Abstract

Background: Progress tests (PT) are used to assess students on topics from all medical disciplines. Progress testing is usually one of the assessment methods of the cognitive domain. There is limited knowledge on how positioning of the PT in a program of assessment (PoA) influences students’ PT scores, use of PT feedback and perceived learning value.Methods: We compared PT total scores and use of a PT test feedback (ProF) system in two medical courses, where the PT is either used as a summative assessment or embedded in a comprehensive PoA and used formatively. In addition, an interview study was used to explore the students’ perception on use of PT feedback and perceived learning value.Results: PT total scores were higher, with considerable effect sizes (ESs) and students made more use of ProF when the PT was embedded in a comprehensive PoA. Analysis of feedback in the portfolio stimulated students to look for patterns in PT results, link the PT to other assessment results, follow-up on learning objectives, and integrate the PT in their learning for the entire PoA.Conclusions: Embedding the PT in an assessment program designed according to the principles of programmatic assessment positively affects PT total scores, use of PT feedback, and perceived learning value.

Highlights

  • Problem-based learning (PBL) can foster and guide students to self-direct their learning (Dolmans et al 2005; Loyens et al 2008)

  • We performed a study to answer the following three research questions: (1) how does the performance on a summative progress test (PT) compare to performance on a formative PT embedded in a comprehensive program of assessment (PoA)? (2) how does the use of the online PT feedback system compare in the summative versus the formative setting? and (3) how do medical students perceive the active use of PT feedback on how they prepare for and learn from the PT?

  • Question 1), how often online PT feedback was used by students (Research Question 2) and how do students perceive the active use of PT feedback on how they prepare for and learn from the PT (Research Question 3)

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Summary

Introduction

Problem-based learning (PBL) can foster and guide students to self-direct their learning (Dolmans et al 2005; Loyens et al 2008). As with every assessment method, the design of and choices made in the implementation of the PT in the curriculum and assessment program may affect the perceived positive effects of the PT on performance and learning. There is limited knowledge on how positioning of the PT in a program of assessment (PoA) influences students’ PT scores, use of PT feedback and perceived learning value. Methods: We compared PT total scores and use of a PT test feedback (ProF) system in two medical courses, where the PT is either used as a summative assessment or embedded in a comprehensive PoA and used formatively. Conclusions: Embedding the PT in an assessment program designed according to the principles of programmatic assessment positively affects PT total scores, use of PT feedback, and perceived learning value

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