Abstract

Low-stakes assessments are theorised to stimulate and support self-regulated learning. They are feedback-, not decision-oriented, and should hold little consequences to a learner based on their performance. The use of low-stakes assessment as a learning opportunity requires an environment in which continuous improvement is encouraged. This may be hindered by learners’ perceptions of assessment as high-stakes. Teachers play a key role in learners’ assessment perceptions. By investigating assessment perceptions through an interpersonal theory-based perspective of teacher–learner relationships, we aim to better understand the mechanisms explaining the relationship between assessment and learning within medical education. First, twenty-six purposefully selected learners, ranging from undergraduates to postgraduates in five different settings of programmatic assessment, were interviewed about their assessment task perception. Next, we conducted a focussed analysis using sensitising concepts from interpersonal theory to elucidate the influence of the teacher–learner relationship on learners’ assessment perceptions. The study showed a strong relation between learners’ perceptions of the teacher–learner relationship and their assessment task perception. Two important sources for the perception of teachers’ agency emerged from the data: positional agency and expert agency. Together with teacher’s communion level, both types of teachers’ agency are important for understanding learners’ assessment perceptions. High levels of teacher communion had a positive impact on the perception of assessment for learning, in particular in relations in which teachers’ agency was less dominantly exercised. When teachers exercised these sources of agency dominantly, learners felt inferior to their teachers, which could hinder the learning opportunity. To utilise the learning potential of low-stakes assessment, teachers are required to stimulate learner agency in safe and trusting assessment relationships, while carefully considering the influence of their own agency on learners’ assessment perceptions. Interpersonal theory offers a useful lens for understanding assessment relationships. The Interpersonal Circumplex provides opportunities for faculty development that help teachers develop positive and productive relationships with learners in which the potential of low-stakes assessments for self-regulated learning is realised.

Highlights

  • Creating a learning opportunity with the use of assessment, which can benefit self-regulated learning, has gained greater prominence in medical education literature (Watling and Ginsburg 2019)

  • The ‘Interpersonal Circumplex” (Gurtman 2009) was found useful to understand the influence of teacher–learner relationships on learners’ assessment perception, and which type of interactions led learners to use the assessment experience as a learning opportunity

  • The ‘Interpersonal Circumplex’ (Gurtman 2009) was found useful to understand the influence of teacher–learner relationships on learners’ assessment perception, and which type of interactions led learners to use the assessment experience as a learning opportunity

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Summary

Introduction

Creating a learning opportunity with the use of assessment, which can benefit self-regulated learning (van der Vleuten et al 2012), has gained greater prominence in medical education literature (Watling and Ginsburg 2019). It remains a major challenge because assessments designed to inform and support learners’ progress are often perceived to be high-stakes, summative assessments by learners (Bok et al 2013; Harrison et al 2016; Heeneman et al 2015). One of the findings reported in this previous paper was that the teacher–learner relationship was an important factor influencing learners’ perception of assessment stakes. In the study reported in this paper, we explored how teacher–learner relationships influence this perception and how the influence of these relationships is negotiated in the context of assessment

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