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Cory Rohlfsen's avatar

Thank you for writing so clearly. In competency based medical education (CBME), there is a core tenet called ‘sequenced progression’ that is the Achilles heel of implementation for all of the reasons you state. It takes post graduate doctors and assesses them on a 9 point milestone-based scale (much noisier than a maths test) every 6 months using a ‘wisdom of the crowds’ approach. Would love to hear a post on the psychological weight of summative labels. Love the motivation angle. My opinion is summative assessment should be used sparingly and with intention because of a baseline risk for harm. This is also why the most widely used assessment and feedback tool (EPAs) are failing in med ed as well. It’s summative yet intended to be formative. Thanks again - I learn so much from these posts, especially the ones that try to untangle the notion of ‘assessment driving learning’ :)

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Duncan Baldwin's avatar

This one is the best yet! Absolutely right

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