title: Assessment in the post-psychometric era: learning to love the subjective and collective.
abstract: Since the 1970s, assessment of competence in the health professions has been dominated by a discourse of psychometrics that emphasizes the conversion of human behaviors to numbers and prioritizes high-stakes, point-in-time sampling, and standardization. There are many advantages to this approach, including increased fairness to test takers; however, some limitations of overemphasis on this paradigm are evident. Further, two shifts are underway that have significant consequences for assessment. First, as clinical practice becomes more interprofessional and team-based, the locus of competence is shifting from individuals to teams. Second, expensive, high-stakes final examinations are not well suited for longitudinal assessment in workplaces. The result is a need to consider assessment methods that are subjective and collective.
authors: Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. brian.hodges@uhn.ca
authors: Brian
authors: B
authors: Hodges
mesh_terms: D002983:Clinical Competence; D004501:Education, Medical / Q000592:standards*; D004521:Educational Measurement / Q000379:methods*; D006801:Humans; D011594:Psychometrics; D015203:Reproducibility of Results