEE) [ 9] have their limitations.
Different variables were assessed and different assessment instruments were used.
Multiple observations in varying settings from different assessment instruments are necessary to make a summative judgement about overall competence.
In Canada, the interRAI suite of assessment instruments are used in multiple care settings including: home care, assisted living, complex continuing care (CCC), LTC, acute care, inpatient and community mental health, and post-acute rehabilitation [ 11, 12].
In addition, the study's combination of feedback from multiple methods, reflection and mentoring is consistent with the call for innovation in assessing professional competence and shows how assessment instruments might be used together to promote performance improvement.
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