Abstract
Abstract
Introduction
The ability to self-assess is essential to the practitioner who often works independently, and reflective practice is entrenched within the paramedic process of care. In order to develop these practices a paramedic student must be able to self-identify mistakes and learn from their errors. However, student assessment has traditionally focused heavily on outcomes, with errors being penalised. Justification for traditional approaches to assessment of paramedic students acknowledges the potentially catastrophic consequences associated with mistakes being repeated in the real world out-of-hospital setting. Responding to the challenge of balancing the reflective practice skills set with ‘real world’ implications of a paramedic’s mistakes, an assessment process was re-designed. The ‘Student-Tutor Consensus Assessment’ (STCA) was created to rebalance assessment weighting from being exclusively outcomes focussed, and encourage students to apply similar critical lens to events as the paramedics who are assessing them. Parallel tutor and student self-assessments are applied to simulated scenarios, with scores awarded to criteria where consensus has been reached between student and tutor judgements.
Methods
Final year undergraduate Bachelor of Paramedic Science students enrolled in a capstone topic were invited to complete a paper-based questionnaire at the end of their studies. Questions sought student perceptions about the STCA features and effectiveness.
Results
There was a 95% response rate (n=90). Responses to the six different questions showed a range of 85.6–95.6% broad agreement regarding the value, effectiveness and suitability of the method.
Conclusion
The pilot STCA approach proved highly successful, with student endorsement for the continued and expanded application of this teaching approach.
References
Thompson J, Grantham H, Houston D. Paramedic capstone education model: Building work ready graduates. Australasian Journal of Paramedicine 2015;12(3).
Boud D. Reframing assessment as if learning were important. In Boud D, Falchikov N, editors. Rethinking assessment in higher education: Learning for the longer term. London: Routledge, 2007:14–25.
Boud D, Lawson R, Thompson DG. Does student engagement in self-assessment calibrate their judgement over time? Assess Eval High Educ 2013;38:941–56.
Boud D, Soler R. Sustainable assessment revisited. ibid. 2015;1–14.
Mavin TJ, Roth M-W. Between reflection on practice and the practice of reflection: a case study from aviation. Reflective Practice 2014;15:651–65.
Nicol DJ, Macfarlane‐Dick D. Formative assessment and self‐regulated learning: A model and seven principles of good feedback practice. Studies in Higher Education 2006;31:199–218.
O'Brien K, Moore A, Dawson DA, Hartley PR. An Australian story: paramedic education and practice in transition. Australasian Journal of Paramedicine 2014;11:4.
Bourner T. Assessing reflective learning. Education and Training 2003;45:267–72.
Mann K, Gordon J, MacLeod A. Reflection and reflective practice in health professions education: a systematic review. Adv Health Sci Educ Theory Pract 2009;14:595–621.
Rogers RR. Reflection in higher education: a concept analysis. Innov High Educ 2001;26:37–57.
Schön D. Educating the reflective practitioner. San Francisco: Jossey- Bass, 1987.
Kennedy S, Kenny A, O'Meara P. Student paramedic experience of transition into the workforce: a scoping review. Nurse Educ Today 2015;35:1037–43.
Thompson J, Houston D, Dansie K, et al. Student and tutor consensus: a partnership in assessment for learning. Assess Eval High Educ 2016;42:1–11.
Carr W, Kemmis S. Becoming critical: knowing through action research: Deakin University; 1983.
Carter H, Thompson J. Defining the paramedic process. Aust J Prim Health 2013;21:22–26.
Orrell J. Good practice report: Work-integrated learning. ALTC: Strawberry Hills, 2011.
Boud D, Soler R. Sustainable assessment revisited. Assess Eval High Educ 2016;41:400–13.