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AMEE Berlin 2002 Programme

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Session 5C Curriculum evaluation<br />

5C1 A course programme evaluation:<br />

contribution of students’ selfevaluation<br />

Carlota Saldanha*, Jorge Lima and Joao Martins-Silva<br />

Institute of Biochemistry, Faculty of Medicine of Lisbon, Av Prof<br />

Egas Moniz, 1649-028 Lisbon, PORTUGAL<br />

A course programme evaluation (CPE) is useful to<br />

highlight issues for introducing further changes. The<br />

aim of this work was to compare the results of the CPE<br />

performed in the discipline of Cellular Biochemistry<br />

in three consecutive years. The first year students in<br />

1999 (n=199), in 2000 (n=189) and in 2001 (n=173)<br />

of the Faculty of Medicine of Lisbon were required to<br />

answer a questionnaire anonymously with 19 closed<br />

questions. Phi and Cramer’s VC statistical analysis were<br />

used. The answers profile for the majority of the<br />

questions was similar in the three consecutive years.<br />

The main differences were those related to the influence<br />

of the teaching process in the assessment methods and<br />

in students’ self-confidence. The majority of students<br />

were not motivated with their self-evaluation. It is<br />

concluded that the course programme evaluation<br />

depends on the student population and not exclusively<br />

on the changes introduced by the teaching staff.<br />

5C2 A national evaluation of the reforms<br />

to higher specialist training in the<br />

UK: methodological issues<br />

Janet Grant*, Rodney Gale, Mairead Beirne and<br />

Heather Owen<br />

Open University Centre for Education in Medicine, The Open<br />

University, Walton Hall, Milton Keynes MK7 6AA, UK<br />

Over the past 5 years, wholesale reform of higher<br />

specialist training in the UK has occurred with changes<br />

in training structure, processes, infrastructure,<br />

assessment, records, post types, endpoint qualification,<br />

curricula, selection, standard setting, and monitoring.<br />

The Department of Health commissioned a national<br />

evaluation, conducted over three years. The evaluation<br />

was designed and conducted as policy research,<br />

involving 15 researchers with expertise in postgraduate<br />

medical education, qualitative and quantitative research<br />

methods, management, selection, public sector<br />

economics, assessment, and pedagogy. Data collection<br />

methods included surveys, consultative groups,<br />

interviews, site visits, case studies, documentary<br />

analysis and in-depth reference studies. Seven focal<br />

specialties were studied. Data for the 20 separate reports<br />

of the evaluation were gathered from upwards of 5,000<br />

participants. The evaluation covered costs, organisation,<br />

management, funding, change management,<br />

assessment, appraisal, educational processes and<br />

outcomes, new roles and responsibilities, selection, and<br />

effects on service and workload. Methodological issues<br />

will be discussed.<br />

Tuesday 4 September<br />

- 4.32 -<br />

5C3 Evaluation of PME courses in<br />

General Practice in Germany<br />

S Wilm*, R Jahromi, S Krause and B Hemming<br />

Heinrich-Heine University, Department of General Practice,<br />

PO Box 10 10 07, D-40001 Duesseldorf, GERMANY<br />

Vocational training in general practice in Germany<br />

requires 240 hours of accompanying courses, aiming<br />

at reinforcing professional knowledge, problem solving<br />

abilities and at training in interdisciplinary teamwork<br />

and audit. For the participants it has the character of an<br />

expensive obligation, with possibly negative effects on<br />

intrinsic motivation and demands. The continuous builtin<br />

evaluation of courses in Duesseldorf/North-Rhine<br />

covers written interviews with participants and teachers,<br />

participatory observation, oral interviews and focus<br />

groups. In 1999 and 2000 71 seminars were evaluated.<br />

935 questionnaires of participants (response rate 70%),<br />

46 data sheets for participatory observation, 33<br />

questionnaires of 29 teachers and 10 focus groups show<br />

that the educational quality increased, while the overall<br />

satisfaction of the trainees decreased. Possible reasons<br />

for this complex phenomenon are discussed.<br />

Organizational aspects influence participants’<br />

satisfaction much more than content of seminars.<br />

5C4 The Matrix: a visual presentation of<br />

registrar term evaluation<br />

Richard Tarala and Alistair Vickery<br />

Department of Postgraduate Medical Education, Royal Perth<br />

Hospital, GPO Box X2213, Perth, Western Australia 6847,<br />

AUSTRALIA<br />

Evaluation of junior medical officer posts can be<br />

hindered by the need to distribute questionnaires, the<br />

time required for their completion and by low response<br />

rates. Collation and assessment can be time-consuming<br />

and the resultant evaluation difficult to interpret. We<br />

used a simple evaluation tool for the assessment of<br />

registrar terms. Trainees were asked to assess on a fivepoint<br />

scale the workload and the training/teaching value<br />

of each rotation they had experienced over the previous<br />

two years. We have undertaken a pilot to provide a<br />

‘snapshot’ or audit of the trainees’ perception of the<br />

rotations. The evaluation can be performed quickly and<br />

the collated results when plotted in a graphical<br />

(“matrix”) form provide a powerful visual assessment<br />

of the trainee’s perspective of each post. This evaluation<br />

can be used to assess the workload of each position to<br />

assist in reallocation of workload and to optimise<br />

training in each post.<br />

5C5 Site visits as a method to assess the<br />

educational quality of clerkships<br />

Janke Cohen-Schotanus* and Rein P Zwierstra<br />

Institute for Medical Education (OWI-OK), Faculty of Medical<br />

Sciences, University of Groningen, Ant.Deusinglaan 1, 9713<br />

AV Groningen, NETHERLANDS<br />

Clerkships, as part of the training of medical students,<br />

are organized in several hospitals. In general, students<br />

are content with this training. However, what do we

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