7.
Conclusion
This case study shows how the gap between intent, design and practices in assessment affects learners' approaches and attitudes to learning. Although learning and assessment activities occur in real work environments with elements of formative assessment, there are challenges like time resource constraint and impacts of summative assessment on career progression of the resident doctors. But there are strong takeaways in this case about: holistic assessment in the RIME framework; the design and intent of formative assessment that for example gives feedback from multiple sources, over time and in multiple ways, and strong authentic features reflected in assessment components such as Chart Stimulated Recall and mini-CEX (Clinical Evaluation Exercise). In conclusion, there are opportunities for assessment and learning in the programme by making stronger connections between formative and summative assessment, improving alignment between programme objectives, learning outcomes and assessment strategies, and thinking about how feedback practices e.g. feed-forward could be designed and used to enable learning.
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