Implementing Programmatic Assessment in the Two-year clerkship of Medical Education Moving Toward Competency-based education: A Case and solution

Abstract

Last October 2022, our medicine school was audited by external assessors of the National Accreditation Agency.  According to the National Accreditation Agency's assessment, one area that needs improvement is the performance evaluation standard. The agency emphasized that the assessments in the clerkship program were still subjective. Based on the assessor’s report, we tried to reform our assessment in our clerkship program. Methods. One month after the assessors' report, our dean established a team consisting of the vice dean of academics and several staff members. The team searched for literature about programmatic assessment in clinical rotation or clerkship programs in Scopus or PubMed databases. The vice dean of academics performed the analyses and the solution. This analysis was presented in front of the dean and another team member. Results. There were seven points that we needed to establish in our design, which are implementing programmatic assessments that also cover high-stakes examinations, interacted courses, and prioritizing the being of students. Conclusion. Several items need to be prepared thoroughly to implement programmatic assessment. Digital technology and other infrastructure should be fulfilled to implement many assessments that support the programmatic assessment concept. However, those means are possible because the benefits outweigh the disadvantages.