Acad Med. 2021 Jul 01;96(7):S64-S69. doi: 10.1097/ACM.0000000000004112.
Constructing a Validity Map for a Workplace-Based Assessment System: Cross-Walking Messick and Kane.
Academic medicine : journal of the Association of American Medical Colleges
Benjamin Kinnear, Matthew Kelleher, Brian May, Dana Sall, Daniel P Schauer, Daniel J Schumacher, Eric J Warm
Affiliations
Affiliations
- B. Kinnear is associate professor of internal medicine and pediatrics, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio; ORCID: https://orcid.org/0000-0003-0052-4130.
- M. Kelleher is assistant professor of internal medicine and pediatrics, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
- B. May is assistant professor of internal medicine and pediatrics, Department of Internal Medicine, University of Alabama Birmingham School of Medicine, Birmingham, Alabama.
- D. Sall is program director, HonorHealth Internal Medicine Residency Program, Scottsdale, Arizona, and assistant professor of internal medicine, University of Arizona College of Medicine, Phoenix, Arizona.
- D.P. Schauer is associate professor of internal medicine and associate program director, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio; ORCID: https://orcid.org/0000-0003-3264-8154.
- D.J. Schumacher is associate professor of pediatrics at Cincinnati Children's Hospital Medical Center/University of Cincinnati College of Medicine, Cincinnati, Ohio; ORCID: https://orcid.org/0000-0001-5507-8452.
- E.J. Warm is professor of internal medicine and program director, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio; ORCID: https://orcid.org/0000-0002-6088-2434.
PMID: 34183604
DOI: 10.1097/ACM.0000000000004112
Abstract
PROBLEM: Health professions education has shifted to a competency-based paradigm in which many programs rely heavily on workplace-based assessment (WBA) to produce data for summative decisions about learners. However, WBAs are complex and require validity evidence beyond psychometric analysis. Here, the authors describe their use of a rhetorical argumentation process to develop a map of validity evidence for summative decisions in an entrustment-based WBA system.
APPROACH: To organize evidence, the authors cross-walked 2 contemporary validity frameworks, one that emphasizes sources of evidence (Messick) and another that stresses inferences in an argument (Kane). They constructed a validity map using 4 steps: (1) Asking critical questions about the stated interpretation and use, (2) Seeking validity evidence as a response, (3) Categorizing evidence using both Messick's and Kane's frameworks, and (4) Building a visual representation of the collected and organized evidence. The authors used an iterative approach, adding new critical questions and evidence over time.
OUTCOMES: The first map draft produced 25 boxes of evidence that included all 5 sources of evidence detailed by Messick and spread across all 4 inferences described by Kane. The rhetorical question-response process allowed for structured critical appraisal of the WBA system, leading to the identification of evidentiary gaps.
NEXT STEPS: Future map iterations will integrate evidence quality indicators and allow for deeper dives into the evidence. The authors intend to share their map with graduate medical education stakeholders (e.g., accreditors, institutional leaders, learners, patients) to understand if it adds value for evaluating their WBA programs' validity arguments.
Copyright © 2021 by the Association of American Medical Colleges.
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