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Progressive assessment and workplace-based assessment program guide

Overview

Workplace-based assessment

Last revised: 19 Jan 2023

Workplace-based assessment

Workplace-based assessment (WBA) allows observation of what a registrar actually does in their own workplace and thereby enables assessment of a registrar’s performance at the highest level of Miller’s pyramid. The main strength of WBA is its capacity to assess performance that requires multiple capabilities and competencies. There are several well-established, validated WBA tools to assess a range of competencies, including clinical reasoning and patient management where there may be diagnostic uncertainty, multi-morbidity and varied resource availability and social contexts.

WBA tools also allow for assessment of more complex competencies, such as professionalism and the ethical and legal considerations inherent to clinical practice, which may not be adequately assessed by traditional assessment methods

 The RACGP assessments that correspond to the levels of Miller’s pyramid are shown in Figure 3.

Figure 3 - Miller's pyramid with assessments

Figure 3 - Miller's pyramid with assessments

Based on work by Miller GE. The assessment of clinical skills/competence/performance. Acad Med. 1990;65:S63–7. 

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