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To sum up

Workplace-based assessment offers the opportunity to connect teaching, learning and assessment, and can assess the ‘does’ dimension of Miller’s pyramid of competence. It is a useful component of an overall assessment programme.

When designing a programme of workplace-based assessment it is important to address the following issues.

  • The utility of the entire assessment programme.
  • Clarity on what is being assessed is needed through the identification of holistically described professional competencies.
  • Attention should be given to the developmental nature of the assessment and this should be built into progression statements for each competency.
  • A variety of assessment tools should be used to gather evidence from multiple clinical contexts using multiple raters.
  • All the evidence should be collated, synthesised and judged at regular intervals by an educational supervisor to assess the learner’s progress.
  • The consistency and comparability of workplace-based assessments should be maximised through a programme of quality assurance.


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