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Continuous student assesment : implementation and results P Truffert, D Lacroix, D Gosset M Lance, A Deroo, JC Alexandre
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French medical studies 6 years DCEM4 CSCTU faculty exam ECN : national ranking exam About 8000 students in France DCEM4 (≈ 450 students)
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Lille II rank at ECN : disappointing results One of the national universities quality criteria
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Csctu before 2011 Written final exam 4 medical cases scenarios to resolve Problem solving, clinical reasoning, knowledge and therapeutic 80% of the total exam score Oral test Bedside evaluation Specific therapeutic oriented program
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Csctu 2011 : continuous assesment Same written/oral testing No specific program The hole ECN program is covered by assesment 20 assesments, 2 case scenarios each
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Csctu : continuous evaluation The « fridays » 2 cases « ecn type» Hématologia 2 cases « ecn » Psychiatry Course And correction Hématologia 1 Corrected record csctu Friday 1h30 evaluation 2h Monday 20 senior 1 spécialist Friday 1h30 evaluation Monday
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Monday Correction Software 20 senior residents Sensibilisation case elaboration Case correction (which keywords, what relative importance) Présence of 1 spécialist Can modify some keywords (synonyms etc…) Sees the principal difficulties encountered by the students Can adapt the learning messages for next friday
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Correction du lundi
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22% 2% 47% - 7
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Continuous assesment Weekly individualized results
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Other learning facilities Saturday morning seminars In the two last months before ECN 5 courses (3h) « best of » concerning themes chosen by the students Evening conferences 2 per week 4 case scenarios and 3h correction
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Did results change? (and how…)
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Analysis strategy Individual student ranking variation 2009-2011 Description by quartiles Correlation between csctu ranking and ECN ranking 2011
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Analysis strategy ECN ranking estimation linear Regression Predicted values – Observed values Under estimation : student winned + 1000 ranks at ECN Over estimation : student lost -1000 ranks ECN Correct estimation : difference < 1000 places
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Results Ranking distribution by quartiles 2009- 2011 QQQQ
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Results Corrélation csctu ranking vs ECN Correlation r : 0.8 (p<10 -4 ) Détermination r 2 : 0.64 36% of the ECN was not explained by the csctu ranking
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Results Predictive quality of the csctu ranking 38% overestimated : falsy reassured ? under Over
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National ranking of Lille 2 : 2007-2011
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Back to the future… Promotion effect? Waiting for 2012 confirmation… National ranking of Lille 2 : 2007-2011 Understanding which learning and teaching issues are involved?
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Thank you for your attention
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